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The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study

BACKGROUND: In the 12th Five-Year Plan, the Chinese government set the goal of increasing life expectancy by one year. The purpose of this study is to examine the impact of major causes of death on the life expectancy of the Chinese people between 1950 and 2010 and predict changing trends to identif...

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Autores principales: Liu, Pengcheng, Li, Chengyue, Wang, Ying, Zeng, Wei, Wang, Hua, Wu, Honghui, Lu, Jun, Sun, Mei, Li, Xiaohong, Chang, Fengshui, Hao, Mo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4246474/
https://www.ncbi.nlm.nih.gov/pubmed/25413667
http://dx.doi.org/10.1186/1471-2458-14-1193
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author Liu, Pengcheng
Li, Chengyue
Wang, Ying
Zeng, Wei
Wang, Hua
Wu, Honghui
Lu, Jun
Sun, Mei
Li, Xiaohong
Chang, Fengshui
Hao, Mo
author_facet Liu, Pengcheng
Li, Chengyue
Wang, Ying
Zeng, Wei
Wang, Hua
Wu, Honghui
Lu, Jun
Sun, Mei
Li, Xiaohong
Chang, Fengshui
Hao, Mo
author_sort Liu, Pengcheng
collection PubMed
description BACKGROUND: In the 12th Five-Year Plan, the Chinese government set the goal of increasing life expectancy by one year. The purpose of this study is to examine the impact of major causes of death on the life expectancy of the Chinese people between 1950 and 2010 and predict changing trends to identify major issues requiring future attention. METHODS: A continuous database organised by population and death data on diseases by age group between 1950 and 2010 were created from A Province in Eastern China. The diseases were classified into four categories by the International Classification of Diseases-10 (ICD-10): infectious and parasitic diseases, chronic diseases, accidental injuries, and maternal diseases. Potential gains in life expectancy (PGLEs) were applied to reflect the impact on life expectancy caused by deaths from various diseases, by using the cause-eliminated life table. RESULTS: The PGLEs of infectious and parasitic diseases decreased from 15.59 years in 1950, to 0.07 year in 2010, and have remained low since 2000. However, the PGLEs of chronic diseases increased from 8.70 years in 1950, to 13.36 years in 2010, and indicated an increasing future trend. The two opposite trends exhibited a ‘scissors-like difference’. The proportion of accidental injuries and maternal diseases in the death spectrum was low. The PGLEs of accidental injuries decreased from 2.95 years in 1950, to 0.86 year in 2010, maintaining a low level, while the PGLEs of maternal diseases dropped from 0.56 to 0.002 year during the same period, approaching zero. CONCLUSIONS: The findings of this study provide useful information, which could contribute to a more effective allocation of public health programmes. In recent years, chronic diseases and accidental injuries have emerged as major factors influencing life expectancy. Primary and secondary prevention actions, such as public education, modification of behaviours, and introduction of safety measures should be emphasised in efforts to promote life expectancy. The morbidity and mortality rates of infectious, parasitic, and maternal diseases should be maintained at low levels.
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spelling pubmed-42464742014-11-29 The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study Liu, Pengcheng Li, Chengyue Wang, Ying Zeng, Wei Wang, Hua Wu, Honghui Lu, Jun Sun, Mei Li, Xiaohong Chang, Fengshui Hao, Mo BMC Public Health Research Article BACKGROUND: In the 12th Five-Year Plan, the Chinese government set the goal of increasing life expectancy by one year. The purpose of this study is to examine the impact of major causes of death on the life expectancy of the Chinese people between 1950 and 2010 and predict changing trends to identify major issues requiring future attention. METHODS: A continuous database organised by population and death data on diseases by age group between 1950 and 2010 were created from A Province in Eastern China. The diseases were classified into four categories by the International Classification of Diseases-10 (ICD-10): infectious and parasitic diseases, chronic diseases, accidental injuries, and maternal diseases. Potential gains in life expectancy (PGLEs) were applied to reflect the impact on life expectancy caused by deaths from various diseases, by using the cause-eliminated life table. RESULTS: The PGLEs of infectious and parasitic diseases decreased from 15.59 years in 1950, to 0.07 year in 2010, and have remained low since 2000. However, the PGLEs of chronic diseases increased from 8.70 years in 1950, to 13.36 years in 2010, and indicated an increasing future trend. The two opposite trends exhibited a ‘scissors-like difference’. The proportion of accidental injuries and maternal diseases in the death spectrum was low. The PGLEs of accidental injuries decreased from 2.95 years in 1950, to 0.86 year in 2010, maintaining a low level, while the PGLEs of maternal diseases dropped from 0.56 to 0.002 year during the same period, approaching zero. CONCLUSIONS: The findings of this study provide useful information, which could contribute to a more effective allocation of public health programmes. In recent years, chronic diseases and accidental injuries have emerged as major factors influencing life expectancy. Primary and secondary prevention actions, such as public education, modification of behaviours, and introduction of safety measures should be emphasised in efforts to promote life expectancy. The morbidity and mortality rates of infectious, parasitic, and maternal diseases should be maintained at low levels. BioMed Central 2014-11-20 /pmc/articles/PMC4246474/ /pubmed/25413667 http://dx.doi.org/10.1186/1471-2458-14-1193 Text en © Liu et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Liu, Pengcheng
Li, Chengyue
Wang, Ying
Zeng, Wei
Wang, Hua
Wu, Honghui
Lu, Jun
Sun, Mei
Li, Xiaohong
Chang, Fengshui
Hao, Mo
The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study
title The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study
title_full The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study
title_fullStr The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study
title_full_unstemmed The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study
title_short The impact of the major causes of death on life expectancy in China: a 60-year longitudinal study
title_sort impact of the major causes of death on life expectancy in china: a 60-year longitudinal study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4246474/
https://www.ncbi.nlm.nih.gov/pubmed/25413667
http://dx.doi.org/10.1186/1471-2458-14-1193
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