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预期寿命和死亡率的地理差异:一项对六个高收入英语国家进行的观察性比较研究
Rachel Z Wilkie1, Jessica Y Ho2
1Spatial Sciences Institute, University of Southern California, Los Angeles, California, USA.
BMJ open
|August 13, 2024
概括
在高收入的英语国家中,澳大利亚在预期寿命方面领先,死亡率较低,地理差异较小. 这项研究强调澳大利亚是改善预期寿命和减少健康不平等的典范.
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:
- 高收入国家的预期寿命差异很大.
- 各国内卫生结果的地理差异越来越令人担忧.
研究的目的:
- 为了比较1990年至2018年六个高收入英语国家的人寿预期及其地理变化.
- 确定导致预期寿命差异和地理不平等的因素.
主要方法:
- 对1990-2018年总结的死亡率数据进行人口统计分析.
- 利用了来自人类死亡数据库,世卫组织死亡数据库和国家重要统计机构的数据.
- 计算出出生时和65岁时的预期寿命,并使用不相似度指数评估地理不平等.
主要成果:
- 澳大利亚在2018年出生时的预期寿命最高,超过同行国家.
- 澳大利亚的预期寿命优势在45-84岁之间最明显,外因,癌症和心血管疾病的死亡率较低.
- 澳大利亚在死亡率上表现出最低的内部地理不平等,而爱尔兰,新西兰和美国的死亡率最高.
结论:
- 澳大利亚在可比国家的预期寿命方面是领先的例子.
- 研究结果表明,澳大利亚减少过早死亡率和健康不平等的方法可以成为其他国家的典范.
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