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COUNTRY REPORT ON HEALTH STATUS LITHUANIA Jurate Klumbiene Institute for Biomedical Research Kaunas University of Medicine Meeting on adult premature mortality.

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Presentation on theme: "COUNTRY REPORT ON HEALTH STATUS LITHUANIA Jurate Klumbiene Institute for Biomedical Research Kaunas University of Medicine Meeting on adult premature mortality."— Presentation transcript:

1 COUNTRY REPORT ON HEALTH STATUS LITHUANIA Jurate Klumbiene Institute for Biomedical Research Kaunas University of Medicine Meeting on adult premature mortality in EU 15-16 October, 2006, Warsaw

2 Content of the Report Introduction General information about the country Methodology Results Life expectancy and mortality (infant, total, CVD, cancer, liver cirrhosis, injuries) Mortality inequalities by education level Tobacco, alcohol, nutrition Biological risk factors Conclusions

3 Republic of Lithuania (2004) Territory: 65 303 km 2 Population: ~3.43 mln. (83.5% Lithuanians, 6.7% Polish, 6.3% Russians, and 3.5% others) Average population density per 1 km 2 : 52.5 Live births per 1000 population: 8.8 Crude death rate per 1000 population: 12.0 Population growth per 1000 population: -3.2 Infant mortality per 1000 live births: 7.9

4 RESULTS Life expectancy and mortality

5 Life-expectancy at birth in Lithuania in 1970-2006

6 Infant mortality in Europe 2001

7 Structure of the main causes of death in Lithuania and European Union countries (%; 2003) 5.07.412.8 External death causes 8.24.44.0 Diseases of the respiratory system 1.20.61.2 Infectious and parasitic diseases 19.714.08.5 Other causes 25.923.919.1 Malignant neoplasms 40.049.754.4 Cardiovascular diseases EU-15EU-10LithuaniaCauses of death

8 Trends in premature mortality in Lithuania, 1981-2002

9 Trends in cardiovascular mortality in Lithuanian population aged 20-44 in 1981-2002

10 Trends in lung cancer mortality rates in Lithuanian population aged 20-44, 1981-2002

11 Trends in lung cancer mortality rates in Lithuanian population aged 45-64, 1981-2002

12 Trends in mortality from liver cirrhosis in Lithuanian population aged 20-44, 1981-2002 ns

13 Trends in mortality from external causes in Lithuanian population aged 20-44, 1981-2002

14 RESULTS Mortality inequalities by education

15 Mortality from major causes of death among Lithuanian males with university education and primary or no education (mortality of the group with a university education = 1) Mortality ratio * p<0.05 vs the group with university education MALES Source: R.Kalediene, J.Petrauskiene, Public Health (2005) 119

16 Mortality from major causes of death among Lithuanian females with university education and primary or no education (mortality of the group with a university education = 1) Mortality ratio * p<0.05 vs the group with university education FEMALES Source: R.Kalediene, J.Petrauskiene, Public Health (2005) 119

17 RESULTS Nutrition

18 The proportion of persons using vegetable oil for cooking in 1994 - 2004 *p for trend <0.001 Source: Lithuanian Health Behaviour Monitoring among population 20-64

19 The proportion of persons using animal fat for cooking in 1994 - 2004 *p for trend <0.001 Source: Lithuanian Health Behaviour Monitoring among population 20-64

20 The proportion of persons eating fresh vegetables at least 3 days a week in 1996 - 2004 *p for trend <0.001 Source: Lithuanian Health Behaviour Monitoring among population 20-64

21 Proportion of persons who have eaten fresh vegetables at least on 3 days during the last week in 1996 and 2004 by level of education MEN WOMEN *p<0.05 compared to 1996 Source: Lithuanian Health Behaviour Monitoring among population 20-64

22 Prevalence of obesity among Lithuanian males aged 20-64 by educational level in 1994 - 2004 * p for trend < 0,05 Source: Lithuanian Health Behaviour Monitoring among population 20-64

23 Prevalence of obesity among Lithuanian women aged 20-64 by educational level in 1994 - 2004

24 RESULTS Tobacco

25 Proportion of daily smokers among Lithuanian population in 1994-2004 Source: Lithuanian Health Behaviour Monitoring among population 20-64

26 Proportion of daily smokers among Lithuanian population in 1994 and 2004 by level of education MEN WOMEN *p<0.05 compared to 1994 Source: Lithuanian Health Behaviour Monitoring among population 20-64

27 RESULTS Alcohol

28 Annual consumption of alcoholic beverages per capita in Lithuania 1992-2003 Source: FAOSTAT Liter/capita

29 Proportion of persons consuming alcohol few times a week or more in Lithuania 1994-2004 Source: Lithuanian Health Behaviour Monitoring among population 20-64 %

30 RESULTS Biological risk factors

31 Prevalence of hypertension among Lithuanian urban population aged 35-64 in 1983, 1987, 1993 and 2002 * p<0,05; **p< 0,01, ***p<0,001 compared with 1983 year % Source: Domarkine S. et al. Medicina 2003,39:1193-97

32 Prevalence of hypertension among Lithuanian rural population aged 25-64 in 1987, 1993 and 1999 * p<0,05 compared with 1987 year % Source: CINDI - Lithuania

33 Prevalence of hypercholesterolaemia (>5 mmol/l) among Lithuanian urban population aged 35-64 in 1983, 1987, 1993 and 2002 % * p<0,05 compared with 1983 year Source: Domarkine S. et al. Medicina 2003,39:1193-97

34 Prevalence of hypercholesterolaemia (>5 mmol/l) among Lithuanian rural population aged 25-64 in 1987, 1993 and 1999 * p<0,05 compared with 1987 year % Source: CINDI - Lithuania

35 CONCLUSIONS (I) Life expectancy of Lithuanian population is much lower compared to 15 EU countries. The female-male difference in life expectancy is among the highest in EU. Cardiovascular diseases and external causes of death are the main contributors to the mortality gap between Lithuania and 15 EU countries. The decreasing trends in mortality from major causes were observed in two time periods: from 1981 to 1988 and from 1994 to 2002. A significant increase was estimated during first phase of transition in Lithuania (1988-1994).

36 CONCLUSIONS (II) Significant educational inequalities in mortality from all causes, cardiovascular disease and external causes have been estimated. Gradient in mortality between educational groups have increased. The positive changes in nutrition habits have occurred in Lithuanian population over the last decade: the consumption of fresh vegetables, vegetable oil and low fat margarine has increased, the intake of animal fat has decreased. The decreasing trend in prevalence of obesity and overweight in females and increasing trend in males were observed.

37 CONCLUSIONS (III) Prevalence of smoking is high among males and rather low among females in Lithuania. Since 1994 the increasing trend has been observed in females. The decreasing trend has been found in males since the year 2000. Consumption of alcohol has increased over the last decade. Highly educated persons have healthier lifestyle than people with lower education. Over the last two decades the decreasing trend in the prevalence of hypertension among females has been estimated. Prevalence of hypercholesterolaemia decreased in rural population.


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