Mortality from external causes in Lithuania: looking for critical points in time and place

LTReikšminiai žodžiai: Išorinės priežastys; Loetuva; Lūžio taškas; Mirtingumas; Mirtys dėl išorinių priežasčių; Sandūra; Sveikatos netolygumai; External causes; External causes of death; Health inequalities; Jointpoint; Lithuania; Mortality.

ENA study was undertaken to analyse trends in mortality from major external causes of death, and to detect urban/rural differences by cut points over the period of socioeconomic transition. Methods: Information on deaths from major external causes (traffic accidents, suicides, and homicides) for the 1990 – 2000 period was obtained from Lithuanian Department of Statistics. Mortality rates were age standardized, using the European standard, and analysed, according to (urban/rural) residence and sex. The Jointpoint analysis was used to identify the best-fitting points, wherever a statistically significant change in mortality occurred. Results: The most critical point for external causes of mortality during the period of transition was the year 1994, when an increasing mortality trend reversed to a decreasing one. Mortality from suicides primarily caused these positive changes. Changes in mortality from traffic accidents were not significantly associated with the period under analysis. Numerous less favourable trends in rural areas, including suicide rates, traffic accidents, and homicides, are likely to stratify urban/rural health outcomes in the future. Conclusion: Despite a recent decline, mortality from external causes remains at an extremely high level in Lithuania. Future progress requires sustained improvements in prevention, and serious attention to external causes of death in health policy development. [From the publication]

• Changes in mortality inequalities in urban and rural populations during 1990-2018: Lithuanian experience / Olga Mesceriakova-Veliuliene, Ramune Kalediene. Medicina. 2021, 57, 750, 1 pdf (11 p.).
• Gyventojų populiacijos problemos ir perspektyvos darnaus vystymosi kontekste / Ingrida Griesienė, Miglė Sarvutytė-Gailiūnienė. Darnaus vystymosi problemos ir jų sprendimai Lietuvoje. Vilnius: Vilniaus universitetas, 2015. P. 76-105.
• Inequalities in mortality by marital status during socio-economic transition in Lithuania / R. Kalediene, J. Petrauskiene, S. Starkuviene. Public health. 2007, vol. 121, iss. 5, p. 385-392.
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• Lietuvos nusižudžiusių moterų mirtingumo ypatumai Europos Sąjungos kontekste XXI pradžioje / Alvydas Navickas, Algirdas Dembinskas, Konstantinas Daškevičius. Visuomenės sveikata. 2007, Nr 1 (36), p. 26-32.
• Rural homicide in Europe : a review of the literature / Maria T. Kaylen. Handbook of European homicide research : patterns, explanations, and country studies / edited by Marieke C. A. Liem, William Alex Pridemore. New York, NY: Springer New York, 2012. P. 185-196.
• Seasonal patterns of suicides over the period of socio-economic transition in Lithuania / Ramune Kalediene, Skirmante Starkuviene, Jadvyga Petrauskiene. BMC public health. 2006, vol. 6, iss. 1, p. 1-8.
• Social dimensions of mortality from external causes in Lithuania: do education and place of residence matter? / Ramune Kalediene, Skirmante Starkuviene, Jadvyga Petrauskiene. Sozial- und Präventivmedizin. 2006, Vol. 51, no. 4, p. 232-239.
• Socio-economic transition, inequality, and mortality in Lithuania / Ramune Kalediene, Jadvyga Petrauskiene. Economics & human biology. 2004, 2, 1, p. 87-95.
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