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Age-standardized mortality, disability-adjusted life-years and healthy life expectancy in different cultural regions of Guangdong, China: a population-based study of 2005–2015
- Source :
- BMC Public Health, Vol 20, Iss 1, Pp 1-20 (2020), BMC Public Health
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Background Guangdong province is dominated by three cultural regions: Canton, Hakka and Hoklo. However, little is known about the disease burden within these regions, particularly because different population,environmental and socioeconomic risk factors might cause different patterns of mortality, disability-adjusted life-years (DALY), life expectancy and healthy life expectancy (HALE). We aimed to compare the patterns of disease burden in Canton, Hakka and Hoklo regions between 2005 and 2015. Method We calculated the mortality, YLL, YLD for 116 diseases for different cultural regions between 2005 and 2015. We calculated the DALYs for 116 causes as the sum of YLLs and YLDs. We estimated the life expectancy and HALE by using sex-specific mortality rates and YLDs for the three cultural regions. Results With a respective reduction of 22.3, 15.8 and 17.8% in 2015 compared with 2005, the age-standardized DALY rates in 2015 was 19,988.0, 14,396.5 and 20,436.6 in Hakka, Canton and Hoklo region. Canton region had a significantly lower mortality and DALYs in most diseases, followed by Hoklo and Hakka regions. The life expectancy and HALE at birth were highest in Canton region in both 2005 and 2015, than in Hoklo and Hakka region. Conclusions Our findings call for improved public health care via the refinement of policy and effective measures for disease prevention. Understanding the environmental and culture-related risk factors of diseases in Hoklo and Hakka regions may help inform public health sectors to reduce the disease burden and the between-region inequality.
- Subjects :
- Adult
Cross-Cultural Comparison
Male
China
medicine.medical_specialty
Guangdong
Health Status
Population
030204 cardiovascular system & hematology
Global Burden of Disease
03 medical and health sciences
Life Expectancy
Cultural regions
0302 clinical medicine
Risk Factors
Epidemiology
Ethnicity
Humans
Medicine
Disabled Persons
030212 general & internal medicine
Mortality
education
Socioeconomic status
Disease burden
Aged
education.field_of_study
business.industry
lcsh:Public aspects of medicine
Public health
Mortality rate
Burden of disease
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Middle Aged
Disability-adjusted life-years
Healthy life expectancy
Socioeconomic Factors
Life expectancy
Female
Quality-Adjusted Life Years
Biostatistics
business
Research Article
Demography
Subjects
Details
- ISSN :
- 14712458
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....3e26ee9a062d4d2eec6eec884ddc4c2f