North FSE males account for nearly one-third of all excess years of life lost in the entire region of the Formerly Socialist Economies. Approximately half of this excess is due to noncommunicable diseases and half to injuries. The literature on the rising mortality among adult males, particularly in North FSE, has stressed that most of the increase is due to cardiovascular disease. Here, we are examining not only the cause of the increase, but also the difference in the level of mortality. Some of this excess already existed before the increases in adult male mortality began in 1965. Differences in level or trend viewpoints can lead to different health priorities (see also Anderson and Silver, in this volume). Clearly, for the population affected, differences in current mortality levels or years of life lost by cause are the more important.

Figure 6-5 allocates the excess years of life lost in these age groups by more detailed causes. The figure shows that 21 percent is due to ischemic heart disease. In descending order of magnitude, road traffic accidents, suicides, poisoning (which includes acute alcohol ingestion), cerebrovascular disease, lung cancer, drowning, and homicide each contribute more than 5 percent to the total excess years of life lost. Over 16 percent is distributed across a large number of more specific causes, each of which contributes less than 1 percent to the total. Given the real concern about heavy intake of hard alcohol in the region, it is surprising that there is no excess death due to cirrhosis. This may reflect a coding

Figure 6-5

Excess years of life lost by cause for males, ages 15-59, North FSE region.



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