Publication:
Partial contributions and temporal trends of leading causes of death during the last four decades in Spain

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Date
2020-12
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Authors
Cirera, L ; Márquez-Calderón, S ; Saez, M ; Salmerón, D ; Ballesta Ruiz, Mónica ; Chirlaque López, María Dolores
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Publisher
Elsevier
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Ciencias Sociosanitarias
DOI
https://doi.org/10.1016/j.puhe.2020.08.023
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info:eu-repo/semantics/article
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© 2020 This document is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the submitted version of a published work that appeared in final form in Public Health
Abstract
Objectives: The study was conducted to assess time trend shifts of leading causes of death and their partial contributions over the years 1975-2016 in Spain. Study design: A longitudinal ecological epidemiologic design was conducted to analyse linear trend period shifts using joinpoint regression as the annual percentage of change (APC) in the period 1975-2016. The partial contributions were illustrated as the rate ratio of a singular-cause to their major-cause shift periods. Results: HIV/AIDS shaped the increasing trend period of infectious diseases in 1989-1995 (APC = 25.3, P < 0.05) and the decreasing trend in 1995-1999 and 1999-2016. Lung cancer fell gradually from 1994 in men (-0.4, P < 0.05); however, in women, the condition continued increasing from 1990 (P < 0.05). Dementia types influenced mental and neurological disease drifts. The recent trend for circulatory periods (1980-2016) was mainly modulated by cardiac ischaemia, with increased partial contributions (25%, 32% and 30%). Traffic accidents defined the descending tendency of external causes. Conclusions: Spain showed a Western pattern in descended rates, including non-decreasing trends in mental and neurological diseases, pancreatic cancer, drug abuse and suicide. Trend shifts and partial contributions illustrated targets for further mortality reduction.
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Trend , Monitoring , Mortality , Cause of death , Joinpoint regression , Spain
Citation
Public Health Volume 189, December 2020, Pages 81-90
URI
http://hdl.handle.net/10201/137341
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