Mortality Patterns in Southern Adriatic Islands of Croatia: a Registry-Based
118 PUBLIC HEALTH Croat Med J. 2018;59:118-23 https://doi.org/10.3325/cmj.2018.59.118 Mortality patterns in Southern Joshua Rehberg1, Ana Stipčić2, Tanja Ćorić3, Ivana Adriatic islands of Croatia: a Kolčić4, Ozren Polašek4 1Medical student, Medical School, registry-based study Medical College of Wisconsin, Milwaukee, WI, USA 2Department of Health Studies, University of Split, Split, Croatia 3Croatian National Institute of Public Health, Zagreb, Croatia Aim To investigate the mortality patterns on the Southern 4Department of Public Health, Adriatic islands of Croatia and compare them with those in University of Split School of two, mainly coastal, mainland counties. Medicine, Split, Croatia *The first two authors contributed Methods In this registry-based study we used the official equally. mortality register data to analyze the mortality patterns on seven Croatian islands (Brač, Hvar, Korčula, Lastovo, Mljet, Šolta, and Vis) and Pelješac peninsula in the 1998-2013 pe- riod and calculated the average lifespan, life expectancy, and standardized mortality ratios (SMR). We compared the leading causes of death with those in the mainland popu- lation of two southernmost Croatian counties. Results The average lifespan of the island population was 3-10 years longer for men and 2-7 years longer for wom- en than that on the mainland. All-cause SMRs were signifi- cantly lower for both men and women on Korčula, Brač, Mljet, and Pelješac but significantly higher for women on Šolta (1.22; 95% confidence intervals 1.07-1.38). The lead- ing causes of death on the islands were cardiovascular dis- eases, with higher percentages in men and lower in wom- en in comparison with those on the mainland.
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