Partial contributions and temporal trends of leading causes of death during the last four decades in Spain

Cirera, L; Márquez-Calderón, S; Saez, M; Salmerón, D; Ballesta Ruiz, Mónica; Chirlaque López, María Dolores

Publication:
Partial contributions and temporal trends of leading causes of death during the last four decades in Spain

dc.contributor.author	Cirera, L
dc.contributor.author	Márquez-Calderón, S
dc.contributor.author	Saez, M
dc.contributor.author	Salmerón, D
dc.contributor.author	Ballesta Ruiz, Mónica
dc.contributor.author	Chirlaque López, María Dolores
dc.contributor.department	Ciencias Sociosanitarias
dc.date.accessioned	2024-01-15T12:46:01Z
dc.date.available	2024-01-15T12:46:01Z
dc.date.issued	2020-12
dc.description	© 2020 This document is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the submitted version of a published work that appeared in final form in Public Health	es
dc.description.abstract	Objectives: The study was conducted to assess time trend shifts of leading causes of death and their partial contributions over the years 1975-2016 in Spain. Study design: A longitudinal ecological epidemiologic design was conducted to analyse linear trend period shifts using joinpoint regression as the annual percentage of change (APC) in the period 1975-2016. The partial contributions were illustrated as the rate ratio of a singular-cause to their major-cause shift periods. Results: HIV/AIDS shaped the increasing trend period of infectious diseases in 1989-1995 (APC = 25.3, P < 0.05) and the decreasing trend in 1995-1999 and 1999-2016. Lung cancer fell gradually from 1994 in men (-0.4, P < 0.05); however, in women, the condition continued increasing from 1990 (P < 0.05). Dementia types influenced mental and neurological disease drifts. The recent trend for circulatory periods (1980-2016) was mainly modulated by cardiac ischaemia, with increased partial contributions (25%, 32% and 30%). Traffic accidents defined the descending tendency of external causes. Conclusions: Spain showed a Western pattern in descended rates, including non-decreasing trends in mental and neurological diseases, pancreatic cancer, drug abuse and suicide. Trend shifts and partial contributions illustrated targets for further mortality reduction.	es
dc.format	application/pdf	es
dc.format.extent	10	es
dc.identifier.citation	Public Health Volume 189, December 2020, Pages 81-90
dc.identifier.doi	https://doi.org/10.1016/j.puhe.2020.08.023
dc.identifier.issn	0033-3506
dc.identifier.uri	http://hdl.handle.net/10201/137341
dc.language	eng	es
dc.publisher	Elsevier	es
dc.relation	Sin financiación externa a la Universidad	es
dc.relation.publisherversion	https://www.sciencedirect.com/science/article/pii/S0033350620303917?via%3Dihub	es
dc.rights	info:eu-repo/semantics/openAccess	es
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject	Trend	es
dc.subject	Monitoring	es
dc.subject	Mortality	es
dc.subject	Cause of death	es
dc.subject	Joinpoint regression	es
dc.subject	Spain	es
dc.title	Partial contributions and temporal trends of leading causes of death during the last four decades in Spain	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es
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