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首页> 外文期刊>BMC Public Health >Temporal trend analysis of avoidable mortality in Taiwan, 1971-2008: overall progress, with areas for further medical or public health investment
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Temporal trend analysis of avoidable mortality in Taiwan, 1971-2008: overall progress, with areas for further medical or public health investment

机译：1971-2008年台湾可避免死亡率的时间趋势分析：总体进展，还有进一步的医疗或公共卫生投资领域

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Background Avoidable mortality (AM), or “unnecessary untimely death,” is considered an indicator of health care quality. We investigated trends in the age-standardized mortality rates (ASMRs) and associated standard expected years of life lost (SEYLL) for deaths amenable to medical care or public health measures in Taiwan from 1971-2008, with an emphasis on identifying areas where additional medical or public health investment may help reduce the burden of AM. Methods Taiwan’s ASMRs per 100,000 for AM and other causes of death were calculated using data from the National Death Certificate Registry in five-year bins from 1971 to 2008. SEYLL rates per 100,000 were calculated annually from 1971 to 2008 using the same data source. Results ASMR for almost all AM and other causes of death declined dramatically from 1971 to 2008 except for lung cancer (16.6% and 7.4% increase among men and women, respectively) and breast cancer (109.8% increase among women). In the same period, SEYLL due to lung cancer increased from 269.2 to 555.7 for men and 249.7 to 342.5 for women. For women, SEYLL due to breast cancer increased from 263.5 in 1971 to 659.3 in 2008. There were gender-specific differences in the reduction (or increase) in AM rates, with women showing larger rates of reduction or smaller rates of increase. Among men, AM fell by 65.9% from 1971-1975 to 2006-2008, and deaths from other causes increased by 15.6%. Among women, AM and deaths from other causes fell by 80.8% and 59.8% respectively. SEYLL decreased, respectively among males and females, from 23,147.3 and 24,081.1 in 1971 to 11,261.8 and 5,929.6 in 2008. Conclusion From 1971 to 2008, Taiwan experienced a dramatic reduction in most AM and corresponding SEYLL except for lung cancer (for both males and females) and breast cancer (for females). Additional effort should be devoted to public health measures to combat the rising prevalence of smoking in Taiwan, which may be responsible for the increasing AM from lung cancer. If AM in breast cancer continues unabated in the future, greater policy emphasis on the early detection and treatment of breast cancer may also be warranted.
机译：背景可避免的死亡率（AM）或“不必要的过早死亡”被认为是医疗质量的指标。我们调查了1971-2008年台湾因医疗或公共卫生措施而导致的死亡的年龄标准化死亡率（ASMR）和相关的标准预期寿命损失（SEYLL）趋势，重点是确定需要额外医疗的领域或公共卫生投资可能有助于减轻AM负担。方法使用从1971年至2008年的五年区间中的国家死亡证明书注册处的数据，计算台湾每10万例AM和其他死亡原因的ASMR。从1971年至2008年，每年使用相同的数据源计算每10万例SEYLL的发生率。结果从1971年到2008年，几乎所有AM和其他死亡原因的ASMR均显着下降，但肺癌（男女分别增加16.6％和7.4％）和乳腺癌（女性增加109.8％）除外。在同一时期，肺癌引起的SEYLL男性从269.2增至555.7，女性从249.7增至342.5。对女性而言，由于乳腺癌而引起的SEYLL从1971年的263.5增加到2008年的659.3。AM率的降低（或增加）存在性别差异，女性的降低率更高或增长率更小。在男性中，AM从1971-1975年到2006-2008年下降了65.9％，其他原因导致的死亡人数增加了15.6％。在妇女中，上午和其他原因造成的死亡分别下降了80.8％和59.8％。男性和女性的SEYLL分别从1971年的23,147.3和24,081.1下降到2008年的11,261.8和5,929.6。结论从1971年到2008年，台湾大部分AM和相应的SEYLL显着下降，除了肺癌（男性和女性）和乳腺癌（女性）。应该采取更多的措施来采取公共卫生措施，以应对台湾吸烟率上升的情况，这可能是肺癌导致AM升高的原因。如果将来乳腺癌中的AM继续保持下去，那么也有必要在早期发现和治疗乳腺癌方面加大政策重点。

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