The contributions of injury deaths to the gender gap in life expectancy and life disparity in Eastern Mediterranean Region

Injury Epidemiology

Original Contribution

Ali Kiadaliri¹  Firoozeh Bairami²  Mohammad Hajizadeh³ 

[1] Clinical Epidemiology Unit, Department of Clinical Sciences Lund, Orthopaedics, Skåne University Hospital, Lund University, Remissgatan 4, 221 85, Lund, Sweden;Centre for Economic Demography, Lund University, Lund, Sweden;European Society of Cardiology, Brussels, Belgium;School of Health Administration, Dalhousie University, Halifax, Canada;

关键词: Gender gap;    Life expectancy;    Life disparity;    Avoidable causes of death;    Injury death;    Eastern Mediterranean Region;   

DOI  :  10.1186/s40621-023-00417-w

 received in 2022-11-14, accepted in 2023-01-18,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInjury deaths constitute a major avoidable cause of death affecting life expectancy to a different degree in men and women. This study quantified the contributions of injury deaths to the gender gap in life expectancy (GGLE) and life disparity (GGLD) in nine Eastern Mediterranean Region (EMR) countries.MethodsWe retrieved annual data on age-sex specific causes of death from the World Health Organization mortality database for EMR countries with at least 2-year consecutive data during 2010–2019. The injury-related deaths were categorized into five groups: transport accidents, other accidental injuries, intentional self-harm, assault and events of undetermined intent. Considering women as the reference, the GGLE and GGLD were decomposed by age and causes of death, using a continuous-change model.ResultsThe largest and smallest GGLE were observed in Kuwait (5.2 years) and Qatar (− 1.2 years), respectively. Qatar (− 2.2 years) and Oman (0.2 years) had the highest and lowest GGLD. The highest contributions of injury deaths to the GGLE/GGLD were seen in Libya (1.8/− 1.2 years), followed by Iran (1.2/− 0.8 years). Among injury causes, transport accidents were the leading cause of GGLE in all countries but Libya and Morocco, with Iran having the greatest contributions (0.6 years). Injury deaths in men aged 15–29 years accounted for 33% [41%] (Kuwait) to 55% [65%] (Oman) of total GGLE [GGLD] attributable to injury deaths.ConclusionsHigh injury deaths, particularly transport accidents, among young men contributed substantially to the GGLE and GGLD across nine EMR countries in this study. This highlights the need for implementing preventing policies to reduce the burden of injury deaths specifically in young men.

【 授权许可】

CC BY   
© The Author(s) 2023

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