Potential gain in life expectancy by gender after elimination of a specific cause of death in urban India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20201993Keywords:
Complete, Elimination, Gender difference, Life expectancy, MCCD, Partial, Potential gainAbstract
Background: Life expectancy is a statistical measure to depict average life span a person is expected to live at a given age under given age-specific mortality rates. Cause-elimination life table measures potential gain in life expectancy after elimination of a specific disease. The present study aims to estimate potential gain in life expectancy by gender in urban India after complete and partial elimination of ten leading causes of deaths using secondary data of medical certification of cause of death (MCCD) for the year 2015.
Methods: Life table method was used for estimating potential gain after eliminating diseases to the tune of 25%, 50%, 75% and 100%.
Results: Maximum gain in life expectancy at birth estimated from complete elimination of diseases of the circulatory system (11.1 years in males versus 13.1 years in females); followed by certain infectious and parasitic diseases (2.2 versus 2.1 years); diseases of the respiratory system (2.2 versus 2.1); injury, poisoning and certain other consequences of external causes (1.1 versus 0.7); neoplasms (0.9 versus 1.0); endocrine, nutritional and metabolic diseases (0.8 versus 0.9); diseases of the digestive system (0.8 versus 0.4); diseases of the genitourinary system (0.6 versus 0.6); diseases of the nervous system (0.4 versus 0.4); and diseases of blood & blood forming organs and certain disorders involving the immune mechanism (0.2 versus 0.3 years).
Conclusions: Elimination of the circulatory diseases resulted into maximum gain in life expectancy. These findings may have implications in setting up health goals, allocating resources and launching tailor-made health programmes.
References
Preston SH, Heuveline P, Guillot M. Demography, measuring and modelling population processes. Population Development Rev. 2001;27(2):365-7.
Pollard JH. The expectation of life and its relationship to mortality. J Inst Actuaries. 1982;109:225-40.
Tian K. The average life expectancy change of Chinese population and its influence on life insurance. Chinese Insurance. 2011;7:24-7.
Barford A, Dorling D, Davey Smith G, Shaw M. Life expectancy: women now on top everywhere. BMJ. 2006;332.
Registrar General of India. SRS Based Abridged Life Tables 2012-16. Ministry of Home Affairs, Government of India; 2018.
Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD. Counting the death and what they died from: an assessment of the global status of cause of death data. Bull World Health Organization 2005;83(3):172-7.
Conti S, Farchi G, Masocco M, Toccaceli V, Vichi M. The impact of the major causes of death on life expectancy in Italy. Int J Epidemiol. 1999;28(5):905-10.
Lai D, Hardy RJ. Potential gains in life expectancy or years of potential life lost: impact of competing risks of death. Int J Epidemiol. 1999;28:894-8.
Wang HG. Study on the influence of main diseases to life expectancy of Chinese Residents. Peking Union Medical College, Master Thesis; 2011.
Elizabeth A, Melonie H, Betzaida T. United States life tables eliminating certain causes of death, 1999-2001. Nat Vital Stat Report. 2013;9(61):1-128.
Zhao NQ, Chen F. Health Statistics. Beijing: Higher Education Press; 2008.
Registrar General of India. Report on Medical Certification of Cause of Death, 2015. Ministry of Home Affairs, Vital Statistics Division, Government of India; 2017.
World Health Organization. International statistical classification of diseases and related health problems, tenth revision. Geneva: World Health Organization Press; 1993.
Gulati, BK, Pandey A, Ubaidullah M. Potential gain in life expectancy after partial and complete elimination of specified causes of death: An analysis of Medical Certification of Causes of Death data in India and its selected states; Int J Multidis Res Develop. 2015;2(4):508-12.
Greville TNE. Short methods of constructing abridged life tables. Record Am Inst Actuaries. 1943;32(65):29-42.
Registrar General of India. Population Projection for India and States 2001–2026. Ministry of Home Affairs, Government of India; 2006.
Registrar General of India. Sample Registration System Statistical Report 2015. Ministry of Home Affairs, Government of India; 2016.
Tsai SP, Lee ES, Hardy RJ. The Effect of a reduction in leading causes of death: potential gains in life expectancy. Am J Public Health. 1978;68(10):966-71.
Jayachandran V. Study of cause of death and differential life expectancies in India: An empirical approach. Ph.D. Thesis, International Institute for Population Sciences, Mumbai; 1999.
Kulkarni MS, Ferreira AMA, Motghare DD. Potential gain in life expectancy with control of cardiovascular disease in India: A case study from Goa state. South Asian J Prevent Oncol. 2004;8(4).
Indian Council of Medical Research. Study on Causes of Death by Verbal Autopsy in India, ICMR, New Delhi, India; 2009.
Registrar General of India. Provisional Population Totals: India. Census of India, Ministry of Home Affairs, Government of India; 2011.
