自COVID-19以来,中国的预期寿命在农村和城市之间的差距越来越大
Shasha Han1,2,3, Binbin Su4, Yihao Zhao4
1School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China hanshasha@pumc.edu.cn zhengxiaoying@sph.pumc.edu.cn.
BMJ global health
|September 20, 2023
概括
COVID-19大流行扩大了中国农村和城市之间的预期寿命差距,将死亡负担转移到农村地区,特别是影响老年人口和循环系统疾病.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 已确立的农村和城市预期寿命差异存在,但它们的流行病变异不清楚.
- 了解这些趋势对于公共卫生政策和资源分配至关重要.
研究的目的:
- 在中国的COVID-19大流行期间,量化农村和城市预期寿命差异.
- 从1987年到2021年,分析预期寿命差异的趋势.
主要方法:
- 利用每月的死亡登记数据来估计农村和城市之间的差距.
- 雇用期寿命表和Arriaga分解用于死亡率分析.
- 应用李-卡特预测来预测预期寿命差距.
主要成果:
- 农村和城市的预期寿命差距在2020年和2021年显著增加,超过了大流行前的预测.
- 与以前的流行病不同,COVID-19将不利因素从城市人口转移到农村人口.
- 死亡负担集中在老年人群中,与循环系统疾病有关.
结论:
- COVID-19 流行病扭转了35年来农村和城市预期寿命差距的趋势.
- 调查结果显示,中国社区的流行病对死亡率的影响不平等.
- 公共卫生支出差异与农村和城市差距的扩大有关,特别是在年轻年龄组.
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