تخمين بار حاصل ار مرگ و مير زودرس در جمعيت ساكن استان زنجان در سال 1381

Background: Precise information about diseases and injuries is becoming increasing vital for the process of policy making in public health system. In 1993 WHO assessed the global burden of diseases. Since then, WHO member states have been engaged in the study of the burden of early mortality. The aim of this study was determing the burden of early mortality in people living in Zanjan province in 2003. Materials and Methods: In this discriptive study data were taken from the vital statistical ward in Zanjan University of Medical Sciences. We used WHO guidelines and software for estimating burden of early mortality by calculating YLL (Years of life lost due to mortality) for each disease group. Results: A total of 4199 deaths were recorded in the death registry. Of these 4118 (98%) deaths were analyzed to calculate YLL. Communicable, maternal, prenatal and nutritional disorders accounted for 75 (1.8%), non-communicable diseases for 3289 (79.9%) and injuries for 754 (183%) deaths. Top 5 causes of early death in men were unintentional injuries, cardiovascular diseases, malignant neoplasms, intentional injuries and congenital anomalies respectively. In women the top 5 causes were cardiovascular diseases, unintentional injuries, congenital anomalies, malignant neoplasm and respiratory diseases respectively. Years of life lost due to men mortality were 1.8 times more than years of life lost due to women mortality. Conclusion: Since Unintentional injuries, cardiovascular diseases and malignant neoplasms in both sexes are responsible for 75% of years lost due to early death considered in health system policy-making. Male early death is higher than female. The discrepancy between the two sexes in mortality risk is much larger than that seen among children.