Mortality from external causes in Lithuania: looking for critical points in time and place

Collection:
Mokslo publikacijos / Scientific publications
Document Type:
Straipsnis / Article
Language:
Anglų kalba / English
Title:
Mortality from external causes in Lithuania: looking for critical points in time and place
In the Journal:
Scandinavian journal of public health. 2004, Vol. 32, no. 5, p. 347-380
Keywords:
LT
Sveikata / Health.
Summary / Abstract:

LTReikšminiai žodžiai: Išorinės priežastys; Loetuva; Lūžio taškas; Mirtingumas; Mirtys dėl išorinių priežasčių; Sandūra; Sveikatos netolygumai; External causes; External causes of death; Health inequalities; Jointpoint; Lithuania; Mortality.

ENA study was undertaken to analyse trends in mortality from major external causes of death, and to detect urban/rural differences by cut points over the period of socioeconomic transition. Methods: Information on deaths from major external causes (traffic accidents, suicides, and homicides) for the 1990 – 2000 period was obtained from Lithuanian Department of Statistics. Mortality rates were age standardized, using the European standard, and analysed, according to (urban/rural) residence and sex. The Jointpoint analysis was used to identify the best-fitting points, wherever a statistically significant change in mortality occurred. Results: The most critical point for external causes of mortality during the period of transition was the year 1994, when an increasing mortality trend reversed to a decreasing one. Mortality from suicides primarily caused these positive changes. Changes in mortality from traffic accidents were not significantly associated with the period under analysis. Numerous less favourable trends in rural areas, including suicide rates, traffic accidents, and homicides, are likely to stratify urban/rural health outcomes in the future. Conclusion: Despite a recent decline, mortality from external causes remains at an extremely high level in Lithuania. Future progress requires sustained improvements in prevention, and serious attention to external causes of death in health policy development. [From the publication]

DOI:
10.1080/14034940410024211
ISSN:
1651-1905; 1403-4948
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https://www.lituanistika.lt/content/31701
Updated:
2019-11-12 20:50:52
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