在西班牙经济危机期间,社会经济群体的死亡率下降:3600万人的队列研究
Enrique Regidor1, Fernando Vallejo2, José A Tapia Granados3
1Department of Preventive Medicine and Public Health, Universidad Complutense de Madrid, Madrid, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Lancet (London, England)
|October 18, 2016
概括
在西班牙大衰退期间,死亡率比以前更大,特别是在较低的社会经济群体中. 这项研究分析了经济危机之前和期间不同社会经济地位的死亡率趋势.
科学领域:
- 公共卫生
- 流行病学
- 健康的社会经济决定因素
背景情况:
- 关于宏观经济波动如何影响不同社会经济层面的死亡率的研究有限.
- 之前的研究对经济衰退与死亡率之间的关系提出了不一致的结论.
研究的目的:
- 分析大条之前和期间西班牙的死亡率趋势.
- 量化经济危机期间不同社会经济群体死亡率的变化.
主要方法:
- 全国范围的前性研究使用2001年人口普查数据,追踪到2011年10-74岁的个人.
- 根据家庭的地面积和拥有汽车的数量进行社会经济地位分类.
- 在危机前 (2004年至2007年) 和危机期间 (2008年至2011年) 计算年均百分比降低率的Poisson回归.
主要成果:
- 与危机前期相比,所有社会经济群体的死亡率下降在危机期间加速.
- 低社会经济水平的群体在减少死亡率方面表现出最大的影响,
- 在危机期间,低社会经济群体的全因死亡率年均下降幅度显著增加 (按地面积计算为3.0%,按汽车拥有量计算为2.3%).
结论:
- 经济危机,比如西班牙的经济衰退,可能会降低风险因素的影响,从而降低全因死亡率.
- 经济危机对降低死亡率的积极影响在最低社会经济阶层中最为明显.
- 调查结果强调了经济波动对社会经济梯度的公共卫生结果的影响.
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