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YEARS OF POTENTIAL LIFE LOST: VALUABLE INFORMATION, OR JUST MORE NUMBERS? Kirk Bol, MSPH, Vital Statistics Unit, Health Statistics & Evaluation Branch.

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Presentation on theme: "YEARS OF POTENTIAL LIFE LOST: VALUABLE INFORMATION, OR JUST MORE NUMBERS? Kirk Bol, MSPH, Vital Statistics Unit, Health Statistics & Evaluation Branch."— Presentation transcript:

1 YEARS OF POTENTIAL LIFE LOST: VALUABLE INFORMATION, OR JUST MORE NUMBERS? Kirk Bol, MSPH, Vital Statistics Unit, Health Statistics & Evaluation Branch Colorado Department of Public Health and Environment June 8, 2014 NAPHSIS Annual Meeting

2 Measuring mortality in Colorado  Available methods…  Leading causes of death (based on counts)  Age-adjusted and age-specific mortality rates  Life and healthy life expectancy  Years of potential life lost (YPLL)

3 Leading causes of death

4 Leading causes of death by age group: Colorado residents, 2010-2012 Age group Leading causes of death FirstSecondThirdFourthFifth Perinatal period conditions Birth defectsUnintentional injuries Homicide/legal intervention Certain other intestinal infections 1-4 Unintentional injuriesBirth defects Homicide/legal intervention Cancer Other and unspecified infectious and parasitic diseases 5-9 Unintentional injuriesCancer Influenza and pneumonia Homicide/legal intervention Chronic lower respiratory diseases 10-14 Unintentional injuriesSuicideCancerBirth defects Homicide/legal intervention 15-24 Unintentional injuriesSuicide Homicide/legal intervention CancerHeart disease 25-34 Unintentional injuriesSuicideCancer Homicide/legal intervention Heart disease 35-44 Unintentional injuriesSuicideCancerHeart disease Chronic liver disease and cirrhosis 45-54 CancerHeart diseaseUnintentional injuriesSuicide Chronic liver disease and cirrhosis 55-64 CancerHeart diseaseUnintentional injuries Chronic lower respiratory diseases Chronic liver disease and cirrhosis 65+ Heart diseaseCancer Chronic lower respiratory diseases Cerebrovascular diseases Alzheimers disease

5 Leading causes of death Leading causes of death by age group: Colorado residents, 2010-2012 Age group Leading causes of death FirstSecondThirdFourthFifth Perinatal period conditions Birth defectsUnintentional injuries Homicide/legal intervention Certain other intestinal infections 1-4 Unintentional injuriesBirth defects Homicide/legal intervention Cancer Other and unspecified infectious and parasitic diseases 5-9 Unintentional injuriesCancer Influenza and pneumonia Homicide/legal intervention Chronic lower respiratory diseases 10-14 Unintentional injuriesSuicideCancerBirth defects Homicide/legal intervention 15-24 Unintentional injuriesSuicide Homicide/legal intervention CancerHeart disease 25-34 Unintentional injuriesSuicideCancer Homicide/legal intervention Heart disease 35-44 Unintentional injuriesSuicideCancerHeart disease Chronic liver disease and cirrhosis 45-54 CancerHeart diseaseUnintentional injuriesSuicide Chronic liver disease and cirrhosis 55-64 CancerHeart diseaseUnintentional injuries Chronic lower respiratory diseases Chronic liver disease and cirrhosis 65+ Heart diseaseCancer Chronic lower respiratory diseases Cerebrovascular diseases Alzheimers disease

6 Life and healthy life expectancy

7 Gaps Mortality Counts and Rates Life Expectancy Population Mortality

8  Defined as the years of potential life lost due to premature death. Years of potential life lost

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20 Leading causes of YPLL-65 by race/ethnicity: Colorado residents, 2010-2012 Race/ethnicity Leading causes of years of potential life lost before age 65 (YPLL-65) FirstSecondThirdFourthFifth All races/ ethnicities Unintentional injuries CancerSuicideHeart disease Perinatal period conditions White, Non- Hispanic Unintentional injuries CancerSuicideHeart disease Perinatal period conditions White, Hispanic Unintentional injuries Perinatal period conditions CancerSuicideHeart disease Black/African American Unintentional injuries Perinatal period conditions Homicide/legal intervention CancerHeart disease Asian/Pacific Islander CancerSuicide Unintentional injuries Birth defectsHeart disease American Indian/Native Alaskan Unintentional injuries Suicide Chronic liver disease and cirrhosis CancerHeart disease

