TY - JOUR
T1 - Trend of Socio-Demographic Index and Mortality Estimates in Iran and its Neighbors, 1990-2015
T2 - Findings of the Global Burden of Diseases 2015 Study
AU - Moradi-Lakeh, Maziar
AU - Sepanlou, Sadaf G.
AU - Karimi, Seyed M
AU - Khalili, Narjes
AU - Djalalinia, Shirin
AU - Karimkhani, Chante
AU - Krohn, Kristopher J
AU - Afshin, Ashkan
AU - Farzadfar, Farshad
AU - Kiadaliri, Aliasghar Ahmad
AU - Asadi-Lari, Mohsen
AU - Asayesh, Hamid
AU - Esteghamati, Ali Reza
AU - Farvid, Maryam S
AU - Fereshtehnejad, Seyed-Mohammad
AU - Heydarpour, Pouria
AU - Khosravi, Ardeshir
AU - Khubchandani, Jagdish
AU - Kasaeian, Amir
AU - Rana, Saleem M.
AU - Mahdavi, Mahdi
AU - Masoudifarid, Habib
AU - Mohammadi-Nodooshan, Alireza
AU - Pourmalek, Farshad
AU - Qorbani, Mostafa
AU - Radfar, Amir
AU - Rahimi, Kazem
AU - Rahimi-Movaghar, Vafa
AU - Roshandel, Gholamreza
AU - Safi, Sare
AU - Salamati, Payman
AU - Tehrani-Banihashemi, Arash
AU - Bazargan-Hejazi, Shahrzad
AU - Vos, Theo
AU - Malekzadeh, Reza
AU - Mokdad, Ali H.
AU - Murray, Christopher J. L.
AU - Naghavi, Mohsen
PY - 2017/7
Y1 - 2017/7
N2 - BACKGROUND: The Global burden of disease and injuries study (GBD 2015) reports expected measures for years of life lost (YLL) based on socio-demographic index (SDI) of countries, as well as the observed measures. In this extended GBD 2015 report, we reviewed total and cause-specific deaths and YLL for Iran and all its neighboring countries between 1990 and 2015.METHODS: We extracted data from the GBD 2015 database. Observed YLL measures were calculated by multiplying the number of deaths by standard life expectancy at each age. SDI was a composite index, calculated based on income per capita, average years of schooling, and total fertility rate. The GBD world population was used for age standardization.RESULTS: All-ages crude death rate in Iran reduced from 665.6 per 100,000 population (95% uncertainty interval: 599.3-731.6) in 1990 to 487.2 (414.9-566.1) in 2015. The ratio of observed to expected YLL (O/E ratio) for all-causes ranged between 0.54 (Turkey) and 1.95 (Russia) in 2015. For Iran, the all-causes O/E ratio was less than 1 in all years (1990-2015), except 2003. However, cause-specific O/E ratio was more than 1 for some causes, including the top leading causes of YLL (ischemic heart disease, road injuries, and cerebrovascular disorders). Ischemic heart disease was the first or second cause of YLL in all comparator countries except Afghanistan.CONCLUSION: The leading YLL causes with high O/E ratios should be prioritized in public health efforts. In addition to research evidence, countries with low O/E ratios should be scrutinized to find feasible innovative interventions.
AB - BACKGROUND: The Global burden of disease and injuries study (GBD 2015) reports expected measures for years of life lost (YLL) based on socio-demographic index (SDI) of countries, as well as the observed measures. In this extended GBD 2015 report, we reviewed total and cause-specific deaths and YLL for Iran and all its neighboring countries between 1990 and 2015.METHODS: We extracted data from the GBD 2015 database. Observed YLL measures were calculated by multiplying the number of deaths by standard life expectancy at each age. SDI was a composite index, calculated based on income per capita, average years of schooling, and total fertility rate. The GBD world population was used for age standardization.RESULTS: All-ages crude death rate in Iran reduced from 665.6 per 100,000 population (95% uncertainty interval: 599.3-731.6) in 1990 to 487.2 (414.9-566.1) in 2015. The ratio of observed to expected YLL (O/E ratio) for all-causes ranged between 0.54 (Turkey) and 1.95 (Russia) in 2015. For Iran, the all-causes O/E ratio was less than 1 in all years (1990-2015), except 2003. However, cause-specific O/E ratio was more than 1 for some causes, including the top leading causes of YLL (ischemic heart disease, road injuries, and cerebrovascular disorders). Ischemic heart disease was the first or second cause of YLL in all comparator countries except Afghanistan.CONCLUSION: The leading YLL causes with high O/E ratios should be prioritized in public health efforts. In addition to research evidence, countries with low O/E ratios should be scrutinized to find feasible innovative interventions.
M3 - Article
C2 - 28745903
SN - 1029-2977
VL - 20
SP - 419
EP - 428
JO - Archives of Iranian Medicine
JF - Archives of Iranian Medicine
IS - 7
ER -
