Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans - United States, 1999-2015.
Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans - United States, 1999-2015.
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DOI：
10.15585/mmwr.mm6617e1
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发表时间：
2017-05-05
期刊：
影响因子：
--
通讯作者：
Giles WH
中科院分区：
文献类型：
--
作者：
Cunningham TJ;Croft JB;Liu Y;Lu H;Eke PI;Giles WH
虽然黑人和白人的出生时预期寿命都有所增加，而且这两个人口之间的差距已经缩小，但在美国，黑人与白人相比，在预期寿命和主要死亡原因方面的差距仍然很大。了解影响这些差异的因素如何在整个生命周期中变化，可能会提高适当干预措施的针对性。按黑人和白色种族和年龄组审查了1999-2015年期间主要死亡原因的死亡率趋势。对2014年和2015年的多个国家数据来源进行了分析，通过社会人口学特征、自我报告的健康行为、健康相关的生活质量指标、卫生服务的使用和慢性病，比较了选定年龄组的黑人和白人。在1999年至2015年期间，两个人群的年龄调整死亡率均显着下降，其中黑人的大多数主要死亡原因的死亡率下降幅度更大。因此，全因死亡率的差距从1999年的33%缩小到2015年的16%。然而，在2015年期间，在所有年龄<65岁的人群中，黑人的全因死亡率仍然高于白人。与白人相比，65岁以下年龄组的黑人在一些自我报告的风险因素和慢性疾病以及心血管疾病和癌症死亡率方面的水平更高，这些疾病在65岁以上人群中最常见。为了继续缩小健康差距方面的差距，这些研究结果表明，目前需要采取普遍和有针对性的干预措施，解决黑人一生中的主要死亡原因（特别是心血管疾病和癌症及其风险因素），并创造平等的健康机会。
Although the overall life expectancy at birth has increased for both blacks and whites and the gap between these populations has narrowed, disparities in life expectancy and the leading causes of death for blacks compared with whites in the United States remain substantial. Understanding how factors that influence these disparities vary across the life span might enhance the targeting of appropriate interventions. Trends during 1999–2015 in mortality rates for the leading causes of death were examined by black and white race and age group. Multiple 2014 and 2015 national data sources were analyzed to compare blacks with whites in selected age groups by sociodemographic characteristics, self-reported health behaviors, health-related quality of life indicators, use of health services, and chronic conditions. During 1999–2015, age-adjusted death rates decreased significantly in both populations, with rates declining more sharply among blacks for most leading causes of death. Thus, the disparity gap in all-cause mortality rates narrowed from 33% in 1999 to 16% in 2015. However, during 2015, blacks still had higher death rates than whites for all-cause mortality in all groups aged <65 years. Compared with whites, blacks in age groups <65 years had higher levels of some self-reported risk factors and chronic diseases and mortality from cardiovascular diseases and cancer, diseases that are most common among persons aged ≥65 years. To continue to reduce the gap in health disparities, these findings suggest an ongoing need for universal and targeted interventions that address the leading causes of deaths among blacks (especially cardiovascular disease and cancer and their risk factors) across the life span and create equal opportunities for health.
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影响因子：
3.3
作者：
Levine, RS;Foster, JE;Hennekens, CH
通讯作者：
Hennekens, CH
影响因子：
17.3
作者：
Giles, Wayne H.
通讯作者：
Giles, Wayne H.
影响因子：
6.4
作者：
Hutchins, SS;Jiles, R;Bernier, R
通讯作者：
Bernier, R
影响因子：
5
作者：
Phelan, Jo C.;Link, Bruce G.;Tehranifar, Parisa
通讯作者：
Tehranifar, Parisa
DOI：
10.1353/cpr.0.0108
发表时间：
2010-01-01
期刊：
Progress in community health partnerships : research, education, and action
影响因子：
--
作者：
Jenkins, Carolyn;Pope, Charlene;Zapka, Jane
通讯作者：
Zapka, Jane