An epidemiological view of working age population in Croatia

Transcription

1 An epidemiological view of working age population in Croatia Sandra Mihel, Vlasta De kovi -Vukres, Ana Ivi evi Uhernik Croatian Institute of Public Health

2 Demographic indicators The percentage of the age groups was stable during the ten-year period. According to the last census of 2011, Croatia had 2,873,828 (67%) inhabitants aged Croatian population due to Census 2001 and 2011 Age groups 0-14 (%) (%) 65+ (%) Total Census , ,969, , ,437,460 Census , ,873, , ,284,889 Sources: Croatian Central Bureau of Statistics

3 Demographic indicators The expected demographic change will influence not only healthcare and social security systems but also the national economies. Median age of population

4 The number of persons in employment According to the Croatian Central Bureau of Statistics (CBS) in 2013, the total number of persons in employment in the Republic of Croatia was: 1,364,000 (annual average), out of that, 634,000 women (47%) The number of persons in paid employment in legal entities, by contractual working time: working full time - 1,002,976 working part time - 30,627 working short time - 1,753 Sources: Statistical Yearbook 2015, Croatian Central Bureau of Statistics

5 Persons in paid employment in legal entities, by age, situation as on 31 March 2013 According to the Croatian Central Bureau of Statistics (CBS), in Croatia there were 432,537 older workers aged 45 years and over (42%). Age Up to Total Total , ,9 151,13 153,9 143,13 144,08 138,47 100,78 44,618 4,595 1,035,356 Females ,065 53,37 72,218 74,176 70,65 73,241 70,607 43,259 17,556 1, ,805 Males , ,57 78,912 79,721 13,606 70,84 67,861 57,516 27,062 3, ,551 Sources: Statistical Yearbook 2015, Croatian Central Bureau of Statistics

6 Employment rate of persons of late working age (55-64), 2009

7 Primary Health Care General Medical Service Diseases and conditions diagnosed in age group by General/Family Medicine units numbered 5,639,279 (49.4% of total morbidity count) 1. Diseases of the respiratory - 874,922 or 15.5% 2. Diseases of the musculoskeletal system and connective tissue 725,719 or 12.9% 3. Cardiovascular diseases 514,237 or 9.1%

8 Occupational Health Service In 2014 there were 477,324 examinations done: out of which 297,075 (62%) were preventive examinations of working people (compared to the previous year 280,683 increased by 6%) The number of special examinations increased (2014: 177,740; 2013: 157,857) The number of consulting examinations in order to assess the work capacity decreased (2014: 1,799; 2013: 2,310). The number of examinations for occupational diseases decreased (2014:129; 2013:185) The number of assessments for the disability commission also decreased (2014:581; 2013:792)

9 Occupational Health Service 168 occupational diseases in 2014 The most common diagnoses were: asbestos dust-related lung disease (59.5%), syndromes of overexertion caused by cumulative trauma (12.5%), infectious or parasitic diseases caused by work in professions proved to run a higher risk of infection (7.7%), diseases due to the deleterious effects of vibration transmitted to the hand (6.0%).

10 The leading causes of hospitalization (excluding day cases and hemodialysis in hospitals) Hospitalization among population years: Rate per 1,000: 78.5 The leading causes: Diabetes mellitus in pregnancy, childbirth, and the puerperium Schizophrenia Mental and behavioural disorders due to use of alcohol Hospitalization among population years: Rate per 1,000: The leading causes: Mental and behavioural disorders due to use of alcohol Cholelithiasis Angina pectoris Source of information: Case Statistical Card, Croatian Institute of Public Health, 2015

11 The leading causes of hospitalization among population years All ICD-10 code Number of hospitalisations Rate per 1,000 1 Mental and behavioural disorders due to use of alcohol F10 4, Cholelithiasis K80 3, Angina pectoris I20 3, Malignant neoplasm of bronchus and 4 lung C34 3, Acute myocardial infartion I21 2, Inguinal hernia K40 2, Chronic ischemic heart disease I Schizophrenia F20 2, Senile cataract H25 2, Recurrent depressive disorder F33 2, Total (all hospitalisation) 167, Source of information: Case Statistical Card, Croatian Institute of Public Health, 2015

12 First 10 new cancer cases in 2013, age years, ICD-10 three digit codes All ICD-10 code Number od new cases 1 Malignant neoplasm of bronchus and lung C34 1,148 2 Malignant neoplasm of breast C50 1,158 3 Malignant neoplasm of colon C Malignant neoplasm of prostate C Malignant neoplasm of rectum C Malignant neoplasm of kidney C Malignant neoplasm of bladder C Malignant neoplasm of corpus uteri C Malignant neoplasm of stomach C Malignant neoplasm of thyroid gland C Source of information: Cancer registry, Croatian Institute of Public Health, 2015

13 In Croatia about 13 million work days are lost annually due to sick-leave on average, every employee is away from work 18 days per year due to diseases Daily due to sick-leave are absent 41,526 employees (2.85% off active insured persons). According to cause and diagnosis, first on the sick-leave causes list are: diseases of the musculoskeletal system mental diseases injuries These diseases are also the main cause of disability in Croatia. Source of information: Croatina Helath Insurens Found

14 The leading causes of death among Croatian population aged 45-64, total The leading causes of death: lung cancer, myocardial infarction, chronic ischemic heart disease ICD-10 code Number of deaths % All Malignant neoplasm of bronchus and lung C34 1, Acute myocardial infarction I Chronic ischemic heart disease I Alcoholic liver disease K Malignant neoplasm of breast C Malignant neoplasm of colon C Stroke I Malignant neoplasm of stomach C Fibrosis and cirrhosis of liver K Asphyxiation T First 10 causes 3, Total 8,269 Source of information: Croatian Central Bureau of Statistics, 2015 (DEM-2/14)

15 Conclusion By midlife (age 45) and in the later years, NCDs are responsible for the majority of diseases and deaths Research is increasingly showing that the origins of risk for chronic conditions, such as diabetes and heart disease, begin in early childhood or even earlier. The risk of developing NCDs continues to increase as individuals age. It is important to address the risks of noncommunicable disease from early life to late life, i.e. throughout the life course.