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
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 mor...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-8420-7 |
| _version_ | 1819228014191312896 |
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| author | Xue-yan Zheng Xiao-jun Xu Yi-yang Liu Yan-jun Xu Si-xing Pan Xin-ying Zeng Qian Yi Ni Xiao Li-feng Lin |
| author_facet | Xue-yan Zheng Xiao-jun Xu Yi-yang Liu Yan-jun Xu Si-xing Pan Xin-ying Zeng Qian Yi Ni Xiao Li-feng Lin |
| author_sort | Xue-yan Zheng |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T10:50:32Z |
| format | Article |
| id | doaj.art-d8bd714afa154583a360fc066bedd363 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-23T10:50:32Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-d8bd714afa154583a360fc066bedd3632022-12-21T17:49:55ZengBMCBMC Public Health1471-24582020-06-0120112010.1186/s12889-020-8420-7Age-standardized mortality, disability-adjusted life-years and healthy life expectancy in different cultural regions of Guangdong, China: a population-based study of 2005–2015Xue-yan Zheng0Xiao-jun Xu1Yi-yang Liu2Yan-jun Xu3Si-xing Pan4Xin-ying Zeng5Qian Yi6Ni Xiao7Li-feng Lin8Institute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionNational Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionInstitute of Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control And PreventionAbstract 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.http://link.springer.com/article/10.1186/s12889-020-8420-7Burden of diseaseMortalityDisability-adjusted life-yearsHealthy life expectancyCultural regionsGuangdong |
| spellingShingle | Xue-yan Zheng Xiao-jun Xu Yi-yang Liu Yan-jun Xu Si-xing Pan Xin-ying Zeng Qian Yi Ni Xiao Li-feng Lin 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 BMC Public Health Burden of disease Mortality Disability-adjusted life-years Healthy life expectancy Cultural regions Guangdong |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Burden of disease Mortality Disability-adjusted life-years Healthy life expectancy Cultural regions Guangdong |
| url | http://link.springer.com/article/10.1186/s12889-020-8420-7 |
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