AbstractIntroduction: Substantial advances on the life expectancy have been achieved in Malaysia over the past few decades. It is essential that elderly lead a healthier old age which leans towards successful aging. Thus, this study describes the major causes of premature mortality among the elderly population in Malaysia, 2014.Methods: The calculation of premature mortality in terms of Years of Life Lost (YLL) was based on the method used in the Global Burden of Disease (GBD) study. YLL is the mortality component determined by the age-sex specific number of deaths and life expectancy at the age of death. Mortality data was obtained from the Department of Statistics Malaysia. Elderly aged 60 years and above were included in this study.Results: The major causes of premature mortality among elderly in Malaysia were Cardiovascular and Circulatory Diseases (39.0%); followed by Malignant Neoplasms (16.6%), Respiratory Diseases (9.8%), Respiratory Infections (9.2%) and Diabetes Mellitus (6.8%). Conclusion: Awareness programme, early screening and help seeking among elderly should be a priority in planning health services to reduce the burden of Non-communicable diseases (NCD) among elderly.
Size of Population [Internet]. [cited 2018 Feb 14]. Available from: https://www.dosm.gov.my/v1/index.php?
Life Expectancy at Birth by Major Ethnic Group [Internet]. [cited 2018 Feb 14]. Available from: https://www.dosm.gov.my/v1/index.php?r=column/pdfPrev&id=dkdvKzZ0K1NiemEwNlJteDBSUGorQT09
Wahl HW, Deeg D, Litwin H. Successful ageing as a persistent priority in ageing research. Eur J Ageing [Internet]. 2016 [cited 2018 Feb 15];13(1):1–3. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5550565/pdf/10433_2016_Article_364.pdf DOI: 10.1007/s10433-016-0364-5.
Onunkwor OF, Al-Dubai SAR, George PP, Arokiasamy J, Yadav H, Barua A, et al. A cross-sectional study on quality of life among the elderly in non-governmental organizations’ elderly homes in Kuala Lumpur. Health and Quality of Life Outcomes [Internet]. 2016 [cited 2018 Feb 14];14(6). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709911/pdf/12955_2016_Article_408.pdf DOI: 10.1186/s12955-016-0408-8
Murray CJL, Salomon JA, Mathers CD, Lopez AD, Organization WH. Summary measures of population health : concepts, ethics, measurement and applications [Internet]. World Helath Organization; 2002 [cited 2018 Mar 8]. 770 p. Available from: http://apps.who.int/iris/bitstream/10665/42439/1/9241545518.pdf DOI: 10.1017/CBO9781107415324.004
Gènova-Maleras R, Catalá-López F, de Larrea-Baz NF, Álvarez-Martín E, Morant-Ginestar C. The burden of premature mortality in Spain using standard expected years of life lost: a population-based study. BMC Public Health [Internet]. 2011;11(1):787. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-787 DOI: 10.1186/1471-2458-11-787
Wang H, Naghavi M, Allen C, Barber RM, Carter A, Casey DC, et al. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1459–544. DOI: 10.1016/S0140-6736(16)31012-1
World Health Organization. WHO methods and data sources for global burden of disease estimates. Geneva: World Health Organization [Internet]. 2017 [cited 2018 Feb 19];1(January):17. Available from: http://www.who.int/gho/mortality_burden_disease/en/index.html
Ganapathy SS, Yi Yi K, Omar MA, Anuar MFM, Jeevananthan C, Rao C. Validation of verbal autopsy: Determination of cause of deaths in Malaysia 2013. BMC Public Health [Internet]. 2017 [cited 2018 Mar 23];17(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553780/pdf/12889_2017_Article_4668.pdf DOI: 10.1186/s12889-017-4668-y
Organization WH. WHO | Noncommunicable diseases [Internet]. WHO. World Health Organization; 2017 [cited 2018 Feb 20]. Available from: http://www.who.int/mediacentre/factsheets/fs355/en/
Forouzanfar MH, Alexander L, Anderson HR, Bachman VF, Biryukov S, Brauer M, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet [Internet]. 2015 Dec 5 [cited 2018 Feb 20];386(10010):2287–323. Available from: https://www.sciencedirect.com/science/article/pii/S0140673615001282 DOI: 10.1016/S0140-6736(15)00128-2
Shakya Y, Shrestha B, Aacharya R, Gupta S. Disease Pattern among Elderly People coming in Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Journal of Institute of Medicine. 2017;39(2):76–9. Available from: http://www.jiom.com.np/index.php/jiomjournal/article/view/954/906
Stevens GA, Mathers CD, Beard JR. Global mortality trends and patterns in older women. Bulletin of the World Health Organization [Internet]. 2013;91(9):630–9. Available from: http://www.who.int/entity/bulletin/volumes/91/9/12-109710.pdf DOI: 10.2471/BLT.12.109710
Aggarwal P, Kakkar R, Kandpal SD, Goel D, Bansal S. Health Awareness and practices among geriatrics in reference to non- communicable diseases in Dehradun district. Sub- Himalayan Journal Health Res. 2015;2(1):35–8.
