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国际上老年人预期寿命增加的原因
Colin D Mathers1, Gretchen A Stevens1, Ties Boerma1
1Department of Health Statistics and Information Systems, WHO, Geneva, Switzerland.
Lancet (London, England)
|December 4, 2014
概括
高收入国家60岁的预期寿命正在上升,这是由心血管疾病死亡率降低和男性吸烟率降低所推动的. 老年死亡率的改善并没有放缓,没有证据表明寿命极限.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 近几十年来,60岁的预期寿命在高收入国家增加了.
- 这一增长主要归因于烟草使用 (男性) 和心血管疾病死亡率 (两性) 的下降.
- 自1980年以来,可避免的男性死亡率在高收入国家下降,主要是由于心血管疾病死亡人数减少.
研究的目的:
- 分析60岁及以上的预期寿命和死亡率的趋势.
- 确定导致预期寿命变化的关键因素.
- 评估老年死亡率的改善是否正在放缓或接近极限.
主要方法:
- 对60岁死亡率数据和预期寿命趋势的分析.
- 对不同地区和性别的死亡率变化进行比较.
- 检查可避免死亡率的趋势,特别是心血管疾病和烟草使用.
主要成果:
- 60岁的预期寿命在高收入国家上升,这与心血管死亡率降低和男性吸烟有关.
- 在高收入国家,由于心血管疾病死亡人数减少,可避免的男性死亡率下降.
- 在拉丁美洲,加勒比地区,欧洲和中亚 (男性),以及全球女性,可避免的死亡率自1980年以来停滞或增加.
结论:
- 老年人预期寿命的改善正在进行中,并没有显示放缓的迹象.
- 目前没有证据表明,老年死亡率正在向人类的最大寿命压缩.
- 死亡率趋势的区域和性别差异仍然存在,突出了公共卫生干预的领域.
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