Main components of life expectancy increase during the cardiovascular revolution in Spain

  1. Faus-Bertomeu, Aina 12
  2. Domènech Giménez, Ramón 2
  3. Poniakina, Svitlana 3
  4. Cámara-Izquierdo, Noelia 4
  5. Gómez-Redondo, Rosa 2
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  2. 2 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

  3. 3 National Institute for Demographic Studies
    info

    National Institute for Demographic Studies

    París, Francia

    ROR https://ror.org/02cnsac56

  4. 4 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

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Zeitschrift:
Empiria: Revista de metodología de ciencias sociales

ISSN: 1139-5737

Datum der Publikation: 2020

Nummer: 48

Seiten: 167-203

Art: Artikel

DOI: 10.5944/EMPIRIA.48.2020.28075 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Andere Publikationen in: Empiria: Revista de metodología de ciencias sociales

Ziele für nachhaltige Entwicklung

Zusammenfassung

The circulatory system diseases have contributed decisively to an increase in life expectancy (LE) in Spain. The contribution to LE is calculated through a decomposition analysis by sex and five-year age groups. We divide the years studied into two periods, 1980–1996 and 1996–2012. Using the Human Cause-of-Death Database (HCD), we examine specific subcauses at a 4-digit ICD-10 level and how they contribute to the change in LE among men and among women. The analysis shows that cerebrovascular diseases (CBVDs) contribute most to years gained until 1996, while ischemic heart diseases (IHDs) contribute most thereafter. Among women, the largest increase is due to specific CBVDs subcauses; among men IHD subcauses also have an important role. Regarding contribution by age, gains by CVDs are particularly significant at older ages, while contributions by IHDs are more relevant from the age of 50 onwards, especially among men. Furthermore, the gender gap in LE is influenced by the different evolution of various circulatory diseases during the period of study, but the evolution of these diseases is not always reflected equally in both sexes. The study evidences the need for greater precision in the registers in order to take advantage of the potentialities of the 4-digit classification of the ICD, thus leading to a better in depth knowledge in health trends. Finally, it shows the mortality due to modifiable factors mainly classified in IHDs, and the consequent need for the Spanish health system to act on them.

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Informationen zur Finanzierung

Our research on causes of death in the Spanish population stems from two consecutive R&D projects: ‘Transformations in ageing, longevity, and old age in Spain. From 50 to 100 and above. Present and future’ (CSO2010-18925); and ‘Longevity, Health, and Well-being Flows in Informal Care in Southern Europe’ (CSO2014-54669-R). Both projects were funded by the Spanish Ministry of Economy, Industry and Competitiveness through grants awarded to RGR - UNED. This research also forms part of the international project, ‘Mortality Divergence and Causes of Death’ (MODICOD), funded by the AXA Research Fund and “Diverging Trends in Mortality and Future Health Challenges” (DIMOCHA), funded by the Agence Nationale de la Recherche of France (ANR-12-FRAL-0003-01).

Geldgeber

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Fuente de los datos: Dialnet