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Deaths in young people aged 0–24 years in the UK compared with the EU15+ countries, 1970–2008: analysis of the WHO Mortality Database

Summary Background Concern is growing that mortality and health in children and young people in the UK lags behind that of similar countries. Methods We analysed death registry data provided to the WHO Mortality Database to compare UK mortality for children and young people aged 0–24 years with that... Full description

Journal Title: The Lancet (British edition) 2014, Vol.384 (9946), p.880-892
Main Author: Viner, Russell M, Prof
Other Authors: Hargreaves, Dougal S, MD , Coffey, Carolyn, PhD , Patton, George C, Prof , Wolfe, Ingrid, MSc
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: Kidlington: Elsevier Ltd
ID: ISSN: 0140-6736
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recordid: cdi_proquest_miscellaneous_1561974410
title: Deaths in young people aged 0–24 years in the UK compared with the EU15+ countries, 1970–2008: analysis of the WHO Mortality Database
format: Article
creator:
  • Viner, Russell M, Prof
  • Hargreaves, Dougal S, MD
  • Coffey, Carolyn, PhD
  • Patton, George C, Prof
  • Wolfe, Ingrid, MSc
subjects:
  • Abridged Index Medicus
  • Adolescent
  • Age
  • Age Distribution
  • Biological and medical sciences
  • Child
  • Child, Preschool
  • Children & youth
  • Classification
  • Comparative analysis
  • Databases
  • Demographic aspects
  • Epidemiology
  • Europe
  • European Union - statistics & numerical data
  • General aspects
  • Humans
  • Infant
  • Infant, Newborn
  • Injuries
  • Internal Medicine
  • Medical sciences
  • Medical treatment
  • Miscellaneous
  • Mortality
  • Mortality - trends
  • Population
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Sex Distribution
  • Statistics as Topic
  • United Kingdom - epidemiology
  • Young Adult
ispartof: The Lancet (British edition), 2014, Vol.384 (9946), p.880-892
description: Summary Background Concern is growing that mortality and health in children and young people in the UK lags behind that of similar countries. Methods We analysed death registry data provided to the WHO Mortality Database to compare UK mortality for children and young people aged 0–24 years with that of European Union member states (before May, 2004, excluding the UK, plus Australia, Canada, and Norway [the EU15+ countries]) from 1970 to 2008 using the WHO World Mortality Database. We grouped causes of death by Global Burden of Disease classification: communicable, nutritional, or maternal causes; non-communicable disorders; and injury. UK mortality trends were compared with quartiles of mortality in EU15+ countries. We used quasi-likelihood Poisson models to explore differences between intercepts and slopes between the UK and the EU15+ countries. Findings In 1970, UK total mortality was in the best EU15+ quartile (75th centile). In 2008, UK annual excess mortality compared with the EU15+ median was 1035 deaths for infants and 134 for children aged 1–9 years. Mortality from non-communicable diseases in the UK fell from being roughly equivalent to the EU15+ median in 1970 to the worst quartile in all age groups by 2008, with 446 annual excess deaths from non-communicable diseases in the UK (280 for young people aged 10–24 years) in 2008. UK mortality from injury remained in the best EU15+ quartile for the study period in all age groups. Interpretation The UK has not matched the gains made in child, adolescent, and young adult mortality by other comparable countries in the 40 years since 1970, particularly for infant deaths and mortality from non-communicable diseases, including neuropsychiatric disorders. The UK needs to identify and address amenable social determinants and health system factors that lead to poor health outcomes for infants and for children and young people with chronic disorders. Funding None.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0140-6736
fulltext: fulltext
issn:
  • 0140-6736
  • 1474-547X
url: Link


