可预防死亡的教育差异:它们是否解释了墨西哥和西班牙之间的长寿差距?
Octavio Bramajo1,2, Víctor M García-Guerrero3, Iñaki Permanyer2,4
1Sealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA.
Journal of aging and health
|November 26, 2024
概括
可预防的死亡对墨西哥和西班牙的预期寿命差异产生了重大影响. 解决这些问题,特别是通过非医疗政策,可以大幅减少死亡率差异,特别是在受过高等教育的人群中.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生经济学 卫生经济学
背景情况:
- 高收入国家和中等收入国家之间的预期寿命差异仍然存在.
- 可预防的死亡率是影响这些差异的一个关键因素.
研究的目的:
- 量化可预防死亡对墨西哥和西班牙之间预期寿命差距的贡献.
- 通过消除可预防的死亡率来评估暂时预期寿命的潜在收益.
主要方法:
- 使用线性积分分解来分析可预防死亡率对2018年暂时预期寿命 (30-75岁) 的影响.
- 原因删除寿命表计算以估计潜在的预期寿命增长.
- 分析根据教育程度,性别和年龄进行了分层.
主要成果:
- 消除可预防的死亡为受教育程度低的墨西哥人提供了暂时预期寿命的最大收益 (男性为3.4年,女性为1.6年).
- 这种减少部分解释了墨西哥和西班牙之间的预期寿命差距.
- 消除可预防的死亡几乎可以缩小差距,特别是在中高学历的人群中,因为相对下降率更高.
结论:
- 虽然获得医疗保健至关重要,但非医疗公共政策对于减少死亡率差异至关重要.
- 有针对性的非医疗干预可以显著缩小墨西哥和西班牙之间的预期寿命差距.
- 对于具有高等教育程度的个人来说,改善尤为显著.
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