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首页> 外文期刊>Social science and medicine >Avoidable, amenable, and preventable mortalities in South Korea, 2000-2017: Age-period-cohort trends and impact on life expectancy at birth
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Avoidable, amenable, and preventable mortalities in South Korea, 2000-2017: Age-period-cohort trends and impact on life expectancy at birth

机译：韩国的可避免，可致力的，可预防的死亡，2000-2017：年龄 - 期间 - 队列趋势和对出生时预期寿命的影响

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摘要

This study aimed to estimate age-period-cohort effects on avoidable mortality and quantify the impact of avoidable mortality changes on life expectancy (LE) at birth in the South Korean population aged 0-74 years. Using death certificate and resident population data from 2000 to 2017, trends in age-standardized avoidable mortality rates were analyzed with joinpoint regression. Intrinsic estimator regression analysis was conducted to estimate age-period-cohort effects on avoidable mortality. Arriaga's method was used to measure the contributions of avoidable causes to changes in LE gaps between adjacent three-year periods by age and avoidable cause of death groups. Avoidable mortality decreased annually by 4.6% between 2000 and 2017. There were strong age and cohort effects and a weak period effect on avoidable mortality. In the overall decreasing trend, avoidable mortality declined less in cohorts born after the 1950-1953 Korean War and economic recession in the 1970s, with further reductions in cohorts born after the 1987 democratic reform and 1997-1998 economic crisis. Avoidable mortality was reduced after implementation of major health policies, but the decrease stagnated during the 2008-2009 financial crisis. Avoidable mortality reduction resulted in LE gains of 3.1 years, which accounted for 80% of total LE gains. Contribution to LE gains by causes of death was the largest for cerebrovascular disease. Major social changes and health policies influenced the avoidable mortality trend through cohort and period effects. Health care and public health policies implemented since the 2000s might have contributed substantially to gains in LE.
机译：本研究旨在估计核心核心群体对避免死亡率的影响，并量化南朝鲜人口诞生中避免的死亡率变化对南朝鲜人口的寿命变化的影响。利用2000年至2017年的死亡证明和居民人口数据，通过JINOPOINT回归分析了年龄标准化的可避免死亡率的趋势。进行了内在估计器回归分析，以估计对避免死亡率的年龄 - 时期 - 队列影响。 Arriaga的方法用于衡量通过年龄和避免死亡团体的邻近三年期间的LE差距变化的避免原因的贡献。 2000年至2017年之间，可避免的死亡率每年减少4.6％。有强劲的年龄和群组效应和对避免死亡率的弱期效应。在整体下降的趋势下，在20世纪70年代的朝鲜战争和经济衰退之后出生的群组中，可避免的死亡率下降，并进一步减少1987年民主改革后出生的群组，1997-1998经济危机。在实施重大卫生政策后，可避免的死亡率降低，但在2008 - 2009年金融危机期间减少停滞不前。可避免的死亡率降低导致Le收益为3.1岁，占LE收益总数的80％。死亡原因对Le收益的贡献是脑血管病最大的贡献。主要的社会变迁和卫生政策影响了通过队列和期间的影响避免的死亡率趋势。自2000年代以来实施的医疗保健和公共卫生政策可能会在LE中获得基本贡献。

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