ASSOCIATION OF AGE AND SOCIAL-CLASS WITH SUICIDE AMONG MEN IN GREAT-BRITAIN
ASSOCIATION OF AGE AND SOCIAL-CLASS WITH SUICIDE AMONG MEN IN GREAT-BRITAIN
复制标题
DOI：
10.1136/jech.45.3.195
复制
发表时间：
1991-09-01
影响因子：
6.3
通讯作者：
DUFFY, J
中科院分区：
文献类型：
--
作者：
KREITMAN, N;CARSTAIRS, V;DUFFY, J
研究目的--目的是调查英国工作年龄段男性的自杀和“未确定的”死亡情况，包括年龄、经济活动状况和社会阶层。设计--该研究是对1981年左右英格兰和威尔士注册总署数据的横截面分析，1971年左右重复，1971年前后，英格兰和威尔士的自杀率和未确定的死亡率随着年龄的增长而逐渐增加，社会下层的自杀率和未确定的死亡率明显较高。在较低职业类别的中心年龄组中发现了一个显着的相互作用效应。这种相互作用在其余三组数据中得到证实，尽管按年龄分列的死亡率情况存在一些差异。其他研究结果包括一个较高的标准化死亡率比的经济活动，谁也表现出较早的高峰年龄的特定死亡率，和一个相对集中的未确定的自杀死亡相比，在较低的社会阶层，但并不是所有这些进一步的结果被完全replicated. Conclusions，有一个集中的自杀和未确定的死亡在中年组的较低的社会阶层。合理的解释包括社会漂移和社会成因假说，后者包括长期失业的影响。
Study objective-The aim was to investigate suicide and "undetermined" deaths by age, economic activity status, and social class in Great Britain among males of working age.Design-The study was a cross sectional analysis of Registrar General's data for England and Wales around 1981, repeated for around 1971, and for Scotland around 1971 and 1981.Measurements and main results-For England and Wales around 1971, suicide and undetermined death rates showed a progressive increase with age and a markedly higher rate in the lower social classes. A significant interaction effect was identified in the central age groups of the lower occupational categories. This interaction was confirmed in the remaining three data sets, notwithstanding some differences in the profile of age specific mortality. Other findings included a higher standardised mortality ratio for the economically inactive, who also showed an earlier peak in age specific mortality, and a relative concentration of undetermined as compared to suicide deaths in the lower social classes, but not all these further results were fully replicated.Conclusions-There is a concentration of suicide and undetermined deaths in the middle age groups of the lower social classes. Plausible explanations include both the social drift and the social genesis hypotheses, the latter including the effects of long term unemployment.