从1970年到2019年芬兰男性自杀风险的职业阶级差异
Simo Raittila1, Anne Kouvonen1,2, Aki Koskinen3
1Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.
European journal of public health
|October 6, 2023
概括
自1991年以来,男性自杀风险显著下降. 然而,与经理和专业人士相比,手工劳动者自杀率的下降速度较慢,这突出了社会变革的不同影响.
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:
- 近几十年来,大多数欧洲国家的自杀率都在下降.
- 对职业阶级自杀风险周期性变化的详细分析仍然有限.
研究的目的:
- 调查芬兰不同职业阶级中自杀死亡率的时间趋势.
- 为了比较体力劳动者,下层非体力劳动者和管理者/专业人员之间自杀风险的下降.
主要方法:
- 从1970年到2010年,对芬兰劳动年龄男性的代表性队列进行了纵向跟踪 (每个队列超过30万名男性).
- 在使用考克斯回归模型的9年期间对自杀死亡率的分析.
- 调整年龄和年龄,人口普查年份和职业类别之间的相互作用.
主要成果:
- 1991年至2019年间,男性自杀风险下降了一半以上.
- 与经理和专业人员相比,手工工人经常面临1.6至1.8倍高的自杀相对危险比率.
- 自杀风险的下降早些时候 (1990年代) 在经理/专业人员中观察到,后来 (2000-2010年代) 在手工工人中观察到.
结论:
- 自杀率的降低发生在不同职业群体的不同步伐.
- 较低职业阶级,特别是手工劳动者,自杀风险的延迟下降,表明社会变化的差异性影响.
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