在英语和欧洲多病症轨迹中的出生队列差异
Steven A Haas1, Michael Caniglia2, Nicholas J Bishop3
1Population Research Institute, Pennsylvania State University, University Park, PA, United States.
International journal of epidemiology
|November 5, 2025
概括
最近出生的人群在生命的早期经历了更多的慢性疾病,而不是老年人群. 不管个体因素如何,这种增加多病症的趋势仍然存在,这表明更广泛的社会影响.
科学领域:
- 老年学与公共卫生
- 慢性病的流行病学 慢性病的流行病学
- 纵向衰老研究 纵向衰老研究
背景情况:
- 越来越多的多发病率影响个人,护理人员和医疗保健系统.
- 北美研究表明,最近的老年人群面临着更高的死亡率和多病症.
- 了解慢性疾病的队列趋势对于公共卫生规划至关重要.
研究的目的:
- 检查英格兰和欧洲多病症的跨队列趋势.
- 调查社会人口结构的变化,健康行为或特定的慢性疾病是否解释队列分歧.
- 为了比较40岁至85岁的出生队伍中多病性累积轨迹.
主要方法:
- 利用了英国长度老龄化研究 (ELSA) 和欧洲健康,老龄化和退休调查 (SHARE) 的数据.
- 采用纵向混合效应模型来分析与年龄相关的慢性疾病积累.
- 评估了社会人口统计特征,健康行为和特定条件对队列差异的影响.
主要成果:
- 在40至85岁之间观察到慢性疾病累积的出生队列显著差异.
- 第二次世界大战后的队列比早期的队列更早地经历了更多的慢性疾病.
- 在65-70岁时,1946-1950年群体有一个条件,而1915-1923年群体在80-85岁时达到这一点.
- 关节炎,糖尿病和心血管疾病显示出最大的分歧.
- 在欧洲范围内,群体分歧在区域上有所不同.
结论:
- 这些发现与北美近期的一群加速多发病的模式一致.
- 社会人口和行为因素无法解释观察到的队列分歧.
- 更广泛的结构力量,如流行病学环境和诊断实践的变化,可能推动这些趋势.
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