基于性别的结核病死亡率在纽芬兰,1900-1949年:对过渡期人口的影响
1University of Alaska Anchorage, Institute for Circumpolar Health Studies, Anchorage, Alaska, USA.
概括
在纽芬兰,女性结核病 (TB) 死亡率高于男性. 与城市地区相比,农村地区的结核病死亡率性别差异较小,突出显示了区域健康差异.
科学领域:
- 历史流行病学 历史流行病学
- 人口健康的转变人口健康的转变
- 基于性别的健康差异.
背景情况:
- 结核病 (TB) 在第二次流行病学转型期间显著影响死亡率.
- 了解结核病死亡率的性别差异,可以了解人口健康变化.
- 健康结果的区域差异对于分析流行病学转变至关重要.
研究的目的:
- 调查1900年至1949年纽芬兰结核病死亡率的性别差异.
- 为了比较纽芬兰城市化和农村地区的结核病死亡率.
- 评估结核病死亡年龄的变化随着时间的推移和性别.
主要方法:
- 分析了30393份1900年至1949年的个人死亡记录.
- 年龄标准化,基于性别的结核病死亡率的计算.
- 多重线性回归模型评估相对和绝对死亡率差异和死亡时的中位数年龄,控制时间,地区和性别.
主要成果:
- 女性结核病死亡率相对和绝对都高于男性死亡率.
- 基于性别的死亡率差异在农村纽芬兰较小,与城市阿瓦隆半岛相比.
- 男性的死亡年龄中位数高于女性,这种差异随着时间的推移而扩大.
结论:
- 妇女在家庭和公共卫生中的角色可能会增加结核病暴露率和死亡率.
- 基于性别的结核病结果揭示了动态不平等,挑战了当代流行病学概括.
- 结核病死亡率的区域差异凸显了流行病学转型的复杂性.
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