Rashid A, Azizah A. Prevalence of hypertension among the elderly Malays living in rural Malaysia. The Australasian Medical Journal [Internet]. 2011 [cited 2018 Mar 28];4(6):283–90. Available from: http//dx.doi.org/10.4066/AMJ.2011.660 DOI: 10.4066/AMJ.2011.660
Khor GL. Cardiovascular epidemiology in the Asia-Pacific region. Asia Pacific Journal of Clinical Nutrition [Internet]. 2001 [cited 2018 Mar 27];10(2):76–80. Available from: http://apjcn.nhri.org.tw/server/APJCN/10/2/76.pdf
Institute for Public Health. National Health and Morbidity Survey 2015 (NHMS 2015). Vol. II: Non-Communicable Diseases, Risk Factors & Other Health Problems. Vol. II, Ministry of Health Malaysia. 2015. 1-291 DOI: 10.1017/CBO9781107415324.004
Cheong AT, Khoo EM, Tong SF, Liew SM. To check or not to check? A qualitative study on how the public decides on health checks for cardiovascular disease prevention. PLoS One [Internet]. 2016 [cited 2018 Mar 28];11(7). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4945067/pdf/pone.0159438.pdf
Owonikoko TK, Ragin CC, Belani CP, Oton AB, Gooding WE, Taioli E, et al. Lung cancer in elderly patients: An analysis of the surveillance, epidemiology, and end results database. Journal of Clinical Oncology. 2007;25(35):5570–7. DOI:10.1200/JCO.2007.12.5435
Dagnault A, archambault J. Lung cancer in elderly patients, topics in cancer survivorship. Ravinder Mohan, IntechOpen. 2005;22:8S63-9 Available from: https://www.intechopen.com/books/topics-in-cancer-survivorship/approach-to-lung-cancer-in-the-elderly-population DOI: 10.5772/20364
Abdullah MAA, Jamil SAM, Jalal YMTMT. Modelling count data: An application to a breast cancer data in Malaysia. AIP Conference Proceedings; 2016; 1775 (1) p. 030003. Available from: http://aip.scitation.org/doi/abs/10.1063/1.4965123 DOI: 10.1063/1.4965123
Chye GLC, Rampal S, Yahaya H. Cancer Incidence in Peninsular Malaysia 2003-2005. National Cancer Registery [Internet]. 2008 [cited 2018 Mar 29];53–7. Available from: http://www.moh.gov.my/images/gallery/Report/Cancer/CancerIncidenceinPeninsularMalaysia2003-2005x1x.pdf DOI: 10.1002/ijc.29670
Dahlui M, Ramli S, Bulgiba AM. Breast cancer prevention and control programs in Malaysia. Asian Pacific Journal of Cancer Prevention [Internet]. 2011 [cited 2018 Mar 29];12(12):1631–4. Available from: http://eprints.um.edu.my/3063/1/Breast_cancer_prevention_and_control_programs_in_malaysia.pdf
Rahmah MA, Aniza I, Che Engku Nor Bahiyah CEM. DO elderly women in Malaysia go for mammogram screening? Malaysian Journal of Public Health Medicine [Internet]. 2013 [cited 2018 Mar 29];13(2):20–6. Available from: https://www.mjphm.org.my/mjphm/journals/volume 13 (2)/DO ELDERLY WOMEN IN MALAYSIA GO FOR MAMMOGRAM SCREENING.doc.pdf
Al-Naggar RA, Al-Kubaisy W, Yap BW, Bobryshev Y V., Osman MT. Attitudes towards colorectal cancer (CRC) and CRC screening tests among elderly Malay patients. Asian Pacific Journal of Cancer Prevention [Internet]. 2015 [cited 2018 Mar 29];16(2):667–74. Available from: http://journal.waocp.org/article_30488_17a09ac0a46cb71ed9097d9178262967.pdf DOI: 10.7314/APJCP.2015.16.2.667
Peruzza S, Sergi G, Vianello A, Pisent C, Tiozzo F, Manzan A, et al. Chronic obstructive pulmonary disease (COPD) in elderly subjects: Impact on functional status and quality of life. Respir Med [Internet]. 2003 [cited 2018 Feb 22];97(6):612–7. Available from: http://www.sciencedirect.com
Ministry of Health Malaysia. National Strategic Plan for Non-Communicable Disease (NSP-NCD) 2016-2025 [Internet]. Mustapha FI, editor. NCD Section, Ministry of Health Malaysia; 2016. 1-22 p. Available from: www.moh.gov.my
The SOCSO Health Screening Program 2013 - 2016: Fact Sheet [Internet]. Prevention and Health Promotion Department and Actuarial and Statistical Branch, SOCSO. [cited 2018 Mar 29]. Available from: http://sehat.perkeso.gov.my/images/THE SOCSO HEALTH SCREENING PROGRAM 2013 - 2016 FACT SHEET.pdf
Ministry of Health Malaysia. National strategic plan for cancer control programme 2016-2020. NCD Section, Ministry of Health Malaysia; 2017.
Lim K, M Fadhli Y, Omar M, Rosnah R, M. Nazaruddin B, Sumarni M, et al. Technical Report on Evaluation of Effectiveness of Implementation of “Komuniti Sihat Perkasa Negara” (KOSPEN) Programme In Malaysia - Phase 1 [Internet]. Institute for Public Health, Ministry of Health, Malaysia; 2015 [cited 2018 Mar 28]. Available from: http://iku.moh.gov.my/images/IKU/Document/REPORT/2014/KOSPEN2014.pdf DOI: 10.13140/RG.2.1.1947.8008
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