Showing papers by "Liliana Minelli published in 2006"

Trends of mortality from external causes in the Umbria region of Italy: 1994-2004

Abstract: The aim of the present paper is to analyse the mortality from external causes in the Umbria region, from 1994 to 2004, in order to have an indication of the effectiveness of primary prevention interventions. Sex and cause-specific AADR (the age-adjusted death rates) and YPLL rates (the age-adjusted rates of years of potential life lost up to 74 yrs) time trends were analysed by means of joinpoint regression utilising SEER software. The expected annual percent change and its significance were also calculated. The cause groups examined were: all external causes, transport accidents, falls, accidental poisoning and exposure to noxious substances, intentional self-harm and assault. The age-adjusted death rates from the selected external causes showed, in both sexes, a decreasing trend. The joinpoint regression of AADR indicated that all statistically significant variations are declining. For the AADR cause group significant decreases were found in all external combined and poisoning causes for both sexes, transport accidents and falls for females. Among males the age-adjusted YPLL rates showed significant decreases for all external causes combined (EACP = -2.8%). This analysis provides a useful tool to evaluate the effectiveness of interventions performed in the last decade and indicates that further assessment and monitoring are needed.

[Trends in mortality due to the main causes of death in Umbria (Italy), 1994-2004].

Abstract: In order to obtain information regarding the efficacy of healthcare services in the region of Umbria (Italy), trends in mortality due to the main causes of death in this region, between 1994-2004, were analysed. Mortality data was collected from the Nominal Registry of Causes of Death. Standardized mortality and years of potential life lost (YPLL) rates, and cumulative death risk were used as indicators. Joinpoint regression was used to determine whether temporal changes in indicator trends were statistically significant. The joinpoint analysis of mortality trends has shown that general mortality, as well as specific mortality due to malignant tumors, cardiovascular disease, gastrointestinal disease and accidental causes declined over the examined time period. Statistically significant decreases in the indicators used were constant over time: in fact, joinpoints were found only for YPLL and cumulative risk trends for cardiovascular disease-related mortality. These results have provided important information regarding healthcare in the Umbria region.