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 -