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. 1997 Apr;2(1):40–44. doi: 10.1007/BF02931228

Years of potential life lost as the indicator of premature mortality in occupational medicine

Katsumi Yoshida 1,, Hiroki Sugimori 2,, Yoshihiro Yamada 3,, Takashi Izuno 4,, Michiko Miyakawa 5,, Chieko Tanaka 5,, Eiko Takahashi 1,
PMCID: PMC2723329  PMID: 21432449

Abstract

Measurement of premature mortality is necessary to plan medical programs and to conduct effective medical activities. The purpose of this study was to compare the years of potential life lost (YPLL) with other mortality indices and to understand the usefulness and limitations of quantitative measurement for premature mortality. Data concerning death during employment were surveyed from 1979 to 1984. One thousand seven hundred twenty-five deaths were observed in 1,504,462 person-years in the study population. Proportionate mortality ratios indicated medical problems concerning malignant neoplasms and heart disease, but they could not identify the problems of suicide and traffic accidents occurring in the relatively younger group. YPLL by a constant end point at 60 years of age could rank these causes next below the major leading causes of death. Thus, YPLL might be a useful indicator of the problems concerning premature mortality in occupational medicine.

Key words: Years of Potential Life Lost (YPLL), Premature mortality, Occupational medicine, Healthy worker effect, Age-adjusted mortality rate

References

  • 1).Stickle G. What priority, human life? Am J Public Health 1965;55: 1692–8. [DOI] [PMC free article] [PubMed]
  • 2).Monson RR. Occupational Epidemiology. Florida: CRC Press, 1987: 76–91.
  • 3).Wise RP, Livengood JR, Berkelman RL, Goodman RA. Methodological alternatives for measuring premature mortality. Am J Prev Med 1988;4: 268–73. [PubMed]
  • 4).Dempsy M. Decline in tuberculosis, the death rate fails to tell the entire story. Am Rev Tuberculosis 1947;56: 157–64. [DOI] [PubMed]
  • 5).Dickinson FG, Welker EL. What is the leading cause of death? AMA Bulletin 1948;64: 1–25.
  • 6).Population estimates as October 1, 1981. Statistics Bureau, Management and Coordination Agency.
  • 7).Vital statistics, 1981. Statistics and Information Department, Ministry of Health and Welfare, Japan.
  • 8).Ederer F, Mantel N. Confidence limits on the ratios of two Poisson variables. Am J Epidemiol 1974;100: 165–7. [DOI] [PubMed]
  • 9).Decoufle P, Thomas TL, Pickle LW. Comparison of the proportionate mortality ratio and standardized mortality ratio risk measures. Am J Epidemiol 1980;111: 263–9. [DOI] [PubMed]
  • 10).Graville TNE. Comments on Mary Dempsey’s article on “Decline in tuberculosis: The death rate fails to tell the entire story.” Am Rev Tuberculosis 1948;57: 417–9. [DOI] [PubMed]
  • 11).Gaffey WR. A critique of the standardized mortality ratio. J Occup Med 1976;18: 157–60. [DOI] [PubMed]
  • 12).Yerushalmy J. A mortality index for use in place of age-adjusted death rate. Am J Public Health 1951;41: 907–22. [DOI] [PMC free article] [PubMed]
  • 13).Romeder JM, McWhinnie JR. Potential years of life lost between ages 1 and 70: An indicator of premature mortality for health planning. Int J Epidemiol 1977;6: 143–51. [DOI] [PubMed]
  • 14).MacMichael AJ, Haynes SG, Tyroler HA. Observations on the evaluation of occupational mortality data. J Occup Med 1975;17: 128–31. [DOI]
  • 15).Nakamura K, Ohmi A, Suzuki S, et al. Observations on mortality in selected working populations. Jpn J Ind Health 1984;26: 303–14. (in Japanese) [DOI] [PubMed]
  • 16).Higashi T, Baba Y, Fujino A, et al. Health worker effect on Japanese industry workers: A commentary from the viewpoint of industrial health management. J UOEH 1989;11: 305–11. (in Japanese) [DOI] [PubMed]

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