个人层面因素在农村死亡率差异中的作用
Erika Rees-Punia1, Emily Deubler1, Alpa V Patel1
1Department of Population Science, American Cancer Society, Kennesaw, Georgia.
AJPM focus
|October 4, 2023
概括
农村居住与较小的死亡风险增加有关,但考虑到个人人口统计和健康行为,如教育和体育活动,这种差异消失了.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 农村卫生 农村卫生
背景情况:
- 农村和城市的死亡率差距是一个重大的公共卫生问题.
- 导致这种差异的个人风险因素尚不清楚.
研究的目的:
- 调查个人人口结构和健康行为如何影响农村生活和死亡风险之间的关联.
主要方法:
- 利用了来自癌症预防研究II.II的数据.
- 分配的农村-城市通勤区代码作为时间变化的曝光.
- 用Cox的比例危险回归来分析死亡风险.
主要成果:
- 最初,农村居民的全因死亡率风险略高 (HR=1.04).
- 在对个人层面因素进行调整后,这种高风险被完全消除.
- 教育,酒精消费和体力活动水平解释了农村死亡率的差异.
结论:
- 与农村居住相关的死亡风险增加在很大程度上归因于个人的人口统计和健康行为.
- 可修改的因素可能是减少农村死亡率差异的关键.
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