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Health:  YPLL Indicator

Ranking the causes of mortality by Years of Potential Life Lost (YPLL) illuminates the impact of deaths occurring at younger ages.

ABOUT THE INDICATOR

YPLL is a statistical measure of premature death and potential years of life lost. In previous reports, YPLL considered any death under the age of 65 to be premature. Current YPLL statistics represent deaths among persons under 75 years of age, in order to account for the increase in life expectancy among U.S. residents.

Ranking the various causes of death by YPLL may highlight dissimilarities that are often obscured through other mortality measures. YPLL rankings are also useful in identifying preventable causes of premature mortality.

OBSERVATIONS

Cancer was the leading cause of premature death for DuPage County and Illinois residents in 2000, followed by heart disease and unintentional injury (accidents). In DuPage County, unintentional injuries and heart disease contributed about equally to YPLL in 2000, while at the state level, heart disease resulted in a larger share of YPLL than did injuries. Rankings of causes of death by YPLL can vary from year to year. Differences between state and county YPLL data should be monitored over a period of time to determine if significant trends emerge that are worthy of further consideration.

When comparing the incidence of premature death in men versus women, some interesting differences surface. Cancer, and in particular lung or breast cancer, is the most frequent cause of premature death for women. Cancer deaths accounted for 34 percent of YPLL for DuPage County women in 2000, compared with 11 percent for men. Meanwhile, unintentional injuries accounted for another 11 percent of YPLL for DuPage County men, compared with only 7 percent for women.

TAPESTRY

Health promotion and disease prevention efforts can help lower the incidence of premature death. Some chronic illnesses, such as lung cancer and heart disease, are preventable to some extent with changes in lifestyle. Consequently, health promotion efforts that encourage residents to refrain from smoking, follow a healthy diet, and exercise regularly may help reduce the occurrence of these illnesses in our population. In addition, community-based injury prevention efforts can reduce unintentional injury deaths.

Many other factors contribute to health as well, including environmental factors such as good air and water quality, access to high quality healthcare services, and an active lifestyle. Other “determinants” of health include housing conditions, educational attainment, and employment. Therefore, a multi-sectored approach to promoting health and preventing disease can optimize community resources, facilitate a healthier community, and help prevent premature deaths.

COMMENTARY

by Margo Schreiber, Former Director, Illinois Department on Aging

"The issue of aging affects all of society because aging is a personal issue, a family issue, a workplace issue, an economic issue, and also a community issue. As more Illinois elders live into their 90’s, or even past 100, the demand for long term care and community-based services will markedly increase over the next four to ten years."

HOW TO GET INVOLVED OR LEARN MORE

If you have an interest in getting involved, please feel free to contact:


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