在美国,社区职业结构与缺血性心脏病死亡率之间的关联变化
S Wing1, P Dargent-Molina, M Casper
1Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27514.
Lancet (London, England)
|November 7, 1987
概括
这项研究发现,拥有更多白领工作的社区在男性和女性中,缺血性心脏病死亡率较低. 这些发现凸显了社区内心脏病的日益不平等.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 缺血性心脏病 (IHD) 死亡率趋势与社会经济因素有关.
- 以前的研究,特别是在英国,表明社会阶级和心脏病之间的关联正在发生变化.
- 社区级职业结构在美国IHD死亡率中的作用仍然不太清楚.
研究的目的:
- 调查社区职业结构与缺血性心脏病死亡率之间不断变化的关联.
- 为了检查1968年至1982年间美国白人男性和女性之间的这种关系.
- 在社区层面探索潜在的IHD死亡率的社会经济决定因素.
主要方法:
- 生态研究设计分析美国国家数据.
- 职业结构被运用为社区内白领工作中的工人的比例.
- 在15年的时间里 (1968-1982) 分析了白人男性和女性的缺血性心脏病死亡率数据.
主要成果:
- 观察到一个社区中较高的白领就业水平与男性和女性的IHD死亡率较低之间存在着一致的负相关性.
- 这种联系在研究期间得到了加强.
- 对男性的发现表明,与在英国观察到的关于社会阶级和心脏病的趋势相似.
结论:
- 反映社会经济资源和机会的社区职业结构与IHD死亡率不平等有很大关系.
- 这项研究强调了考虑社区层面因素的重要性,而不是仅仅考虑个人层面的属性,以了解心脏病差异.
- 观察到的趋势表明,美国社区的心脏病死亡率的社会经济不平等正在增加.
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