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十个美洲:对美国预期寿命差异的系统分析
Laura Dwyer-Lindgren1, Mathew M Baumann2, Zhuochen Li2
1Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA; Department of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Lancet (London, England)
|November 24, 2024
概括
美国的预期寿命在由地理和种族定义的十个"美洲"之间存在巨大差异,尤其是在COVID-19大流行期间,差距显著扩大.
科学领域:
- 人口健康
- 医疗公平研究
- 健康的社会人口学决定因素
背景情况:
- 这项"八大美洲"研究之前已经根据地理,种族和收入在美国发现了显著的预期寿命差距.
- 这些差异凸显了美国人口持续存在的健康不平等.
研究的目的:
- 通过检查2000年至2021年的预期寿命趋势,更新和扩展"八个美洲"研究.
- 根据年份,性别和年龄来分析十个人口群体的趋势.
主要方法:
- 根据种族,种族,地理和社会经济因素定义了十个相互排斥的"美洲".
- 使用国家生命统计系统和美国人口普查局的死亡率和人口估计数据.
- 建立了缩短寿命表,以计算出生时和不同年龄段的预期寿命.
主要成果:
- 在10个"美洲"中存在显著的预期寿命差异,从2000年的12.6岁扩大到2021年的20.4岁.
- 随着COVID-19大流行,这些差距进一步加剧,某些群体的预期寿命显著下降.
- 趋势因"美国",性别和年龄而异,有些群体出现下降,而其他群体则有所改善.
结论:
- 美国的预期寿命是高度可变的,受到地理位置,经济条件和种族身份的强烈影响.
- 越来越多的差异突显出迫切需要解决健康不平等和健康状况不佳的原因.
- 有针对性的分析对于政策和资源分配至关重要,
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