21 Years of potential life lost

22 Leading causes of YPLL-65 by geographic area poverty: Colorado residents, 2010-2012 Area-based poverty status Leading causes of years of potential life lost before age 65 (YPLL-65) FirstSecondThirdFourthFifth <10% Unintentional injuries CancerSuicideHeart disease Perinatal period conditions 10-19.9% Unintentional injuries CancerSuicideHeart disease Perinatal period conditions 20-29.9% Unintentional injuries CancerHeart diseaseSuicide Perinatal period conditions 30%+ Unintentional injuries Perinatal period conditions SuicideHeart disease Homicide/legal intervention

23 Years of potential life lost

24 Leading causes of death by Health Statistics Region: Colorado residents, 2010-2012 Region of residence Leading causes of years of potential life lost before age 65 (YPLL-65) FirstSecondThirdFourthFifth Colorado Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 1 Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 2 Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 3 CancerUnintentional injuriesSuicidePerinatal period conditionsHeart disease HSR 4 Unintentional injuriesSuicideCancerHeart diseasePerinatal period conditions HSR 5 Unintentional injuriesCancerSuicideHeart diseaseHomicide/legal intervention HSR 6 Unintentional injuriesCancerPerinatal period conditionsSuicideHeart disease HSR 7 Unintentional injuriesHeart diseaseCancerSuicide Chronic liver disease and cirrhosis HSR 8 Unintentional injuriesSuicideCancerHeart disease Chronic liver disease and cirrhosis HSR 9 Unintentional injuriesSuicideCancerHeart disease Chronic liver disease and cirrhosis HSR 10 Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 11 Unintentional injuriesCancerSuicidePerinatal period conditionsHeart disease HSR 12 Unintentional injuriesSuicideCancerPerinatal period conditionsHeart disease HSR 13 Unintentional injuriesCancerHeart diseaseSuicide Chronic lower respiratory diseases HSR 14 Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 15 Unintentional injuriesCancerSuicidePerinatal period conditionsHeart disease HSR 16 SuicideUnintentional injuriesCancerHeart diseasePerinatal period conditions HSR 17 Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 18 Unintentional injuriesCancerSuicidePerinatal period conditionsHeart disease HSR 19 Unintentional injuriesSuicideCancerHeart diseaseHomicide/legal intervention HSR 20 Unintentional injuriesCancerSuicideHeart diseasePerinatal period conditions HSR 21 Unintentional injuriesCancerSuicideHeart disease Chronic liver disease and cirrhosis

25 Years of potential life lost

26  63.8% of YPLL-65 during 2010-2012 attributed to 5 leading causes  Between 60%-69% across all race/ethnicities (2010- 2012)  Between 57%-67% across all area-based poverty levels (2007-2011)  Between 58%-82% across Colorado’s Health Statistics Regions (2010-2012)

27 Filling the gaps… Mortality Counts and Rates Life Expectancy Years of Potential Life Lost Population Mortality

28 FOR INQUIRIES OR MORE INFORMATION, PLEASE CONTACT THE VITAL STATISTICS UNIT, HEALTH STATISTICS & EVALUATION BRANCH, COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 4300 CHERRY CREEK DRIVE SOUTH DENVER, COLORADO 80246-1530 P: (303) 692-2160 | (800) 886-7689 | F: (303) 691-7821 CDPHE.HEALTHSTATISTICS@STATE.CO.US | WWW.CHD.DPHE.STATE.CO.US Kirk Bol, MSPH, Vital Statistics Unit, Health Statistics & Evaluation Branch Colorado Department of Public Health and Environment June 8, 2014 NAPHSIS Annual Meeting

29 Colorado Health Statistics Regions

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