Provincial Differences in the Main Causes of Years of Life Lost Due to Premature Death of Iranian Elderly in 2016

Mohammad Sasanipour
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Abstract

Background and Objectives: In order to evaluate the burden of disease in the provinces of Iran, this study seeks to investigate the provincial differences of the main causes of years of life lost in old age in 2016. Methods: This is a descriptive cross-sectional study that was conducted in 2016 at the provincial and national levels. These data were obtained from the registration system of the Ministry of Health and Medical Education, and using the standard method of the World Health Organization, the number of years of life lost was calculated based on three causes of death for the elderly. Results: The share of elderly deaths in total deaths ranged from 43% in Sistan and Baluchestan province to 77% in Gilan province. Golestan province had the highest YLL rate due to cardiovascular diseases (345 per thousand) and cancers (227 per thousand) in old age and Kerman province with 81 per thousand had the highest YLL rate due to respiratory diseases at this age they had. Conclusion: Increasing the proportion of elderly population in the future and, consequently, the increasing trend of deaths at this age and in order to better manage it, it is necessary to pay attention to provincial differences and potentials to improve the health of the elderly, especially in the field of causes of death.
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2016年伊朗老年人过早死亡主要原因的省际差异
背景与目的:为了评估伊朗各省的疾病负担,本研究旨在调查2016年导致老年寿命减少的主要原因的各省差异。方法:采用描述性横断面研究,于2016年在省级和国家级开展。这些数据来自卫生和医学教育部的登记系统,并使用世界卫生组织的标准方法,根据老年人的三种死亡原因计算寿命损失年数。结果:老年人死亡占总死亡人数的比例从锡斯坦和俾路支斯坦省的43%到吉兰省的77%不等。戈列斯坦省因老年心血管疾病(345‰)和癌症(227‰)导致的YLL率最高,克尔曼省因该年龄段呼吸系统疾病导致的YLL率最高,为81‰。结论:未来老年人口比例将不断上升,老龄人口死亡人数也将呈上升趋势,为了更好地管理老龄人口死亡,有必要关注各省之间的差异和潜力,以改善老年人的健康状况,特别是在死亡原因方面。
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