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根据美国各州的出生队列,全因死亡率和预期寿命
Theodore R Holford1, Lisa McKay1,2, Jamie Tam3
1Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut.
JAMA network open
|April 28, 2025
概括
美国的死亡率因州和出生队伍而异,有些州的预期寿命改善很小. 了解这些差异对于有针对性的公共卫生干预和资源分配至关重要.
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:
- 总体而言,美国的死亡率有所下降,但存在显著的州和世代差异.
- 美国各州的出生队列死亡率和预期寿命趋势仍未得到充分描述.
研究的目的:
- 估计每个美国州和华盛顿特区的出生队列的死亡率趋势.
- 量化出生和40岁的预期寿命,35岁后的死亡率增加.
主要方法:
- 为了估计死亡率,使用了一个年龄期-队列模型,具有受约束的立方线.
- 分析了1969-2020年所有因死亡率数据,用于美国所有州和华盛顿特区1900-2000年的出生队伍.
- 在分析中包括了超过1.79亿人死亡,估计预期寿命和死亡率翻了一番.
主要成果:
- 在西部和东北部,预期寿命从1900年到2000年有所改善,但在一些南方州,预期寿命的增长很小.
- 华盛顿特区的1900年出生队伍预期寿命最低,但经历了大幅增加.
- 确定了35岁后死亡率翻倍时间的显著变化,跨州和性别.
结论:
- 队列特定的死亡率模式显示了美国的巨大地理差异.
- 某些州在出生队伍中预期寿命几乎没有改善.
- 了解州级队列死亡率变化对于为公共卫生战略提供信息至关重要.
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