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在COVID-19大流行期间,美国原住民的预期寿命:估计,不确定性和障碍
American journal of epidemiology
|December 23, 2023
概括
美国原住民的预期寿命从2019年到2022年下降了4年,尽管在2022年略有增加. 这突显了COVID-19流行病之外的持续死亡率挑战.
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:
- 关于COVID-19大流行对美洲原住民死亡率的影响的可靠估计很少.
- 现有的美国土著人口统计数据经常存在持续的质量问题.
研究的目的:
- 为了估计单种族,非西班牙裔美国原住民的预期寿命,从2019年到2022年.
- 评估大流行对美洲原住民死亡率趋势的影响.
- 为了突出印第安人人口统计数据缺陷.
主要方法:
- 采用了未被识别的,公开可用的死亡和人口数据,按年龄分类.
- 在指定的时间段内计算出预期寿命.
- 分析了考虑到各种数据假设的死亡率趋势.
主要成果:
- 2022年的预期寿命为67.8岁,比2021年增加2.3年,但比2019年减少4年.
- 不同假设的估计仍然低于中等收入国家的平均水平.
- COVID-19死亡人数的减少被意外伤害,肝病,糖尿病和心脏病的死亡率增加所抵消.
结论:
- 美国原住民仍然面临着严重的死亡率挑战,超越了COVID-19大流行.
- 迫切需要及时准确的美国土著人口人口统计数据.
- 疫情加剧了现有的数据短缺,阻碍了有效的公共卫生干预.
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