TY - JOUR
PY - 2017//
TI - Trend of socio-demographic index and mortality estimates in Iran and its neighbors, 1990-2015; findings of the Global Burden of Diseases 2015 Study
JO - Archives of Iranian medicine
A1 - Moradi-Lakeh, Maziar
A1 - Sepanlou, Sadaf G.
A1 - Karimi, Seyed M.
A1 - Khalili, Narjes
A1 - Djalalinia, Shirin
A1 - Karimkhani, Chante
A1 - Krohn, Kristopher
A1 - Afshin, Ashkan
A1 - Farzadfar, Farshad
A1 - Kiadaliri, Aliasghar Ahmad
A1 - Asadi-Lari, Mohsen
A1 - Asayesh, Hamid
A1 - Esteghamati, Ali Reza
A1 - Farvid, Maryam S.
A1 - Fereshtehnejad, Seyed-Mohammad
A1 - Heydarpour, Pouria
A1 - Khosravi, Ardeshir
A1 - Khubchandani, Jagdish
A1 - Kasaeian, Amir
A1 - Rana, Saleem M.
A1 - Mahdavi, Mahdi
A1 - Masoudifarid, Habib
A1 - Mohammadi, Alireza
A1 - Pourmalek, Farshad
A1 - Qorbani, Mostafa
A1 - Radfar, Amir
A1 - Rahimi, Kazem
A1 - Rahimi-Movaghar, Vafa
A1 - Roshandel, Gholamreza
A1 - Safi, Sare
A1 - Salamati, Payman
A1 - Tehrani-Banihashemi, Arash
A1 - Bazargan-Hejazi, Shahrzad
A1 - Vos, Theo
A1 - Malekzadeh, Reza
A1 - Mokdad, Ali H.
A1 - Murray, Christopher J. L.
A1 - Naghavi, Mohsen
SP - 419
EP - 428
VL - 20
IS - 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.
Language: en
LA - en SN - 1029-2977 UR - http://dx.doi.org/0172007/AIM.005 ID - ref1 ER -