estudam public health journal Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi 2564-6311 2564-6311 Eskişehir Osmangazi University 10.35232/estudamhsd.1165384 Public Health Environmental Health Halk Sağlığı Çevre Sağlığı TÜRKİYE’DE ÖLÜM NEDENLERİ: BULAŞICI HASTALIK YÜKÜNDEKİ ARTIŞ CİNSİYETE VE YAŞA GÖRE NASIL DEĞİŞMEKTEDİR? CAUSES OF DEATH IN TURKEY: HOW THE INCREASE IN THE BURDEN OF COMMUNICABLE DISEASES VARY BY SEX AND AGE? https://orcid.org/0000-0002-3088-7146 Yayla Enfiyeci Zehra Hacettepe Üniversitesi nüfus etütleri enstitüsü https://orcid.org/0000-0001-9714-9984 Çavlin Alanur HACETTEPE ÜNİVERSİTESİ, NÜFUS ETÜTLERİ ENSTİTÜSÜ 01 17 2023 8 1 1 19 08 22 2022 12 16 2022 Copyright © 2016, ESTUDAM Public Health Journal 2016 ESTUDAM Public Health Journal

Ölüm nedeni istatistikleri, halk sağlığı için çok önemli araçlardır, ancak Türkiye ölüm nedenleri ve eğilimlerine ilişkinyapılan çalışmalarda geride kalmaktadır. Bu çalışma, bulaşıcı hastalıklardaki (BH’lerdeki) artışa özel bir vurgu yaparak,2013-2019 döneminde Türkiye'deki ölüm nedenlerini ve eğilimlerini değerlendirmektedir. Çalışma, ulusal nüfus ve ölümnedeni kayıt sistemlerine dayalı temsili araştırma tasarımına sahiptir. Uluslararası Hastalık Sınıflandırması OnuncuRevizyon (UHS-10) kodlarına sahip tüm ölüm nedenleri gruplandırılmış ve çöp kodlar belirlenerek ölüm nedenleri içindeyeniden dağıtılmıştır. BH yükündeki artışın cinsiyete ve yaşa göre nasıl değiştiğini anlamak için ayrık Markov zincirimodellemesi kullanılmış ve en fazla ölümün meydana geldiği yaş, üç ana ölüm nedenine göre yaşa özel ölüm oranları,ölüm olasılıkları ve kaybedilen yaşam yılları hesaplanmıştır. Çalışmanın sonuçlarına göre, erkek nüfusta en fazlaölümün meydana geldiği yaş daha ileri yaşlara kaymış; her iki cinsiyette de 2013-2019 yılları arasında- COVID-19pandemisinin başlamasından hemen önce- solunum yolu enfeksiyon hastalıkları ile diğer bulaşıcı ve parazithastalıkların payı hızla artmıştır. Genel olarak, sonuçlarımız her iki cinsiyet için de BH yükünün arttığını ve yaşlı erkeknüfusunun en çok etkilenen grup arasında olduğunu göstermektedir. Bulaşıcı olmayan hastalıklar hala önde gelen ölümnedenleri olduğundan, artan BH oranları sağlık sistemi üzerinde fazladan bir yük oluşturabilir.

Causes of death statistics are essential tools for public health, but Turkey lags in the number of studies on causes andtrends of death. This study measures causes and trends of death in Turkey for the 2013-2019 period, with specialemphasis on the increase in communicable diseases (CDs). This study has a representative research design based onthe national population and cause of death registration systems. Causes of death with International Classification ofDiseases, Tenth Revision (ICD-10) codes were grouped and garbage codes were determined and redistributed. Tounderstand how the increase in the burden of CDs vary by sex and age, modal age at death, age-specific death rates,probability of eventual death, years of life lost (YLL) due to three main causes of death were calculated by using discreteabsorbing Markov chain model. According to results, modal age at death among male population shifted to older ages,the share of respiratory infectious diseases and other infectious and parasitic diseases increased rapidly between 2013and 2019, just before the onset of COVID-19 pandemic. Overall, our results suggest that burden of CDs increased forboth sexes, and elderly male population was among the most effected group. Since non-communicable diseases werestill the leading causes of death, increasing rate of CDs may create an extra burden on health system.

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