Alcohol-related mortality as a function of socio-economic status
Alcohol-related mortality as a function of socio-economic status
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DOI：
10.1046/j.1360-0443.1999.94686710.x
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发表时间：
1999-06-01
期刊：
影响因子：
6
通讯作者：
Mäkelä, P
中科院分区：
文献类型：
--
作者：
Mäkelä, P
目标。通过多种社会经济地位 (SES) 衡量标准来描述急性、慢性和总酒精相关死亡率的差异，并揭示 SES 不同维度的影响。设计。基于登记的酒精相关死亡率跟踪研究。环境。芬兰。参与者。该数据集是通过将 1987-95 年人口普查记录与死亡记录联系起来而形成的，其中包括 21,922 例与酒精相关的死亡。测量。 SES指标包括教育、职业阶层、个人收入、每消费单位的家庭净收入（消费能力；）和住房保有权。判断死亡是否与酒精有关的依据是死亡证明。发现。对于所有 SES 指标（包括消费能力），低 SES 群体的急性和慢性酒精相关死亡率要高得多，即使在控制了其余 SES 变量的情况下也是如此。在男性中，个人收入比消费能力更能预测与酒精相关的死亡，而在女性中，情况则相反。一项 SES 措施的效果通常在另一项 SES 措施较低水平时效果更强。社会选择和漂移可能会导致个人收入方面的巨大差异，而它们对其他差异的影响可能较小：结论。 SES 是急性和慢性酒精相关死亡率的重要预测指标。仅使用一项或两项社会经济地位指标无法充分体现社会经济地位的总体影响。
Aims. To describe the differences in acute, chronic and total alcohol-related mortality by several measures of socio-economic status (SES) and to unravel the influences of different dimensions of SES. Design. A register-based follow-lip study of alcohol-related mortality. Setting. Finland. Participants. The dataset was formed by linking census records with death records for 1987-95 and included 21 922 alcohol-related deaths. Measurements. SES indicators include education, occupational class, personal income, net household income per consumption unit (spending power;) and housing tenure. The judgement of whether death was alcohol-related was based on death certificates. Findings. Acute and chronic alcohol-related mortality were much higher ill low SES groups for all SES indicators, including spending power, even when controlling for the remaining SES variables. Among men, personal income teas a better predictor of alcohol-related death than spending power, while among women the situation was reversed. The effect of one SES,measure was often stronger in low levels of another SES measure. Social selection and drift are likely to contribute to the large differentials ill respect to personal income, while their effect on other differentials is likely to be smaller: Conclusions. SES is all important predictor of acute and chronic alcohol-related mortality. The total impact of SES cannot fully be captured using only one or two measures of SES.