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维多利亚时代精神病院的死亡率:是不是这么高? 标准化死亡率与历史方法相比
Charlotte Richardson1, Alastair Robson2, Loopinder Sood3
1East London Foundation Trust, UK.
History of psychiatry
|August 9, 2024
概括
标准化死亡率 (SMR) 通过考虑年龄,性别和历史背景,更清楚地描绘了机构死亡率. 这项研究发现,在庇护所的SMR是普通人口的2.5倍,与原始率不同.
科学领域:
- 人口统计学 人口统计学
- 医学史 医学史 医学史
- 公共卫生 公共卫生
背景情况:
- 死亡率受到年龄,性别和社会历史因素的影响.
- 在将机构人口与普通人口进行比较时,粗略的死亡率可能会产生误导.
- 标准化死亡率 (SMR) 根据人口和时间变化进行调整.
研究的目的:
- 计算和分析哈顿庇护所人口的SMR.
- 为了将SMR与庇护所的粗略死亡率进行比较.
- 评估SMR对了解机构死亡率的有用性.
主要方法:
- 利用了哈顿庇护所的历史记录.
- 纳入当代人口普查数据进行比较.
- 通过将庇护死亡率与同期年龄和性别相匹配的一般人口率进行比较来计算SMR.
主要成果:
- 庇护所的SMR大约是普通人口的2.5倍.
- 庇护所的原始死亡率是普通人口的7倍以上.
- SMR提供了对庇护所内的死亡风险的更细致的理解.
结论:
- 与原始率相比,SMR可以更准确地评估机构环境中的死亡率.
- 该SMR方法可以揭示死亡风险的显著差异,即使原油率似乎很高.
- 这种方法增强了对机构人口的历史和流行病学理解.
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