Levelling out health inequalities in Poland during a systemic transition.
Journal Title: Polish Journal of Public Health - Year 2009, Vol 119, Issue 2
Abstract
Aim. The paper aims at evaluating trends in mortality and life expectancy at birth e[sub](0)[/sub] which occurred in the consequence of the socio-economic transition in Poland. Material and methods. The data on deaths come from complete original databases which were created for 1991 and 2002. The data used to calculate the demographic characteristics of the population under study were taken from tables provided by the Central Statistical Office in Warsaw and the Regional Statistical Office in Lodz. In order to assess the impact of mortality changes in each age cohort on e0 developments, we applied the method proposed by J.H. Pollard. Moreover, in the statistical analysis, we used indices of intensity, structure and dynamics, direct standardisation and a u-test. Our point of departure was 1991, when the most unfavourable epidemiological situation was observed, in particular as far as the most important health problem, i.e. CVD, is concerned. Results. In the period under study, the overall mortality rate decreased from 14.6 per 1000 population to 13.0, but continued to be signifi cantly higher than the national average (p < 0,001). The specifi c mortality rate due to CVD decreased from 775.8 per 100,000 to 518.1. The total mortality risk declined in the Lodz population in 2002 compared to 1991 and amounted to 0.892. E0 increased from 73.80 to 76.19 years among females, i.e. by 2.39 years, out of which as much as 0.71 years may be attributed to mortality reduction in the age cohort of 65-74. Among males, e[sub](0)[/sub] grew by 4.1 years, from 63.96 to 68.06 years, and 1.03 years was a result of mortality reduction among those aged 55-64. Conclusion. The ongoing process of the socio-economic transition in Poland contributed to reducing disparities in the health situation. The reduction of mortality is refl ected in e0 growth, to a higher extent among males than females.
Authors and Affiliations
Irena Maniecka-Bryła, Marek Bryła
Keywords
Related Articles
- EP ID EP129171
- DOI -
- Views 75
- Downloads 0
Dostępność opieki zdrowotnej w regionie lubelskim i śląskim w opinii pacjentek ze zdiagnozowaną patologią szyjki macicy
[b]Cel[/b]. Celem pracy było porównanie opinii na temat dostępności do opieki ginekologiczno-położniczej w regionie lubelskim i śląskim wśród pacjentek ze stwierdzoną patologią szyjki macicy. [b]Materiał i metody[/b]. B...
Nadużycie alkoholu jako przyczyna interwencji zespołów ratownictwa medycznego
Wstęp. Alkoholizm i nadużywanie alkoholu są problemami ogólnoświatowymi. Według danych WHO ponad 100 mln ludzi na świecie cierpi na alkoholizm, jako chorobę kliniczną. Nietrzeźwość zaś jest ważną przyczyną wypadków i ura...
Can psychological variables be related to the level of the immunological parameters essential in the course of pregnancy?
[b]Aim[/b]. The presented investigation attempts to describe the relation between the number of leukocytes in the peripheral blood of pregnant women and the following psychological variables: the feeling of coherence, an...
The evaluation of kindergarten teachers’ preparation to promote oral health among children
Introduction. The problem of high caries prevalence among preschool children has been widely discussed in Poland. Studies show unsatisfactory level of children’s oral health. A reason of this situation could be insuffic...
Analiza porównawcza ryzykownych zachowań zdrowotnych studentów Wydziału prawa Uniwersytetu Szczecińskiego oraz Wydziału Prawa Uniwersytetu w Lund w Szwecji
[b][/b][b]Wstęp[/b]. Świadomość zdrowotna i styl życia w największym stopniu bezpośrednio determinują zdrowie społeczeństwa. Problem podejmowania przez młodzież rozmaitych zachowań ryzykownych jest zjawiskiem ogólnoświat...