| Titre : | The East-West life expectancy gap : Differences in mortality from conditions amenable to medical intervention. (1997) |
| Auteurs : | A. VELKOVA ; J.P. MACKENBACH ; J.H. WOLLESWINKEL -VAN DEN BOSCH ; Department of Public Health. Erasmus University Rotterdam. Dr Rotterdam. NLD |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 26, n° 1, 1997) |
| Pagination : | 75-84 |
| Langues: | Anglais |
| Mots-clés : | Mortalité ; Accès soins ; Epidémiologie ; Etiologie ; Homme ; Etude comparée ; Europe |
| Résumé : | [BDSP. Notice produite par INIST bX4RR0xO. Diffusion soumise à autorisation]. Background. Although mortality from conditions amenable to medical intervention has frequently been shown to be higher in the countries of Central and Eastern Europe (CCEE) than in the countries of Western Europe (CWE), the con - tribution of these mortality differences to the East-West gap in life expectancy is unknown. We have determined the contribution of mortality from nine amenable causes to differences in temporary life expectancy from birth to age 75 (TLE0-75) between 12 CCEE and the average TLE0-75 for CWE in ca. 1988. Data and methods. Population and mortality data were extracted from publications of the World Health Organization. Chiang's method was used for constructing abridged life tables, and Arriaga's method was used for decomposition by cause of death of the differences in TLE0-75 between each of the CCEE and the average for CWE. Results. Differences in TLE0-75 between CCEE and the average for CWE ranged between 1.25 and 6.29 years in men, and between 1.09 and 3.44 years in women. After exclusion of early neonatal deaths, for which data were not available in all CCEE, amenable causes accounted for between 11% and 50% of the difference in TLE0-75 in men, and between 24% and 59% in women. The results for countries where data on early neonatal deaths were available show that inclusion of this category generally raises these estimates substantially. (...) |
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