Social inequalities in male mortality amenable to medical intervention in British Columbia
Social inequalities in male mortality amenable to medical intervention in British Columbia
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DOI：
10.1016/s0277-9536(99)00081-7
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发表时间：
1999-06-01
影响因子：
5.4
通讯作者：
Hogg, RS
中科院分区：
文献类型：
--
作者：
Wood, E;Sallar, AM;Hogg, RS
这项研究的目的是调查不列颠哥伦比亚省不同社会阶层和社会经济群体男性的死亡率;从死亡原因来看，可以采取医疗干预措施。我们根据查尔顿公布的死亡原因，对可避免的死亡率进行了研究，但不包括女性和围产期死亡。为了我们的研究目的，我们使用加拿大统计局1981年、1986年和1991年人口普查中20%的男性职业数据样本来确定高危人群。为了分析社会阶层的死亡率，根据职业将个人分为五个社会阶层，采用英国注册总署社会阶层量表。此外，还使用Blishen指数分类系统进行了三级社会经济分析。一旦个人被分配到每个分类系统中的一个社会阶层，就计算出每种可能原因的死亡率，并将其标准化为总人口。对于几乎每一个被调查的死亡原因，社会和社会经济地位较低的人的死亡率都高于社会和社会经济地位较高的人。这些结果是一致的，无论社会阶层的组成部分，教育，职业，或收入正在衡量。高血压心脏病、肺结核、哮喘、肺炎和支气管炎造成的死亡率梯度最明显。由于：据观察，这些死亡原因在较低社会阶层中一直较高，我们认为，旨在改善较低社会阶层在这些条件下生存的具体措施可能有助于改善社会阶层的差距。(C)1999爱思唯尔科技有限公司。保留所有权利。
The objective of this study is to examine the rates of mortality among different social classes and socioeconomic groups of British Columbian males;from causes of death amenable to medical intervention. We examined the rates of avoidable mortality from the causes of death published by Charlton, excluding causes of death restricted; to women as well as perinatal deaths. For the purposes of our study, we determined a population at risk using 20% samples-of occupational data for men from the 1981, 1986 and 1991 censuses conducted by Statistics Canada. For the analysis of mortality by social class, individuals were divided into five social class levels based on occupation using an adaptation of the UK Registrar General's Social Class Scale. In addition, three levels of socioeconomic analysis were performed using the Blishen Index classification system. Once individuals were assigned to a social class in each classification system, the death rates from each amenable cause was calculated and standardized to the total population. For almost every cause of death examined, the rate of mortality was higher in individuals of lower social and socioeconomic classes than in individuals of the upper social and socioeconomic classes. These results were consistent regardless of the social class component, education, occupation, or income was being measured. The mortality gradient was most notable in deaths due to hypertensive heart disease, tuberculosis, asthma and pneumonia and bronchitis. Due to:the fact that these causes of death were observed to be consistently higher in the lower social classes, we feel that specific measures aimed at improving survival from these conditions in lower social classes could help to amend the social class disparity. (C) 1999 Elsevier Science Ltd. All rights reserved.