Area deprivation and widening inequalities in US mortality, 1969-1998
Area deprivation and widening inequalities in US mortality, 1969-1998
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DOI：
10.2105/ajph.93.7.1137
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发表时间：
2003-07-01
影响因子：
12.7
通讯作者：
Singh, GK
中科院分区：
文献类型：
--
作者：
Singh, GK
目标.本研究调查了1969年至1998年美国地区剥夺死亡率的年龄，性别和种族特异性梯度。基于人口普查的地区贫困指数与县死亡率数据相关联。在1969年至1998年期间，美国死亡率的区域剥夺梯度大幅增加。25至44岁和25岁以下的男女死亡率梯度最大，在较贫困地区观察到较高的死亡率。虽然面积梯度在每个年龄组的女性中不太明显，但在25至44岁和45至64岁的女性中急剧上升。死亡率方面的地区不平等扩大了，因为在较贫困地区死亡率下降较慢。未来的研究需要检查人口水平的社会，行为和医疗保健因素，可能会导致梯度增加。
Objectives. This study examined age-, sex-, and race-specific gradients in US mortality by area deprivation between 1969 and 1998.Methods. A census-based area deprivation index was linked to county mortality data.Results. Area deprivation gradients in US mortality increased substantially during 1969 through 1998. The gradients were steepest for men and women aged 25 to 44 years and those younger than 25 years, with higher mortality rates observed in more deprived areas. Although area gradients were less pronounced for women in each age group, they rose sharply for women aged 25 to 44 and 45 to 64 years.Conclusions. Areal inequalities in mortality widened because of slower mortality declines in more deprived areas. Future research needs to examine population-level social, behavioral, and medical care factors that may account for the increasing gradient.