SOCIOECONOMIC MORTALITY DIFFERENTIALS IN MEN AND WOMEN ACCORDING TO OWN AND SPOUSES CHARACTERISTICS IN FINLAND

SOCIOECONOMIC MORTALITY DIFFERENTIALS IN MEN AND WOMEN ACCORDING TO OWN AND SPOUSES CHARACTERISTICS IN FINLAND
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DOI:
10.1111/1467-9566.ep10933326
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发表时间:
1995-06-01
影响因子:
2.9
通讯作者:
MARTIKAINEN, P
MARTIKAINEN, P
中科院分区:
医学2区
文献类型:
--
作者:
MARTIKAINEN, P

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本文比较了根据自身和配偶的社会经济特征对死亡率的差异程度,并评估了将这些特征进行交叉分类的重要性。分析涵盖了1981-85年间所有35岁的已婚芬兰男性和女性,通过泊松回归模型得出了相对死亡率。分析表明,对于广泛的死因,不同性别之间的社会经济死亡率差异大致相同,取决于自己和配偶的教育程度或职业特征。此外,在女性和男性之间,自己和配偶的社会经济地位之间的交叉分类并没有表明比这两个独立部分已经显示的死亡率差异更重要的差异,即自己和配偶的社会经济特征之间没有重要的交互作用。这一结果质疑了应该根据丈夫的社会经济特征来分析已婚女性死亡率的论点,因为这些特征更好地描述了配偶的社会经济地位,因此比女性的社会经济特征更能预测男性和女性的死亡率。进一步的结论是,当夫妻双方的社会经济特征不相互作用时,对这些特征进行交叉分类在死亡率分析中的优势是非常有限的。此外,男性和女性之间的特定原因比较表明,已婚女性因自身教育和职业地位而获得的死亡率差异大致与男性相同。男性总死亡率差异大于女性的主要原因是死因结构。
This paper compares the magnitude of differences in mortality according to own and spouse's socioeconomic characteristics and assesses the importance of cross-classifying these characteristics, The analysis covers all 35-64 year-old married Finnish men and women in the period 1981-85, Relative mortality rates were obtained from Poisson regression models.The analysis shows that socioeconomic mortality differentials within each sex are more or less equally large according to both own and spouse's education or occupational characteristics for a wide range of causes of death. Moreover, among both women and men cross-classification between own and spouse's socioeconomic status do not indicate important mortality differentials over and above those already displayed by its two separate parts, i.e. there were no important interactions between own and spouse's socioeconomic characteristics.The results call into question the argument that the mortality of married women should be analysed on the basis of their husband's socioeconomic characteristics because these characteristics better describe both spouses' socioeconomic standing and are thus more powerful predictors of men's and women's mortality than women's socioeconomic characteristics. It is further concluded that the advantages of cross-classifying both spouses' socioeconomic characteristics in mortality analysis are very limited when these characteristics do not interact with each other.Moreover, cause-specific comparisons between men and women showed that married women's mortality differentials by own educational as well as occupational status were roughly as large as those obtained for men. The larger total mortality differentials among men than women are mainly due to cause of death structure.