在美国,从1990-1994年到2016-2020年,根据县贫困水平,从10个主要原因减少死亡率的进展,在美国
Daniel Wiese1, Hyuna Sung1, Ahmedin Jemal1
1Surveillance and Health Equity Science, American Cancer Society, Atlanta, GA, USA.
Med (New York, N.Y.)
|December 20, 2024
概括
在过去的三十年中,美国高贫困县和低贫困县之间的死亡率差异扩大了. 高贫困县的死亡率下降或增加较小,大多数主要原因的死亡率较小.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会经济决定因素
背景情况:
- 国家死亡率有所下降,但死亡率的社会经济差异仍未得到充分研究.
- 了解不同社会经济群体的死亡率趋势对于公共卫生干预至关重要.
研究的目的:
- 基于连续美国的县级贫困水平,分析主要死因死亡率的变化.
- 量化高贫困县与低贫困县之间死亡率日益扩大的差异.
主要方法:
- 利用来自国家卫生统计中心 (NCHS) 的县级死亡和人口数据.
- 从1990-1994年到2016-2020年年龄标准化死亡率的计算绝对和相对变化.
- 根据县贫困水平进行分层分析 (≥20%与最低贫困).
主要成果:
- 虽然国家死亡率因某些原因下降,但其他原因的死亡率增加,例如无意伤害和糖尿病.
- 贫困较高的县在大多数原因的死亡率下降较小或增加较大.
- 在2016-2020年,主要原因的死亡率在贫困率最高的县里明显高 (12-81%) 比较低.
结论:
- 与县级贫困水平相关的死亡率差异在过去三十年中显著扩大.
- 社会经济因素对健康状况产生深远的影响,并导致预期寿命的不平等性日益增加.
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