Abstract
BackgroundThe aim of the study is the analysis of years of life lost due to external causes of death, particularly due to traffic accidents and suicides.Materials and MethodsThe study material includes a database containing information gathered from 376,281 death certificates of inhabitants of the Lodz province who died between 1999 and 2010. The Lodz province is characterized by the highest mortality rates in Poland. The SEYLLp (Standard Expected Years of Life Lost per living person) and the SEYLLd (per death) indices were used to determine years of life lost. Joinpoint models were used to analyze time trends.ResultsIn 2010, deaths due to external causes constituted 6.0% of the total number of deaths. The standardized death rate (SDR) due to external causes was 110.0 per 100,000 males and was five times higher than for females (22.0 per 100,000 females). In 2010, the SEYLLp due to external causes was 3746 per 100,000 males and 721 per 100,000 females. Among males, suicides and traffic accidents were the most common causes of death (the values of the SEYLLp were: 1098 years and 887 years per 100,000 people, respectively). Among females, the SEYLLp values were 183 years due to traffic accidents and 143 years due to suicides (per 100,000 people).ConclusionsA decrease in the number of years of life lost due to external causes is much higher among females. The authors observe that a growing number of suicides contribute to an increase in the value of the SEYLLp index. This directly contributes to over-mortality of males due to external causes. The analysis of the years of life lost focuses on the social and economic aspects of premature mortality due to external causes.
Highlights
The Lodz province is located in central Poland
The authors observe that a growing number of suicides contribute to an increase in the value of the SEYLLp index
An analysis of mortality in particular age groups confirms that external causes most often affect people aged 15–39 and they contribute to 45% of all deaths, which results in the greatest number of lost years [11]
Summary
The Lodz province is located in central Poland It is inhabited by more than 2,500,000 people, which represents about 7% of the total population of the country. For many years, it has been characterized by the highest mortality rates for various causes. An analysis of mortality in particular age groups confirms that external causes most often affect people aged 15–39 and they contribute to 45% of all deaths, which results in the greatest number of lost years [11]. In regard to external causes of death, traffic accidents and suicides contributed to almost half the number of deaths in all age groups of the Polish population: in 2010 the values were, respectively, 19.2% and 26.8% nationwide, and 18.8% and 25.1% in the Lodz region [12]. The aim of the study is the analysis of years of life lost due to external causes of death, due to traffic accidents and suicides
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