根据美国的社会经济地位估计导致的死亡负担
Chengzhe Tao1,2,3, Zhi Li2,3,4, Yun Fan2,3
1Affiliated Wuxi Center for Disease Control and Prevention of Nanjing Medical University, Wuxi Center for Disease Control and Prevention, Wuxi Medical Center, Nanjing Medical University, Wuxi, China.
International journal of epidemiology
|July 11, 2024
概括
暴露对美国较低社会经济地位 (SES) 的成年人产生了不成比例的影响,导致了严重的死亡负担. 这些与相关的死亡差异已经持续了20多年.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在美国,暴露仍然是一个重大的公共卫生问题.
- 众所周知,社会经济地位 (SES) 影响健康结果,但其在导致的死亡率中的作用需要进一步调查.
研究的目的:
- 估计因暴露而产生的人口和州级死亡负担.
- 在美国,按社会经济地位 (SES) 阶级分层这项负担.
主要方法:
- 利用国家健康和检查调查 (NHANES) 数据构建个人级别的SES分数.
- 使用考克斯回归评估了血液中含量 (BLL) 和全因死亡率之间的关联.
- 计算了SES分层的人口归因分数 (PAF),并对州级估计进行了系统审查.
主要成果:
- 较低的SES类表现出较高的暴露死亡负担,差异持续了二十多年.
- 在2017-2019年,据估计,美国每年约有67,000人死于暴露.
- 最低的SES类别中的个人占了这些导致的死亡的很大一部分.
结论:
- 在美国成年人中,在不同的SES类中,导致的死亡率仍然存在显著差异.
- 这些差异是由于SES群体中暴露影响和血水平的变化造成的.
- 调查结果强调需要有针对性的干预措施,以减轻弱势群体的暴露.
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