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Transcript of The Health profile in Tuscany - ars.toscana.it · The Health profile in Tuscany Fabio Voller...
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The Health profile in Tuscany Fabio Voller
Regional Health Agency of Tuscany [email protected]
Agenzia regionale di sanità della Toscana www.ars.toscana.it
Intersectoral approaches for active and healthy aging16--‐17 October 2014 –Villa la Quiete –Florence,Italy”
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• Residents are 3.692.828• 31.126 births and 43.456 deaths took place in 2012 • The currently high life expectancy at birth is
increasing, it is one of the highest in Italy and in the world
• Life expectancy is higher for women than for men• Life expectancy at the age of 65 is high and growing• Foreigners are 9.5% (350,761) and increasing• Births and fertility are low • Mortality is low• Ageing is pronounced
Tuscan demography in brief
Source: ISTAT data as at 31/12/2012
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Life expectancy at birth – Tuscany vs Italy
Age
For the last 30 years the life expectancy of the Tuscan population has been growing (+11.8% for M and +7.8% for F).Life expectancy at birth is higher for women: 84.8 years vs 80.1 for men. Tuscany presents a higher life expectancy in comparison to Italy (IT-M: 79.6 years; IT-F: 84.4).
Source: ARS on ISTAT data 1980-2012
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Life expectancy at birth in some developed countries
Country Age males Age femalesJapan 79 86
Tuscany 79 85Italy 79 84
Sweden 79 83France 78 85
Germany 77 83UK 78 82
USA 76 81………. ………….. ………………
Lithuania 66 78
Source: WHO 2008
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An overview of Tuscan demography
Low number of births, low fertility+
Low mortality
Ageing22.8% over 65
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Resident foreign population
350,761 foreigners are in Tuscany as at 12th Dec 2012.
%
Source: ARS on ISTAT data
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Effects of demographic change
• Increase in demented (97,600 in 2020) and disabled (85,600 in 2020) elderly people
• Increase in the prevalence of chronic diseases and disability
• Women living longer but with more health problems
• Weakening of women’s family care-giver role• Foreigners mitigating the negative
demographic impact
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Mortality in Tuscany
• General mortality is constantly and progressively decreasing, and is always lower than the Italian average
• Infant mortality is decreasing, and is always lower than the Italian average
• Maternal mortality is lower than the Italian average
• Premature mortality is decreasing, and is lower than the Italian average
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General mortality - Tuscany vs Italy 1972-2011
Standardized ratio *100.000 inhabitants
Source: ARS on ISTAT data. ISTAT data 2004-2006 are not available.
General mortality is constantly and progressively decreasing, and is always lower than the Italian average.
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Smoking habit (%) >14 years – Year 2012
In Tuscany:•The smoker’s profile is similar to the Italian one• 23% of smokers are adult (about 750.000)• smokers are decreasing, above all males• New smokers are not decreasing• girls (14-19) smoke more than boys, and the number is increasing• smoke-related mortality is decreasing, especially in males
Source: ARS on ISTAT data
Smoking habitTuscany Italy
2012 2012
Males
Smokers 26.6 27.3
Ex-smokers 31.5 29.0
Non-smokers 41.8 43.7
Females
Smokers 19.7 16.1
Ex-smokers 18.7 15.9
Non-smokers 61.6 68.0
Total
Smokers 23.0 21.5
Ex-smokers 24.9 22.2
Non-smokers 52.1 56.3
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Alcohol in Tuscany• Consumption is more regular (above all wine)• Adults drink more than in the rest of Italy, but above all during
meals• Binge drinking and getting drunk are less widespread• Total alcohol consumption is decreasing, and alcohol-related
mortality is decreasing (as it is in Italy)• Youths fit with national and international patterns (drinking at
weekends, more binge drinking, not at meals, on social occasions)
• The risk of road accidents is high for youths drinking while driving
• Adolescents (especially girls) prematurely start drinking in excess, as in the rest of Italy
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Binge drinking – Year 2012
Fonte: ARS su dati ISTAT
% population >11 years consuming at least 6 alcohol units (glass of wine and/or beer and/or aperitive and/or spririt in one occasion (binge drinking)
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Death causes of Tuscan residents
• Every year about 41,500 people die from all causes
• 2/3 die from cardiovascular diseases (CDV) and cancers
• CDV mortality is falling and lower than the national average (care is improving)
• Cancer mortality is falling and is lower than the national average (care and prevention are improving)
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Deaths by cause in Tuscany – Year 2011
Nr = 41,690
Source: ARS on Regional Mortality Registry data
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Cardiovascular mortality – Tuscany vs Italy 1972-2011
Standardized ratesby age
Adults: cardiovascular diseases represent the main cause of death, tumors the second highest cause.Elderly people: circulatory system diseases are the main cause of death after the age of 80 years, for both men and women.
Source: ARS on ISTAT data. ISTAT data 2004-2006 are not available.
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Cancer mortality – Tuscany vs Italy – 1972-2011
Standardized ratesby age * 100,000 inhabitants
Men: tumors are the first cause of death after the age of 45 years until the age of 84, then they are surpassed by circulatory system diseases.Women: tumors are the first cause of death after the age of 45 years until the age of 64, before being surpassed by circulatory system diseases.
Source: ARS on ISTAT data. ISTAT data 2004-2006 are not available.
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Tumors in Tuscany vs Italy
• Incidence (number of new cases) is stable or increasing, in line with the Italian average
• Mortality is decreasing because care and prevention are improving, more than in Italy: survival is improving but prevalence (number of cancer-deseased people) is increasing
• Stomach cancer incidence and mortality are high (diet and genetics)
• Female breast, and colon-rectum cancer incidence is high, but mortality is low (protective screening effect?)
• (Breast, uterus, colon-rectum) screening has better indicators than in Italy
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Cancer mortality in Tuscany – Year 2010 Standardized rates x 100,000 inhabitants
Tuscany Italy
All tumors 186.5 197.0
Stomach 13.0 11.3
Colon-rectum 22.8 24.8
Lung 35.5 41.3
Breast 20.5 23.6
Source: www.tumori.net (INT – ISS)
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