A Comparative Analysis of Regional Mortality Differences Using Underlying and Multiple Causes of Death: A Case Study of Czechia
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11310%2F24%3A10486289" target="_blank" >RIV/00216208:11310/24:10486289 - isvavai.cz</a>
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=649SoIRPFE" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=649SoIRPFE</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s40980-024-00130-2" target="_blank" >10.1007/s40980-024-00130-2</a>
Alternative languages
Result language
angličtina
Original language name
A Comparative Analysis of Regional Mortality Differences Using Underlying and Multiple Causes of Death: A Case Study of Czechia
Original language description
This study explores how regional differences in mortality vary when assessed using only the underlying cause of death versus all causes recorded on death certificates. Czechia in 2013-2018 is used as a case study due to its substantial regional variation in cause-specific mortality. To quantify the divergence between underlying and multiple cause approach, we use a ratio of an indirectly standardized mortality index based on (i) underlying causes and (ii) multiple causes. Next, we apply standardized age-specific probabilities of recording leading causes of death as underlying conditions across all regions and recalculate the death rates. Results show, that for conditions such as heart failure and chronic obstructive pulmonary disease, regional mortality patterns differ substantially depending on whether the underlying or multiple causes are considered. The Jihočeský and Vysočina regions exhibit the greatest disparities between the two approaches, whereas the Plzeňský and Olomoucký regions show consistent patterns under both approaches. In some districts of Czechia, applying standardized age-specific probabilities of recording causes of death as underlying conditions can result in more than a twofold increase or decrease in death rates (e.g., in Havlíčkův Brod, Kolín, Český Krumlov, Rychnov nad Kněžnou). Notably, the inconsistency between the underlying and multiple approaches is highly homogeneous across districts within the same regions. In conclusion, our findings suggest that variations in death certification practices across regions could exacerbate regional differences in mortality in Czechia.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
50402 - Demography
Result continuities
Project
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Continuities
S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Spatial Demography
ISSN
2364-2289
e-ISSN
2164-7070
Volume of the periodical
12
Issue of the periodical within the volume
3
Country of publishing house
US - UNITED STATES
Number of pages
18
Pages from-to
8
UT code for WoS article
001329380200001
EID of the result in the Scopus database
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