死亡时的多重发病率和美国在死亡率上的劣势
Magali Barbieri1,2, Aline Désesquelles3, Viviana Egidi4
1National Institute for Demographic Studies (INED), Paris, France. magali@berkeley.edu.
European journal of population = Revue europeenne de demographie
|October 23, 2025
概括
由于多重疾病导致的死亡率较高,美国的死亡率更高. 这显著扩大了与意大利,西班牙和法国等国家的预期寿命差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 与同行国家相比,美国的死亡率更高.
- 现有文献表明,在美国人口中,发病率和疾病风险因素具有相应的劣势.
研究的目的:
- 评估死亡时多重发病率对美国与法国,意大利和西班牙之间的死亡率差距的影响.
- 分析多病性过程对美国过度死亡率的贡献.
主要方法:
- 分析2017年美国死亡证明中的多种死亡原因数据.
- 将导致死亡的病态过程分为简单,多病态和不清楚的类别.
主要成果:
- 与法国,意大利和西班牙相比,美国表现出不成比例的多病性过程.
- 多种疾病过程占美国预期寿命差距的很大一部分:与意大利相比51%;与西班牙相比73%;与法国相比75%.
- 这种影响特别集中在20-85岁的年龄组.
结论:
- 美国多病率的高流行率支持这样的假设,即多个因素,而不是单一的原因,推动了美国的死亡率劣势.
- 多重发病可能部分解释了美国医疗保健成本异常高.
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