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Contributions of injury deaths to the changes in sex gaps in life expectancy and life disparity in the Nordic countries in the 21st century

Kiadaliri, A LU orcid (2024) In Public Health 236. p.315-321
Abstract

OBJECTIVE: The objective of this study was to provide novel comparative insights on the contributions of injury deaths to the changes in sex gaps in life expectancy (SGLE) and sex gaps in life disparity (SGLD) across Nordic countries.

STUDY DESIGN: Retrospective demographic analysis of aggregated mortality data.

METHODS: To compute life expectancy (LE)/life disparity (LD), annual data on age- and sex-specific causes of death from the World Health Organization mortality database were used to construct abridged life tables for two periods: 2000-2002 and 2016-2018 (2014-2016 for Norway). The contributions of injury deaths to the changes in the SGLE and SGLD between these two periods were decomposed by age and cause using a... (More)

OBJECTIVE: The objective of this study was to provide novel comparative insights on the contributions of injury deaths to the changes in sex gaps in life expectancy (SGLE) and sex gaps in life disparity (SGLD) across Nordic countries.

STUDY DESIGN: Retrospective demographic analysis of aggregated mortality data.

METHODS: To compute life expectancy (LE)/life disparity (LD), annual data on age- and sex-specific causes of death from the World Health Organization mortality database were used to construct abridged life tables for two periods: 2000-2002 and 2016-2018 (2014-2016 for Norway). The contributions of injury deaths to the changes in the SGLE and SGLD between these two periods were decomposed by age and cause using a continuous-change model.

RESULTS: Females' LE and LD advantages due to injury deaths narrowed by 0.16-0.44 (0.06-0.35) years for LE (LD) over time. While self-inflicted injuries consistently played a predominant role in contributing to the SGLE/SGLD in all countries in both periods, in all countries but Finland, transport accidents had the greatest contributions to the narrowing SGLE/SGLD. Widening SGLE due to self-inflicted injuries in Iceland and due to falls in Sweden were unique to these countries. Accounting for >20% of total contributions of injury deaths, the age group of 20-24 years had the greatest contributions to the narrowing SGLE/SGLD. Deaths due to falls in older ages and assault in younger ages generally contributed to the widening SGLE/SGLD.

CONCLUSIONS: Injury deaths, particularly transport accidents, contributed significantly to the narrowing SGLE and SGLD across Nordic countries, with cross-country variations in age- and cause-specific patterns. The results suggest the need for injury prevention policies targeting self-inflicted injuries in younger and falls in older males.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Public Health
volume
236
pages
315 - 321
publisher
Elsevier
external identifiers
  • pmid:39293152
ISSN
1476-5616
DOI
10.1016/j.puhe.2024.08.013
language
English
LU publication?
yes
additional info
Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.
id
c78701ab-ba3b-4441-bf70-b4aee2c0c310
date added to LUP
2024-09-19 10:25:59
date last changed
2024-09-20 07:06:32
@article{c78701ab-ba3b-4441-bf70-b4aee2c0c310,
  abstract     = {{<p>OBJECTIVE: The objective of this study was to provide novel comparative insights on the contributions of injury deaths to the changes in sex gaps in life expectancy (SGLE) and sex gaps in life disparity (SGLD) across Nordic countries.</p><p>STUDY DESIGN: Retrospective demographic analysis of aggregated mortality data.</p><p>METHODS: To compute life expectancy (LE)/life disparity (LD), annual data on age- and sex-specific causes of death from the World Health Organization mortality database were used to construct abridged life tables for two periods: 2000-2002 and 2016-2018 (2014-2016 for Norway). The contributions of injury deaths to the changes in the SGLE and SGLD between these two periods were decomposed by age and cause using a continuous-change model.</p><p>RESULTS: Females' LE and LD advantages due to injury deaths narrowed by 0.16-0.44 (0.06-0.35) years for LE (LD) over time. While self-inflicted injuries consistently played a predominant role in contributing to the SGLE/SGLD in all countries in both periods, in all countries but Finland, transport accidents had the greatest contributions to the narrowing SGLE/SGLD. Widening SGLE due to self-inflicted injuries in Iceland and due to falls in Sweden were unique to these countries. Accounting for &gt;20% of total contributions of injury deaths, the age group of 20-24 years had the greatest contributions to the narrowing SGLE/SGLD. Deaths due to falls in older ages and assault in younger ages generally contributed to the widening SGLE/SGLD.</p><p>CONCLUSIONS: Injury deaths, particularly transport accidents, contributed significantly to the narrowing SGLE and SGLD across Nordic countries, with cross-country variations in age- and cause-specific patterns. The results suggest the need for injury prevention policies targeting self-inflicted injuries in younger and falls in older males.</p>}},
  author       = {{Kiadaliri, A}},
  issn         = {{1476-5616}},
  language     = {{eng}},
  month        = {{09}},
  pages        = {{315--321}},
  publisher    = {{Elsevier}},
  series       = {{Public Health}},
  title        = {{Contributions of injury deaths to the changes in sex gaps in life expectancy and life disparity in the Nordic countries in the 21st century}},
  url          = {{http://dx.doi.org/10.1016/j.puhe.2024.08.013}},
  doi          = {{10.1016/j.puhe.2024.08.013}},
  volume       = {{236}},
  year         = {{2024}},
}