社会脆弱性指数和因所有原因的年龄调整后死亡率,按县划分:密西西比州2016-2020年
Raymond Uduba1, Richard Gillum2
1Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.
Journal of the National Medical Association
|May 21, 2024
概括
社会脆弱性,特别是社会经济地位,与密西西比州更高的死亡率有关. 这项研究发现,社会经济因素解释了密西西比州各县年龄调整后死亡率20%的变化.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 环境健康 环境健康
背景情况:
- 社会变量是已知的死亡率的相关系数.
- 疾病控制和预防中心 (CDC) 开发了使用社会变量来评估健康状况的社会脆弱性指数 (SVI).
- 密西西比比其他州的年龄调整死亡率更高,而三角洲地区的死亡率特别高.
研究的目的:
- 测试社会脆弱性与密西西比州内的死亡率相关的假设.
- 检查密西西比州各县的社会脆弱性指数 (SVI) 与2016-2020年全因死亡率之间的关系.
主要方法:
- 利用CDC/ATSDR SVI数据,对16个社会因素的四个主题进行排名.
- 收集了密西西比州各县的年龄调整死亡率 (AAR) 数据 (2016-2020年) 来自CDC Wonder.
- 使用微软Excel进行描述性统计,皮尔森相关性和双变量/多变量回归分析.
主要成果:
- 根据年龄调整的死亡率 (AAR) 在密西西比州各县之间有很大差异,西北地区的死亡率更高.
- 最低AAR的县的AAR率是最高AAR的县的一半.
- SVI主题1 (社会经济地位) 与AAR (系数=203.5,p=0.0000305,R-平方=0.20) 显示出显著的积极关联.
- 其他SVI主题 (家庭特征,少数群体地位,住房/交通) 解释了AAR的额外变化很小.
结论:
- 社会经济地位是密西西比州各县年龄调整后死亡率的重要预测因素.
- 社会经济因素占密西西比州2016年至2020年期间全因死亡率变化的五分之一.
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