美国非大都市死亡率劣势的演变,按性别,州和年份,1999-2019年
Eugenio Paglino1,2, Irma T Elo3, Samuel H Preston3
1Helsinki Institute for Demography and Population Health, University of Helsinki, Helsinki, Finland.
概括
与大都会地区相比,非大都会地区的死亡率正在上升,在各州之间存在很大的差异. 这种日益增长的劣势导致到2019年,非大都市地区的死亡人数超过47,000人.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 死亡率趋势往往掩盖了显著的地理和人口差异.
- 了解非大都市和大都市区之间的差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 根据州和性别分析非大都市和大都市人口之间的死亡率差异.
- 在20年的时间里 (1999-2019) 追踪这些差异.
主要方法:
- 计算非大都市和大都市地区的年龄标准化死亡率,按州和性别分层.
- 在各州内和相对于国家平均水平的死亡率中计算了年龄标准化的差异.
- 估计非大都市地区的过度死亡,定义为如果比例与大都市地区相匹配,可以避免的死亡.
主要成果:
- 观察到自1999年以来,非大都市死亡率的劣势越来越大,在时间和规模上有相当大的州特定变化.
- 虽然全国死亡率在2010年代中期停滞不前,但这种趋势在所有州或地区类型中并不均.
- 记录了非大都会地区的过度死亡人数从1999年的8,400人增加到2019年的47,000人 (占非大都会地区总死亡人数的9.0%).
结论:
- 国家死亡率趋势掩盖了各州内和各州之间非大都市和大都市地区之间的关键地理差异.
- 需要进一步的研究来确定驱动这些不同的死亡率模式的潜在因素.
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