title: [Avoidable mortality in Tuscany Region (Central Italy) from 1987 to 2008].
abstract: OBJECTIVE
  to evaluate the impact of avoidable mortality (AM) on the changes in life expectancy at birth (LE) in Tuscany Region (Central Italy) in two periods (1987-1989 and 2006-2008).
  
  
  METHODS
  a list of AM causes previously published was used. The AM were divided into two groups: AM by Health Policy Interventions (HPI), AM by Health System Interventions (HSI).
  
  
  METHODS
  years of potential life lost (PYLLs), rates of PYLL standardized on the European population (TSPYLLs), and LE were examined.
  
  
  RESULTS
  in 2006-2008, LE increased with a gain of 5.2 in men and 3.8 in women in comparison to 1987-1989 LE (respectively 79 and 84,9 years). If AM did not have occurred, LE would have further increased of 2 years in men and 1.5 in women. AM recorded a 39% decrease: from 25.3% of overall mortality in men in 1987-1989 to 16.1% in 2006-2008; in women from 14.3% to 8.4%. Injury/poisoning and lung cancer are the most frequent IPP. The only increasing AM is lung cancer in women. Disentangling LE increases by group of causes, 25% of the increases in 2006- 2008, compared to 1987-1989, was attributable to HSI reduction, and 4% in women and 16% in men to HPI reduction.
  
  
  CONCLUSIONS
  AM recorded a 39% decrease from 1987-1989 to 2006-2008 in Tuscany. In 2006-2008, about one third of LE increase in women and 2/5 in men was attributable to AM decrease, while 2/3 in women and 3/5 in men to increased survival in eldest people.
authors.affiliation: Struttura complessa epidemiologia ambientale occupazionale, Istituto per lo studio e la prevenzione oncologica, Firenze. a.martini@ispo.toscana.it.
authors.forename: Andrea
authors.initials: A
authors.lastname: Martini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Gorini
authors.forename: Antonino
authors.initials: A
authors.lastname: Sala
authors.forename: Lucia
authors.initials: L
authors.lastname: Giovannetti
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Chellini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008017:Life Expectancy; D008297:Male; D009026:Mortality; D013997:Time Factors