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新西兰的农村,贫困和种族:人口分布和对死亡率的交叉影响
G Davie1, J Whitehead2, S Crengle3
1Department of Public Health - Dunedin, Faculty of Medicine, Ōtākou Whakaihu Waka, University of Otago, Dunedin, New Zealand.
The Australian journal of rural health
|January 28, 2026
概括
农村和社会经济贫困不成比例地影响了新西兰毛利人的健康状况. 这些因素解释了一些,但并非所有,农村和城市死亡率差异,特别是在年轻人群中.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 了解农村,社会经济地位和种族之间的相互作用对于解决健康不平等至关重要.
- 毛利人,新西兰的土著人口,经历了显著的健康差异.
- 地理和社会经济因素是已知的健康结果的决定因素.
研究的目的:
- 调查农村和社会经济贫困如何交集,影响新西兰的毛利人和非毛利人的健康结果.
- 量化不同种族群体的农村-城市死亡率比率 (MRR),调整社会经济贫困.
主要方法:
- 利用2018年人口普查数据,根据农村地区 (健康地理分类 - GCH),社会经济贫困 (NZ贫困指数 - NZDep) 和种族来绘制人口分布图.
- 采用使用国家死亡率数据 (2014-2018) 和基于人口普查的人口估计的多变量Poisson回归模型.
- 计算的调整农村:城市死亡率比率 (MRRs) 对毛利和非毛利.
主要成果:
- 农村和社会经济贫困在毛利人和非毛利人之间有不同的交叉关系.
- 在45-59岁的人群中,农村地区的较高死亡率因社会经济贫困调整而减弱.
- 无论是毛利人还是非毛利人,即使在调整后,45岁以下的个人仍然存在各种原因和可接受死亡率的显著农村和城市差异.
结论:
- 毛利族裔,农村生活和社会经济贫困经常同时发生.
- 在较年轻的年龄组 (45岁以下) 中,农村和城市死亡率的差异并不能完全由种族或社会经济贫困单独解释.
- 需要有针对性的干预措施来解决这些因素的复杂相互作用,以改善毛利和其他弱势群体的健康公平.
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