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Premature Mortality Rate

Definition

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),¬† premature mortality rate is considered the best single indicator of the overall health status of an area’s population and need for health care. PMR is correlated with morbidity (rates of death) 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) indicates better overall health, while a higher PMR indicates a worse overall health status. A higher PMR may be an indication of factors such as higher rates of disease, poorer access to health care 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 safe to assume that areas with a higher PMR require more health care services than healthier populations with a lower premature mortality rate (MCHP, 2009).

Measurement and Limitations

Premature mortality rate measures the number of people who died before the age of 75 in a given area per 1,000 residents under age 75. The Manitoba Centre for Health Policy (MCHP) calculates the PMR for Peg Community Areas 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.

Data Source

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

Data is updated on Peg as it becomes available from the data providers.

References

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.

 
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Premature Mortality Rate in the Sustainable Development Goals

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3. Ensure healthy lives and promote well-being for all at all ages
3. Ensure healthy lives and promote well-being for all at all ages

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.

Related Premature Mortality Rate Targets

3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

3.4

By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being