早期死亡率的全球差异
Omar Karlsson1,2, Dean T Jamison3,4, Gavin Yamey5,6
1Duke University Population Research Institute, Duke University, Durham, North Carolina.
JAMA health forum
|October 3, 2025
概括
全球死亡率差异仍然存在,撒哈拉以南非洲地区取得了重大进展,但在卫生技术前沿仍落后. 对进步的不平等接入强调了需要公平地传播健康益处的需要.
科学领域:
- 全球健康 全球健康
- 人口统计学 人口统计学
- 卫生经济学 卫生经济学
背景情况:
- 全球死亡率的持续差异表明,生活水平和获得延长寿命的医疗技术的进步不均.
- 之前的研究分析了跨国死亡率不平等,但缺乏与发展进步边界相比的背景化.
研究的目的:
- 检查各国和各地区过早死亡 (PPD) 的概率.
- 通过测量落后于最低国家级PPD (边界) 的年份来衡量国家进展.
主要方法:
- 采用2024年联合国世界人口前景和人类死亡率数据库的综合数据进行横截面研究.
- 计算了全球7个地区和30个人口最多的国家的PPD和边境后的年份.
- 分析了2025年5月至9月的数据.
主要成果:
- 全球边境PPD从1900年的57%下降到2019年的12%.
- 在2019年,撒哈拉以南非洲的PPD (52%) 与1916年的边界相对应,尽管自2000年以来,它已经汇聚了40年.
- 中国显示出显著的趋同,而美国则偏离了前沿. 北大西洋地区最接近边境.
结论:
- 在PPD中的差异反映了在获得健康技术和生活水平方面的重大不平等.
- 特定环境的障碍也导致了这些死亡率差异.
- 技术和医学进步带来的普遍健康益处的快速和公平传播至关重要.
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