A Comparative Analysis of Regional Mortality Differences Using Underlying and Multiple Causes of Death: A Case Study of Czechia

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

A Comparative Analysis of Regional Mortality Differences Using Underlying and Multiple Causes of Death: A Case Study of Czechia

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

A Comparative Analysis of Regional Mortality Differences Using Underlying and Multiple Causes of Death: A Case Study of Czechia

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

50402 - Demography

Projekt

—

Návaznosti

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Spatial Demography

ISSN

2364-2289

e-ISSN

2164-7070

Svazek periodika

12

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

18

Strana od-do

8

Kód UT WoS článku

001329380200001

EID výsledku v databázi Scopus

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