Gender differences in socioeconomic inequality in mortality
Gender differences in socioeconomic inequality in mortality
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DOI：
10.1136/jech.57.12.974
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发表时间：
2003-12-01
影响因子：
6.3
通讯作者：
Etches, J
中科院分区：
文献类型：
--
作者：
Mustard, CA;Etches, J
目标：在社会经济等级中的地位是否会给男性和女性带来不同的死亡风险，这是不确定的。本研究的目的是进行一个系统的审查性别差异的社会经济不平等的风险death.Methods：本研究系统地回顾了观察性队列研究，描述所有原因或原因特异性死亡率为25-64岁的人口在发达国家。为了纳入审查，死亡率必须按性别和一种或多种社会经济地位衡量标准分层报告。对于所有符合条件的研究，五个绝对和六个相对措施的社会经济不平等的死亡率分别计算为男性和女性populations.Results：共136发表的论文进行了审查的资格，与58项研究被认为符合纳入。在这些符合条件的研究中，有20篇论文发表的数据允许计算绝对和相对的不平等措施。男女社会经济死亡率不平等的绝对衡量标准普遍一致，约90%的研究表明，在所有社会经济群体中，男性死亡率比女性死亡率更不平等。相比之下，在20项研究的相对不平等的结果表明，男性和女性的社会经济不平等的mortality is equivalent.Conclusions：推断性别差异的社会经济不平等的死亡率是敏感的不平等措施的选择。更广泛地了解这一方法问题将提高报告的清晰度和关于人口健康不平等程度的证据的综合。
Objectives: There is uncertainty about whether position in a socioeconomic hierarchy confers different mortality risks on men and women. The objective of this study was to conduct a systematic review of gender differences in socioeconomic inequality in risk of death.Methods: This research systematically reviewed observational cohort studies describing all cause or cause specific mortality for populations aged 25-64 in developed countries. For inclusion in the review, mortality had to be reported stratified by gender and by one or more measures of socioeconomic status. For all eligible studies, five absolute and six relative measures of the socioeconomic inequality in mortality were computed for male and female populations separately.Results: A total of 136 published papers were reviewed for eligibility, with 58 studies deemed eligible for inclusion. Of these eligible studies, 20 papers published data that permitted the computation of both absolute and relative measures of inequality. Absolute measures of socioeconomic mortality inequality for men and women generally agreed, with about 90% of studies indicating that male mortality was more unequal than female mortality across socioeconomic groups. In contrast, the pattern of relative inequality results across the 20 studies suggested that male and female socioeconomic inequality in mortality was equivalent.Conclusions: Inferences about gender differences in socioeconomic inequality in mortality are sensitive to the choice of inequality measure. Wider understanding of this methodological issue would improve the clarity of the reporting and synthesis of evidence on the magnitude of health inequalities in populations.