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titleDeaths in young people aged 0–24 years in the UK compared with the EU15+ countries, 1970–2008: analysis of the WHO Mortality Database
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creatorViner, Russell M, Prof ; Hargreaves, Dougal S, MD ; Coffey, Carolyn, PhD ; Patton, George C, Prof ; Wolfe, Ingrid, MSc
creatorcontribViner, Russell M, Prof ; Hargreaves, Dougal S, MD ; Coffey, Carolyn, PhD ; Patton, George C, Prof ; Wolfe, Ingrid, MSc
descriptionSummary Background Concern is growing that mortality and health in children and young people in the UK lags behind that of similar countries. Methods We analysed death registry data provided to the WHO Mortality Database to compare UK mortality for children and young people aged 0–24 years with that of European Union member states (before May, 2004, excluding the UK, plus Australia, Canada, and Norway [the EU15+ countries]) from 1970 to 2008 using the WHO World Mortality Database. We grouped causes of death by Global Burden of Disease classification: communicable, nutritional, or maternal causes; non-communicable disorders; and injury. UK mortality trends were compared with quartiles of mortality in EU15+ countries. We used quasi-likelihood Poisson models to explore differences between intercepts and slopes between the UK and the EU15+ countries. Findings In 1970, UK total mortality was in the best EU15+ quartile (<25th centile) for children and young people aged 1–24 years, with UK infant mortality similar to the EU15+ median. Subsequent mortality reductions in the UK were smaller than were those in the EU15+ countries in all age groups. By 2008, total mortality for neonates, infants, and children aged 1–4 years in the UK was in the worst EU15+ quartile (>75th centile). In 2008, UK annual excess mortality compared with the EU15+ median was 1035 deaths for infants and 134 for children aged 1–9 years. Mortality from non-communicable diseases in the UK fell from being roughly equivalent to the EU15+ median in 1970 to the worst quartile in all age groups by 2008, with 446 annual excess deaths from non-communicable diseases in the UK (280 for young people aged 10–24 years) in 2008. UK mortality from injury remained in the best EU15+ quartile for the study period in all age groups. Interpretation The UK has not matched the gains made in child, adolescent, and young adult mortality by other comparable countries in the 40 years since 1970, particularly for infant deaths and mortality from non-communicable diseases, including neuropsychiatric disorders. The UK needs to identify and address amenable social determinants and health system factors that lead to poor health outcomes for infants and for children and young people with chronic disorders. Funding None.
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subjectAbridged Index Medicus ; Adolescent ; Age ; Age Distribution ; Biological and medical sciences ; Child ; Child, Preschool ; Children & youth ; Classification ; Comparative analysis ; Databases ; Demographic aspects ; Epidemiology ; Europe ; European Union - statistics & numerical data ; General aspects ; Humans ; Infant ; Infant, Newborn ; Injuries ; Internal Medicine ; Medical sciences ; Medical treatment ; Miscellaneous ; Mortality ; Mortality - trends ; Population ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Sex Distribution ; Statistics as Topic ; United Kingdom - epidemiology ; Young Adult
ispartofThe Lancet (British edition), 2014, Vol.384 (9946), p.880-892
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descriptionSummary Background Concern is growing that mortality and health in children and young people in the UK lags behind that of similar countries. Methods We analysed death registry data provided to the WHO Mortality Database to compare UK mortality for children and young people aged 0–24 years with that of European Union member states (before May, 2004, excluding the UK, plus Australia, Canada, and Norway [the EU15+ countries]) from 1970 to 2008 using the WHO World Mortality Database. We grouped causes of death by Global Burden of Disease classification: communicable, nutritional, or maternal causes; non-communicable disorders; and injury. UK mortality trends were compared with quartiles of mortality in EU15+ countries. We used quasi-likelihood Poisson models to explore differences between intercepts and slopes between the UK and the EU15+ countries. Findings In 1970, UK total mortality was in the best EU15+ quartile (<25th centile) for children and young people aged 1–24 years, with UK infant mortality similar to the EU15+ median. Subsequent mortality reductions in the UK were smaller than were those in the EU15+ countries in all age groups. By 2008, total mortality for neonates, infants, and children aged 1–4 years in the UK was in the worst EU15+ quartile (>75th centile). In 2008, UK annual excess mortality compared with the EU15+ median was 1035 deaths for infants and 134 for children aged 1–9 years. Mortality from non-communicable diseases in the UK fell from being roughly equivalent to the EU15+ median in 1970 to the worst quartile in all age groups by 2008, with 446 annual excess deaths from non-communicable diseases in the UK (280 for young people aged 10–24 years) in 2008. UK mortality from injury remained in the best EU15+ quartile for the study period in all age groups. Interpretation The UK has not matched the gains made in child, adolescent, and young adult mortality by other comparable countries in the 40 years since 1970, particularly for infant deaths and mortality from non-communicable diseases, including neuropsychiatric disorders. The UK needs to identify and address amenable social determinants and health system factors that lead to poor health outcomes for infants and for children and young people with chronic disorders. Funding None.
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20Internal Medicine
21Medical sciences
22Medical treatment
23Miscellaneous
24Mortality
25Mortality - trends
26Population
27Public health. Hygiene
28Public health. Hygiene-occupational medicine
29Sex Distribution
30Statistics as Topic
31United Kingdom - epidemiology
32Young Adult
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titleDeaths in young people aged 0–24 years in the UK compared with the EU15+ countries, 1970–2008: analysis of the WHO Mortality Database
authorViner, Russell M, Prof ; Hargreaves, Dougal S, MD ; Coffey, Carolyn, PhD ; Patton, George C, Prof ; Wolfe, Ingrid, MSc
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9Comparative analysis
10Databases
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12Epidemiology
13Europe
14European Union - statistics & numerical data
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20Internal Medicine
21Medical sciences
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abstractSummary Background Concern is growing that mortality and health in children and young people in the UK lags behind that of similar countries. Methods We analysed death registry data provided to the WHO Mortality Database to compare UK mortality for children and young people aged 0–24 years with that of European Union member states (before May, 2004, excluding the UK, plus Australia, Canada, and Norway [the EU15+ countries]) from 1970 to 2008 using the WHO World Mortality Database. We grouped causes of death by Global Burden of Disease classification: communicable, nutritional, or maternal causes; non-communicable disorders; and injury. UK mortality trends were compared with quartiles of mortality in EU15+ countries. We used quasi-likelihood Poisson models to explore differences between intercepts and slopes between the UK and the EU15+ countries. Findings In 1970, UK total mortality was in the best EU15+ quartile (<25th centile) for children and young people aged 1–24 years, with UK infant mortality similar to the EU15+ median. Subsequent mortality reductions in the UK were smaller than were those in the EU15+ countries in all age groups. By 2008, total mortality for neonates, infants, and children aged 1–4 years in the UK was in the worst EU15+ quartile (>75th centile). In 2008, UK annual excess mortality compared with the EU15+ median was 1035 deaths for infants and 134 for children aged 1–9 years. Mortality from non-communicable diseases in the UK fell from being roughly equivalent to the EU15+ median in 1970 to the worst quartile in all age groups by 2008, with 446 annual excess deaths from non-communicable diseases in the UK (280 for young people aged 10–24 years) in 2008. UK mortality from injury remained in the best EU15+ quartile for the study period in all age groups. Interpretation The UK has not matched the gains made in child, adolescent, and young adult mortality by other comparable countries in the 40 years since 1970, particularly for infant deaths and mortality from non-communicable diseases, including neuropsychiatric disorders. The UK needs to identify and address amenable social determinants and health system factors that lead to poor health outcomes for infants and for children and young people with chronic disorders. Funding None.
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pmid24929452
doi10.1016/S0140-6736(14)60485-2