意大利可避免死亡率的区域和性别不平等:时间趋势分析
Davide Golinelli1,2, Giovanni Guarducci1, Andrea Sanna1
1Post Graduate School of Public Health, University of Siena, Italy.
Public health in practice (Oxford, England)
|November 29, 2023
概括
意大利的可避免死亡率 (AM) 在2006年至2019年期间大幅下降. 虽然AM中的性别和区域差异有所减少,但持续监测和有针对性的干预措施对于健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 可避免的死亡率 (AM),包括可治疗的死亡率 (TM) 和可预防的死亡率 (PM),是医疗保健系统性能和人口健康的关键指标.
- 在意大利观察到AM中存在显著的区域和性别差异,需要进行详细的调查.
研究的目的:
- 从2006年到2019年,对意大利的可避免死亡率 (AM) 趋势进行全面分析.
- 在14年的时间里,研究 AM 中的区域和性别特异性不平等.
- 评估意大利各地区可治疗死亡率 (TM) 和可预防死亡率 (PM) 的变化.
主要方法:
- 利用意大利统计局2006-2019年期间的死亡率数据.
- 根据性别和地区计算每两年对AM,TM和PM的年龄标准化死亡率.
- 采用时间趋势分析来评估研究期间的变化,使用经合组织/欧盟统计局联合清单.
主要成果:
- 意大利的整体AM率从2006/7年每10万人中221.0下降到2018/9年每10万人中166.4下降.
- 在整个研究期间,女性总是表现出比男性更低的AM率.
- 性别差异和南北对抗药物的差距都显示出下降的趋势,表明不平等的缩小.
结论:
- 尽管在意大利整体减少了AM及其相关的不平等现象,但意大利仍然存在显著的区域和性别差异.
- 持续监测 AM 趋势和实施定制的,区域和性别特定的公共卫生干预措施是必不可少的.
- 这项研究为政策制定和公共卫生实践提供了有价值的见解,旨在改善意大利各地区的健康公平.
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