Rahu-et-al_2019_Sex disparities in premature adult mortality in Estonia 1995–2016_A national register-based study.pdf 1,08MB
1000 Titel
  • Sex disparities in premature adult mortality in Estonia 1995–2016: a national register-based study
1000 Autor/in
  1. Rahu, Kaja |
  2. Rahu, Mati |
  3. Zeeb, Hajo |
1000 Erscheinungsjahr 2019
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2019-07-16
1000 Erschienen in
1000 Quellenangabe
  • 9(7):e026210
1000 FRL-Sammlung
1000 Copyrightjahr
  • 2019
1000 Lizenz
1000 Verlagsversion
  • |
  • |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • OBJECTIVES: To quantify sex disparities in cause-specific premature adult mortality in Estonia, to determine the causes of death with the largest differences, to provide insight into related behaviours and to offer some guidance to public health policy-makers based on the results of the study. DESIGN: A national register-based study. SETTING: Estonia. DATA: Individual records of deaths at ages 20–69 years in 1995–2016 from the Estonian causes of death register; data on tobacco smoking and alcohol consumption in the adult population in 1996–2016 from the biennial postal survey of health behaviour. MAIN OUTCOME MEASURES: Overall and cause-specific age-standardised mortality rates, average annual percentage changes in mortality, and cause-specific men-to-women mortality rate ratios were calculated. In addition, the age-standardised prevalence proportions of tobacco smoking and alcohol consumption and men-to-women prevalence rate ratios were determined. RESULTS: Overall premature adult mortality decreased considerably during 1995–2016, but no reduction was observed with respect to the large relative sex disparities. In circulatory disease mortality, the disparities widened significantly over time. Extremely high mortality rate ratios were observed for cancer of the upper aerodigestive tract and for lung cancer. There was a stable, more than fivefold male excess mortality from external causes. A fourfold male disadvantage was evident for alcohol poisoning, mental disorders due to alcohol and alcohol-related degeneration of the nervous system as a group. The prevalence of tobacco smoking and harmful alcohol consumption among men exceeded that among women by factors of two and six, respectively. CONCLUSIONS: Even though premature adult mortality has markedly decreased over time, there has been no success in diminishing the large sex differences in the mortality patterns, mostly associated with smoking and excessive alcohol consumption, both more prevalent among men. Estonia needs a comprehensive and consistent alcohol policy while maintaining and further developing antitobacco measures.
1000 Sacherschließung
lokal Tobacco
lokal Trends
lokal Alcohol
lokal Premature mortality
lokal Mortality rate ratio
lokal Sex disparities
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
1000 Label
1000 Förderer
  1. Eesti Teadusagentuur |
1000 Fördernummer
  1. IUT5-1
1000 Förderprogramm
  1. -
1000 Dateien
  1. Sex disparities in premature adult mortality in Estonia 1995–2016: A national register-based study
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Eesti Teadusagentuur |
    1000 Förderprogramm -
    1000 Fördernummer IUT5-1
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6415864.rdf
1000 Erstellt am 2019-08-16T11:53:46.442+0200
1000 Erstellt von 266
1000 beschreibt frl:6415864
1000 Bearbeitet von 122
1000 Zuletzt bearbeitet Thu Jan 30 17:32:42 CET 2020
1000 Objekt bearb. Mon Aug 19 12:08:56 CEST 2019
1000 Vgl. frl:6415864
1000 Oai Id
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1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
1000 Gegenstand von

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