Premature Mortality Rate
Premature Mortality Rate (PMR) is a yearly measure of the proportion of people in a certain area who die before reaching age 75.
Why This Matters
According to the Manitoba Centre for Health Policy (2013): “The premature mortality rate is considered the best single indicator of the overall health status of a region’s population and need for healthcare (Carstairs & Morris, 1991; Eyles & Birch, 1993; Eyles, Birch, Chambers, Hurley, & Hutchison, 1991). PMR is correlated with morbidity and with self-rated health, as well as with socioeconomic indicators (Martens, Frohlich, Carriere, Derksen, & Brownell, 2002a). Populations having a high PMR are presumed to need more healthcare services than healthier populations.” A lower PMR (i.e., a lower rate of individuals dying prior to 75 years of age) is an indicator of better overall health status, while a higher PMR is an indicator of worse overall health status. A higher PMR in a given population may be an indication of factors such as a higher incidence of disease, less access to healthcare services, higher rates of deaths as a result of injury (suicides, accidental falls, motor-vehicle accidents, poisonings), or riskier social behaviours (smoking, drinking, etc.). It is also presumed that populations with a higher PMR require more healthcare services than healthier populations (MCHP, 2009).
Measurement and Limitations
Premature mortality rate measures a region’s number of residents who died before the age of 75 per 1,000 residents under age 75. The PMR was calculated by the Manitoba Centre for Health Policy (MCHP) using data from the Population Health Research Data Repository It should be noted that rates are not sex- and age-adjusted, so some variation can be attributed to differences in age or sex composition of the populations. Data from the Repository was collected from hospital administrative records when a health or social service was administered.
Manitoba Centre for Health Policy. (2013). Manitoba RHA indicators atlas 2013. Retrieved from “http://mchp-appserv.cpe.umanitoba.ca/reference//RHA_2013_web_version.pdf
This data is updated annually, as the data becomes available.
Carstairs, V. & Morris, R. (1991). Deprivation and health in Scotland. Aberdeen, Scotland: Aberdeen University Press.
Eyles, J. & Birch, S. (1993). A population needs-based approach to health-care resource allocation and planning in Ontario: A link between policy goals and practice? Canadian Journal of Public Health, 84, 112-117.
Eyles, J., Birch, S., Chambers, S., Hurley, J., & Hutchison, B. (1991). A needs-based methodology for allocating health care resources in Ontario, Canada: Development and an application. Social Science & Medicine, 33, 489-500.
Manitoba Centre for Health Policy. (2009). Manitoba RHA indicators atlas 2009. Retrieved fromhttp://mchp-appserv.cpe.umanitoba.ca/reference/RHA_Atlas_Report.pdf
Manitoba Centre for Health Policy. (2013). Manitoba RHA indicators atlas 2013. Retrieved from http://mchp-appserv.cpe.umanitoba.ca/reference//RHA_2013_web_version.pdf
Martens PJ, Frohlich N, Carriere K, Derksen S, Brownell M. Embedding child health within framework of regional health: population health status and sociodemographic indicators. Can J Public Health. 2002a;93 (Suppl 2):S15-S20.
Premature Mortality Rate Sustainable Development Goals
3. Ensure healthy lives and promote well-being for all at all ages
Ensuring healthy lives and promoting the well-being for all at all ages is essential to sustainable development. Significant strides have been made in increasing life expectancy and reducing some of the common killers associated with child and maternal mortality. Major progress has been made on increasing access to clean water and sanitation, reducing malaria, tuberculosis, polio and the spread of HIV/AIDS. However, many more efforts are needed to fully eradicate a wide range of diseases and address many different persistent and emerging health issues.