Abstract
British social class differences in mortality are examined in terms of years of potential life lost, a measure that gives more weight to deaths that take place at younger ages. It shows wider class differences during the years of working life than those found when mortality is expressed in terms of standardised mortality ratios. Examination of the change in class differences between 1971 and 1981 for all causes of death combined and for the three categories of death which during these ages make a major contribution to total years of potential life lost shows complex changes. Inequalities in years of potential life lost have increased between 1971 and 1981, during which all the principal causes of death have shown stationary or rising rates among the manual classes. The use of years of potential life lost as a measure of population health trends focuses attention on the major contribution of violent death, which occurs mainly in younger men, to widening class differences in mortality.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arcà M., di Orio F., Forastiere F., Tasco C., Perucci C. A. Years of potential life lost (YPLL) before age 65 in Italy. Am J Public Health. 1988 Sep;78(9):1202–1205. doi: 10.2105/ajph.78.9.1202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Blanchon S., Hill C. Mortalité prématurée en France: importance relative des principales causes de décès selon le nombre d'années de vie perdues. Rev Epidemiol Sante Publique. 1988;36(2):120–127. [PubMed] [Google Scholar]
- DOUGHTY J. H. Mortality in terms of lost years of life. Can J Public Health. 1951 Apr;42(4):134–141. [PubMed] [Google Scholar]
- HAENSZEL W. A standardized rate for mortality defined in units of lost years of life. Am J Public Health Nations Health. 1950 Jan;40(1):17–26. doi: 10.2105/ajph.40.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marmot M. G., Rose G., Shipley M., Hamilton P. J. Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health. 1978 Dec;32(4):244–249. doi: 10.1136/jech.32.4.244. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morris J. N. Four cheers for prevention. Proc R Soc Med. 1973 Mar;66(3):225–232. [PMC free article] [PubMed] [Google Scholar]
- Romeder J. M., McWhinnie J. R. Potential years of life lost between ages 1 and 70: an indicator of premature mortality for health planning. Int J Epidemiol. 1977 Jun;6(2):143–151. doi: 10.1093/ije/6.2.143. [DOI] [PubMed] [Google Scholar]
- Stout-Wiegand N. Fatal occupational injuries in the United States in 1980-1984. Results of the first national census of traumatic occupational fatalities. Scand J Work Environ Health. 1988;14 (Suppl 1):90–92. [PubMed] [Google Scholar]