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State of Alaska

Health Indicator Report of Years of Potential Life Lost before Age 75

YPLLs can show the burden of premature deaths due to a particular cause of death within a population. YPLLs can also be used to distinguish the burden of premature death in populations. Unlike crude and standard age-adjusted measures, YPLL emphasizes the processes underlying premature death in a population. By giving weight to each year of expected life lost, the YPLL measure values deaths at younger ages more. Deaths at younger ages are more likely due to preventable causes and can be decreased by intervention and education efforts. Seventy-five years is a common end-point chosen to calculate YPLL. By looking at differences in YPLL between different demographic groups, those at higher risk of premature mortality can be identified.^1^[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). Premature mortality in the United States: public health issues in the use of years of potential life lost. Morbidity and Mortality Weekly Report (MMWR) 1986;35(2S);1s-11s. }}

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)

Data Interpretation Issues

Alaska Bureau of Vital Statistics estimates of YPPL are based upon actual ages rather than midpoints of age groupings. Alaska populations are from the [http://laborstats.alaska.gov/pop/popest.htm Alaska Department of Labor and Workforce Development, Research and Analysis]. Rates in this profile, with the exception of age-specific rates of YPLL, are age-adjusted to the 2000 US Standard population. Age-adjustment methodology is described here: [http://www.cdc.gov/nchs/data/statnt/statnt20.pdf]. YPLL is a summary measure of premature mortality (early death). It represents the total number of years not lived by people who die before reaching a given age. YPLL puts more emphasis on causes of death that are more common at earlier ages because persons dying at younger ages will have more years subtracted from age 75. Therefore, it may underestimate the importance of chronic and other conditions occurring later in life.

Definition

Years of Potential Life Lost (YPLL) before age 75 is calculated as 75 minus age at death as determined from death certificates by the [http://dhss.alaska.gov/dph/VitalStats/Pages/data/default.aspx Alaska Bureau of Vital Statistics (BVS)]. If age at death is 75 years or greater, YPLL is 0 years. Rates are calculated for each individual and then summed for a group of interest, for a given time period and divided by the population for that group for the same time period. Rates are age-adjusted.

Numerator

Total YPLL before age 75 summed across group of interest for a given time period.

Denominator

Total population for group of interest for the same time period.

How Are We Doing?

From 2000 to 2014, the YPLL from all causes decreased in Alaska as a whole from 7,581.2 years per 100,000 population in 2000 to 7,024.7 per 100,000 population in 2014. During the same time period, YPLL rates for men have been consistently significantly higher than those for women. When examining YPLL by race, Alaska Native adults had significantly higher rates of YPLL, nearly double, than the total for all Alaskans over the past 25 years. In 2014, those aged 5 to 14 years had the lowest rate of YPLL; those aged 0 to 4 years had the highest rate. Also in 2014, those in the Yukon-Kuskokwim region (12,462.7) had the highest rate of YPLL, while those living in Southeast Alaska (City and Borough of Juneau at 5,587.4 and Other Southeast Region at 5,549.5) had the lowest rates.

How Do We Compare With the U.S.?

The overall age-adjusted rate of YPLL in the U.S. in 2014 was 6,447.3 years per 100,000 population, somewhat lower than the rate in Alaska of 7,024.7. As in Alaska, the rate of YPLL in the U.S. has decreased since 1990. Similar to Alaska males, YPLL rates are much higher for U.S. males than females, although the rates for males in the U.S. as a whole are lower than for Alaska males. In 2014, the rates of YPLL were uniformly higher for Alaska Native people than the U.S. for all of the presented leading causes of death, except for the perinatal period. Rates of YPLL were nearly double for Alaska Native people compared to the national average for unintentional injury, heart disease, suicide, and liver disease. Among all Alaskans, only suicide was twice as high as the national average.

What Is Being Done?

Exercise, healthy diet and weight, not smoking, moderate use of alcohol, and injury prevention habits such as wearing seat belts all contribute to a healthy lifespan.
Page Content Updated On 04/16/2018, Published on 04/17/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 19 September 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 17 Apr 2018 12:57:39 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 19 September 2018 23:36:50 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Tue, 17 Apr 2018 12:57:39 AKDT