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The Swedish mortality pattern: a basis for health planning?
International Journal of Epidemiology
|June 1, 1985
Summary
Swedish mortality trends from 1969-78 show a decrease in overall deaths but a widening life expectancy gap between men and women. Suicide caused the most premature deaths, while alcohol-related mortality significantly increased.
Area of Science:
- Public Health
- Epidemiology
- Demography
Background:
- New Swedish health legislation assigned epidemiological responsibility to local county councils.
- This necessitated a detailed analysis of regional mortality patterns.
Purpose of the Study:
- To present and analyze the regional mortality pattern in Sweden for the period 1969-1978.
- To identify trends in premature death and causes contributing to 'lost years before 65'.
Main Methods:
- Analysis of regional mortality data from 1969-1978.
- Calculation of 'lost years before 65' as a measure of premature mortality.
- Examination of specific causes of death, including suicide and alcohol-related mortality.
Main Results:
- Total mortality decreased slightly over the decade.
- The life expectancy difference between men and women increased to six years.
- Suicide was the leading cause of premature death for both sexes.
- Positive trends observed in leukemia, cervical cancer, and motor vehicle accident mortality.
- A twofold increase in premature alcohol-related mortality occurred.
Conclusions:
- While some areas show improvement (leukemia, cancer screening, accident prevention), significant failures exist, particularly in addressing alcohol-related mortality.
- Mortality statistics quality is crucial for effective health planning.