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在衡量死亡原因的衡量上,死亡不平等
Iñaki Permanyer1,2, Júlia Almeida Calazans1
1Centre for Demographic Studies, Centres de Recerca de Catalunya (CERCA), Universitat Autònoma de Barcelona, Bellaterra, Spain.
International journal of epidemiology
|February 16, 2024
概括
新的死亡原因 (CoD) 不平等措施考虑了原因之间的相似性,为死亡概况异质性提供了更细致的理解. 这些措施揭示了传统多样性指标的补充信息,有助于公共卫生政策评估.
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:
- 传统的死亡原因 (CoD) 多样性的衡量方法忽视了特定原因之间的差异,导致不切实际的假设.
- 现有的指标将所有死亡原因视为同样不同的原因,未能捕捉到细微的死亡概况异质性.
研究的目的:
- 引入一类新型的异质性测量,称为"CoD不平等"测量,对死亡原因之间的相似性敏感.
- 提供可分解的指标,以评估个人对整体死亡率异质性贡献的原因.
主要方法:
- 开发了"CoD不平等"指标,定义为任何两个死亡原因之间的平均预期差异.
- 扩展现有的多样性指标,以纳入特定原因的不相似性.
主要成果:
- 使用全球疾病负担数据,对15个死亡率较低的国家 (1990-2019) 应用了COD不平等和多样性措施.
- 随着时间的推移,在不同国家和性别中观察到,随着时间的推移,COD不平等和多样性普遍增加,但有明显的例外.
- 发现CoD的不平等和多样性指标可能有所不同,如芬兰的情况所示.
结论:
- CoD的不平等和多样性措施捕获了关于死亡概况异质性的补充信息.
- 这些新型措施对于评估公共卫生政策非常有价值,通过确定特定原因对整体异质性的贡献.
- 建议分析COD不平等和多样性以及其他人口健康指标,如预期寿命和寿命不平等,以获得全面的理解.
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