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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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dc.contributor.authorCirera, Lluís
dc.contributor.authorMárquez Calderón, S.
dc.contributor.authorBallesta Ruiz, Mónica
dc.contributor.authorChirlaque López, María Dolores
dc.contributor.authorSáez, Marc
dc.contributor.authorSalmerón Martínez, Diego
dc.contributor.authorMortality working group of the Spanish Epidemiological Association
dc.contributor.departmentCiencias Sociosanitarias
dc.contributor.otherFacultades de la UMU::Facultad de Enfermería
dc.date.accessioned2026-02-20T12:07:30Z
dc.date.available2026-02-20T12:07:30Z
dc.date.copyright© 2020 The Royal Society for Public Health
dc.date.issued2020-12
dc.description.abstractObjectives 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.
dc.formatapplication/pdf
dc.format.extent10
dc.identifier.citationPublic Health, 2020, Vol. 189, pp. 81-90
dc.identifier.doihttps://doi.org/10.1016/j.puhe.2020.08.023
dc.identifier.issn0033-3506
dc.identifier.urihttp://hdl.handle.net/10201/209204
dc.languageeng
dc.publisherElsevier
dc.relationSin financiación externa a la Universidad
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0033350620303917
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectMonitoring
dc.subjectMortality
dc.subjectCause of death
dc.subjectJoinpoint regression
dc.subjectSpain
dc.subjectTrend
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titlePartial contributions and temporal trends of leading causes of death during the last four decades in Spain
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublicationes
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relation.isAuthorOfPublicationd574b2ee-b5f0-4552-b9e9-a7622381f3f6
relation.isAuthorOfPublicationeb66f6d0-47c9-4f9b-bc79-04137a6b2d59
relation.isAuthorOfPublication.latestForDiscoverydbc036f9-e429-4373-a198-0082097acf67
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