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

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Partial contributions to mortality - Public Health 2020.pdf(2.11 MB)
Date
2020-12
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Authors
Cirera, Lluís ; Márquez Calderón, S. ; Ballesta Ruiz, Mónica ; Chirlaque López, María Dolores ; Sáez, Marc ; Salmerón Martínez, Diego ; Mortality working group of the Spanish Epidemiological Association
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Facultades de la UMU::Facultad de Enfermería
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Publisher
Elsevier
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Ciencias Sociosanitarias
DOI
https://doi.org/10.1016/j.puhe.2020.08.023
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info:eu-repo/semantics/article
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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.
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Monitoring , Mortality , Cause of death , Joinpoint regression , Spain , Trend
Citation
Public Health, 2020, Vol. 189, pp. 81-90
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http://hdl.handle.net/10201/209204
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