The gap in life expectancy and lifespan inequality between Iran and neighbour countries: the contributions of avoidable causes of death
Allel, Kasim ; Hajizadeh, Mohammad and Kiadaliri, Ali LU
(2022)
In International Journal for Equity in Health
21.
p.1-12
- Abstract
- Background
Healthcare system and intersectoral public health policies play a crucial role in improving population health and reducing health inequalities. This study aimed to quantify their impact, operationalized as avoidable deaths, on the gap in life expectancy (LE) and lifespan inequality (LI) between Iran and three neighbour countries viz., Turkey, Qatar, and Kuwait in 2015–2016.
Methods
Annual data on population and causes of deaths by age and sex for Iran and three neighbour countries were obtained from the World Health Organization mortality database for the period 2015–2016. A recently developed list by the OECD/Eurostat was used to identify avoidable causes of death (with an upper age limit of 75). The... (More) - Background
Healthcare system and intersectoral public health policies play a crucial role in improving population health and reducing health inequalities. This study aimed to quantify their impact, operationalized as avoidable deaths, on the gap in life expectancy (LE) and lifespan inequality (LI) between Iran and three neighbour countries viz., Turkey, Qatar, and Kuwait in 2015–2016.
Methods
Annual data on population and causes of deaths by age and sex for Iran and three neighbour countries were obtained from the World Health Organization mortality database for the period 2015–2016. A recently developed list by the OECD/Eurostat was used to identify avoidable causes of death (with an upper age limit of 75). The cross-country gaps in LE and LI (measured by standard deviation) were decomposed by age and cause of death using a continuous-change model.
Results
Iranian males and females had the second lowest and lowest LE, respectively, compared with their counterparts in the neighbour countries. On the other hand, the highest LIs in both sexes (by 2.3 to 4.5 years in males and 1.1 to 3.3 years in females) were observed in Iran. Avoidable causes contributed substantially to the LE and LI gap in both sexes with injuries and maternal/infant mortality represented the greatest contributions to the disadvantages in Iranian males and females, respectively.
Conclusions
Higher mortality rates in young Iranians led to a double burden of inequality –shorter LE and greater uncertainty at timing of death. Strengthening intersectoral public health policies and healthcare quality targeted at averting premature deaths, especially from injuries among younger people, can mitigate this double burden. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/db142779-e705-4a10-aa1f-c7346e66a915
- author
- Allel, Kasim
; Hajizadeh, Mohammad
and Kiadaliri, Ali
LU
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- in
- International Journal for Equity in Health
- volume
- 21
- article number
- 81
- pages
- 1 - 12
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85131646385
- pmid:35676694
- ISSN
- 1475-9276
- DOI
- 10.1186/s12939-022-01683-8
- language
- English
- LU publication?
- yes
- id
- db142779-e705-4a10-aa1f-c7346e66a915
- date added to LUP
- 2022-06-09 10:25:52
- date last changed
- 2022-09-09 03:00:14
@article{db142779-e705-4a10-aa1f-c7346e66a915,
abstract = {{Background<br/>Healthcare system and intersectoral public health policies play a crucial role in improving population health and reducing health inequalities. This study aimed to quantify their impact, operationalized as avoidable deaths, on the gap in life expectancy (LE) and lifespan inequality (LI) between Iran and three neighbour countries viz., Turkey, Qatar, and Kuwait in 2015–2016.<br/><br/>Methods<br/>Annual data on population and causes of deaths by age and sex for Iran and three neighbour countries were obtained from the World Health Organization mortality database for the period 2015–2016. A recently developed list by the OECD/Eurostat was used to identify avoidable causes of death (with an upper age limit of 75). The cross-country gaps in LE and LI (measured by standard deviation) were decomposed by age and cause of death using a continuous-change model.<br/><br/>Results<br/>Iranian males and females had the second lowest and lowest LE, respectively, compared with their counterparts in the neighbour countries. On the other hand, the highest LIs in both sexes (by 2.3 to 4.5 years in males and 1.1 to 3.3 years in females) were observed in Iran. Avoidable causes contributed substantially to the LE and LI gap in both sexes with injuries and maternal/infant mortality represented the greatest contributions to the disadvantages in Iranian males and females, respectively.<br/><br/>Conclusions<br/>Higher mortality rates in young Iranians led to a double burden of inequality –shorter LE and greater uncertainty at timing of death. Strengthening intersectoral public health policies and healthcare quality targeted at averting premature deaths, especially from injuries among younger people, can mitigate this double burden.}},
author = {{Allel, Kasim and Hajizadeh, Mohammad and Kiadaliri, Ali}},
issn = {{1475-9276}},
language = {{eng}},
pages = {{1--12}},
publisher = {{BioMed Central (BMC)}},
series = {{International Journal for Equity in Health}},
title = {{The gap in life expectancy and lifespan inequality between Iran and neighbour countries: the contributions of avoidable causes of death}},
url = {{http://dx.doi.org/10.1186/s12939-022-01683-8}},
doi = {{10.1186/s12939-022-01683-8}},
volume = {{21}},
year = {{2022}},
}