Alters- und geschlechtsspezifische Mortalität im Ruhrgebiet von 1994 bis 2004
Alters- und geschlechtsspezifische Mortalität im Ruhrgebiet von 1994 bis 2004
复制标题
1994 年至 2004 年鲁尔区的变更和特别死亡
DOI：
--
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
O. Razum
中科院分区：
文献类型：
--
作者：
A. Klapper;D. Bardehle;O. Razum
目的：对鲁尔区死亡率的分析结果表明，与整个北莱茵河-威斯特伐利亚联邦州相比，鲁尔区的死亡率增加，预期寿命相应降低。2002-2004年，男性预期寿命比无收入差距水平低0.86岁，女性预期寿命比无收入差距水平低0.56岁。对1994年至2004年期间按年龄和性别分列的死亡率的分析表明，鲁尔区各年龄组的死亡率有所上升。方法：对鲁尔区所有15个市镇和县的死亡率进行了分析，按不同地区分列：人口中心（Ballungskern）、大城市地区（Ballungsrandzone）、鲁尔市（别名Ruhrgebiet/鲁尔区）和不含鲁尔市的北威州。计算了11个平均值和3年平均值，以缩小年值的范围。NRW值的百分比偏差表明了差异的大小。结果如下：对人口中心、大城市地区和北威州（不包括鲁尔市）进行比较表明，死亡率有所上升，特别是在40至54岁的男性和女性年龄组。2002-2004年，对预期寿命最高的城市波恩和预期寿命最低的城市盖尔森基兴进行比较，结果表明，女性预期寿命相差2.7岁，男性相差4.3岁。盖尔森基兴40-59岁年龄组的男性和女性死亡率平均比波恩的可比死亡率高出30%。结论：尽管1994年至2004年鲁尔地区的预期寿命有所增加，但35-54岁人口的年龄死亡率有所增加，特别是在人口中心。问题地区是社会人口状况复杂、健康状况指数较差的人口中心。
Objective: Results of an analysis of the mortality in the Ruhr region have shown increased mortality rates and a corresponding lower life expectancy, relative to the federal state of North Rhine Westphalia (NRW) as a whole. For the years 2002-2004 the male life expectancy was 0.86 years below the NRW level, and for females 0.56 years under the NRW level. The analysis of the age- and sex-specific mortality rates between the years 1994 and 2004 has demonstrated in which age groups mortality increased in the Ruhr region. Method: The mortality rates for all 15 municipalities and counties of the Ruhr region have been analysed according to different areas: centre of population (Ballungskern), conurbation areas (Ballungsrandzone), Ruhr City (alias Ruhrgebiet/Ruhr-Region) and NRW without Ruhr City. Eleven average values and three-year mean values were calculated to reduce the range of the year-values. Per cent deviations of the NRW values demonstrate the size of the differences. Results: Comparisons between the centres of population, conurbation areas with NRW without Ruhr City demonstrate an increased mortality especially in the male and female age groups of 40 to 54 years. A comparison of the municipalities with the highest life expectancy level, Bonn, with that with the lowest life expectancy level, Gelsenkirchen, for the years 2002-2004 shows a difference in the life expectancy of 2.7 years for females and 4.3 years for males. The male and female mortality rates of the age groups 40-59 years in Gelsenkirchen exceed the comparable rates in Bonn by 30% on average. Conclusion: In spite of increasing life expectancy in the Ruhr region from 1994 to 2004 the age-specific mortality rates of the 35-54-year-old population are increased, especially in the centres of population. The problem area is the centres of population with a complicated socio-demographic situation and worse indicators of the health status.