title: [Dynamics and spatial differentiation of premature mortality in the productive age group of the population--premise for in depth studies of causes and conditions of this phenomenon].
abstract: The increased mortality in Poland compared to that observed just after the war was mainly caused by the elevated frequency of premature deaths (under 65 years of age). The aim of the work was to assess: the premature mortality in the population of the productive age in Poland in comparison with other countries of Central and Eastern Europe, Scandinavian and Western European countries as well as with other developed countries in the world; the dynamics of premature mortality; the spatial differentiation of premature mortality in our country. Two age phases: I = 20 - 44 years, and II = 45 - 64 years were identified in premature mortality. A considerable increase in male premature mortality in phase II of the productive age which began in the second half of the sixties and had continued until 1991 doubled the mortality ratio in Poland when compared with the average ratio observed in all Scandinavian and Western European countries. The analysis of spatial differentiation of premature mortality indicates clearly the relationship between mortality and environmental conditions: the highest ratios are noted in highly urbanized and industrialized voivodships (provinces). It accounts for possible reasons of shortened by 7-8 years period of men's life in Poland as compared to Western countries or even by 10 year in comparison with Japan, for example. The situation among women is more favorable. These alarming data on premature mortality, especially among men in phase II of the productive age emphasize the urgent need for in-depth studies of causes, circumstances and factors contributing to deaths at the most active productive age.
authors.affiliation: Zakładu Srodowiskowych Zagrozeń Zdrowia, Instytutu Medycyny Pracy, Lodzi.
authors.forename: C
authors.initials: C
authors.lastname: Andryszek
authors.forename: J A
authors.initials: JA
authors.lastname: Indulski
authors.forename: H
authors.initials: H
authors.lastname: Worach-Kardas
mesh_terms: D000328:Adult; D004526:Efficiency; D005260:Female; D006801:Humans; D007221:Industry; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D009026:Mortality; D011044:Poland / Q000453:epidemiology; D017678:Sex Distribution; D014507:Urbanization
vernacular_title: Dynamika i zróznicowanie przestrzenne umieralności przedwczesnej populachji w wieku produkcyjnym--przesłanki dla pogłebionych badań przyczyn i uwarunkowań tego zjawiska.