On the Structure of Mortality among the Regions in the Slovak Republic

Cent Eur J Public Health. 2017 Dec:25 Suppl 2:S23-S30. doi: 10.21101/cejph.a4957.

Abstract

Aim: The Slovak Republic consists of eight regions which may dispose a different structure of cause-specific mortality. The aim of this study is to reveal the regions with higher risk of dying from the main categories of diseases selected according to the chapters of the International Classification of Diseases (ICD-10).

Methods: Data were obtained from mortality reports throughout 1996-2014. We applied multinomial logistic regression analysis, where the dependent variable is death categories and the explanatory variables are regions, age, year and gender. The Bratislava region and Diseases of the circulatory system are set as the reference level.

Results: We propose a spatiotemporal analysis of the relative risk ratio of dying in the Slovak Republic for every significant group of diseases from the International Statistical Classification of Diseases and Related Health Problems maintained by the World Health Organization. Moreover, we propose gender and age analysis.

Conclusions: These results could be useful for setting active prevention programs, as well as a hospital network specialising in high risk diagnoses in Slovakian regions.

Keywords: cause-specific mortality; multinomial logistic regression analysis; regional differences; relative risk ratios.

MeSH terms

  • Cause of Death*
  • Female
  • Humans
  • International Classification of Diseases
  • Male
  • Mortality / trends*
  • Risk Factors
  • Slovakia / epidemiology