2019年至2022年,COVID-19及其对加拿大阿尔伯塔省第一民族人口预期寿命的影响:基于人口的研究
Chris Sarin1, Dean T Eurich2, Olivia Weaver2
1Indigenous Services Canada, Alberta Region, Edmonton, Alberta, Canada.
Lancet regional health. Americas
|April 11, 2025
概括
由于COVID-19大流行,加拿大阿尔伯塔省的第一民族人口的预期寿命显著缩短,比非第一民族人口的预期寿命要长. 卫生工作人员指出,疫情加剧了现有的不平等和健康问题,导致了这种预期寿命差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 土著健康土著健康
背景情况:
- 由于系统性不平等,COVID-19不成比例地影响了第一民族人口.
- 疫情期间,先前存在的社会,种族和系统因素影响了第一民族人民的健康结果.
研究的目的:
- 在COVID-19大流行期间,探索阿尔伯塔省的第一民族人民的预期寿命趋势.
- 了解第一民族卫生工作人员对观察到的预期寿命变化的看法.
主要方法:
- 一项描述性研究分析了阿尔伯塔省的1999-2022年第一民族数据.
- 检查了第一民族与非第一民族人在疫情期间的预期寿命.
- 通过个人对话,第一民族卫生管理人员提供了关于死亡率趋势的见解.
主要成果:
- 第一民族人体验到预期寿命下降了7.3年 (2019-2021年),而非第一民族人则下降了1.4年.
- 在年轻的成年第一民族女性中,死亡率显著增加 (∼11倍).
- 卫生管理人员报告说,疫情加剧了延迟护理,中毒和先前存在的疾病等问题.
结论:
- 阿尔伯塔省的原住民在疫情期间面临着预期寿命大幅下降.
- 疫情间接地加剧了第一民族社区现有的社会和健康问题.
- 有针对性的举措和资源对于解决和减少这些预期寿命差异至关重要.
相关概念视频
Actuarial Approach
49
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
49
Life Tables
62
A life table is a statistical tool that summarizes the mortality and survival patterns of a population, providing detailed insights into the likelihood of survival or death across different age intervals within a cohort. By organizing data on survival probabilities and mortality rates, life tables offer a clear snapshot of population dynamics over time. They are extensively used in demography, public health, actuarial science, and ecology to analyze life expectancy, design health interventions,...
62
Applications of Life Tables
36
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
36
Cancer Survival Analysis
308
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
308
Introduction To Survival Analysis
129
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time...
The primary goal of survival analysis is to estimate survival time—the time...
129
Assumptions of Survival Analysis
71
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
71


