死亡风险是否存在基于地点的差异? 来自两项纵向研究的结果
1Department of Psychology, University of Houston.
概括
与城市地区相比,生活在农村地区可能会增加死亡风险,无论社会经济地位如何. 这表明居住地是寿命和健康结果的关键因素.
科学领域:
- 社会流行病学 社会流行病学
- 健康差距 研究 研究 研究 研究
- 纵向健康研究 纵向健康研究
背景情况:
- 人口级数据限制了对个体寿命健康的因果推断.
- 基于地点的健康差异研究往往忽视了个人的发展轨迹.
- 了解农村和城市死亡风险的差异需要个人层面的纵向数据.
研究的目的:
- 调查农村-城市化作为所有原因死亡风险的预测因素.
- 确定农村和城市与死亡率的关联是否存在,而不依赖于社会经济地位 (SES).
- 检查这些关联是否因性别,SES,种族,种族和伴侣地位而有所不同.
主要方法:
- 利用来自美国两项大型研究 (N=~55,000) 的个体级纵向数据.
- 链接参与者地址到农村-城市连续代码.
- 采用Cox比例危险回归模型与国家死亡指数数据.
主要成果:
- 在一项研究中,郊区和农村居民的死亡风险分别高出12%和18%.
- 农村-城市和死亡风险之间的关联在很大程度上独立于SES.
- 在社会人口统计学子组之间没有发现风险关联的显著变化.
结论:
- 农村-城市可能是长寿的重要社会决定因素.
- 有证据表明,居住地对健康结果的影响超出了其他因素.
- 需要进一步的研究,以促进农村人口的健康和寿命.
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