Does community deprivation determine longevity after the age of 75? A cross-national analysis
Does community deprivation determine longevity after the age of 75? A cross-national analysis
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DOI：
10.1007/s00038-018-1081-y
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发表时间：
2018-05-01
影响因子：
4.6
通讯作者：
de Pina, Maria de Fatima
中科院分区：
文献类型：
--
作者：
Ribeiro, Ana Isabel;Krainski, Elias Teixeira;de Pina, Maria de Fatima
分析欧洲社会经济贫困与老年生存之间的关系，并调查它是否因国家和性别而异。我们的研究包括五个国家(葡萄牙、西班牙、法国、意大利和英国)。按地区计算2001-11年10年存活率，表示75-84岁人口达到85-94岁人口的比例。为了估计关联性，我们使用了贝叶斯空间模型和跨国剥夺衡量标准。归因/预防的比例被计算出来。总体而言，无论男女，剥夺与生存之间都有显著的关联。在英格兰，这种联系更强，遵循剂量-反应关系。虽然规模较小，但在西班牙和意大利观察到了显著的关联，而在法国和葡萄牙，这些关联甚至更弱。消除地区之间的社会经济差异将使存活率提高7.1%，即使是社会经济差异的微小缩小也会导致1.6%的增长。社会经济贫困与老年人的生存在生态层面上有关，尽管不同国家的程度不同。应该寻找造成这种跨国差异的原因。我们的研究结果强调了缩小地区间社会经济差异的重要性。
Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender.Our study incorporated five countries (Portugal, Spain, France, Italy, and England). A 10-year survival rate expressing the proportion of population aged 75-84 years who reached 85-94 years old was calculated at area-level for 2001-11. To estimate associations, we used Bayesian spatial models and a transnational measure of deprivation. Attributable/prevention fractions were calculated.Overall, there was a significant association between deprivation and survival in both genders. In England that association was stronger, following a dose-response relation. Although lesser in magnitude, significant associations were observed in Spain and Italy, whereas in France and Portugal these were even weaker. The elimination of socioeconomic differences between areas would increase survival by 7.1%, and even a small reduction in socioeconomic differences would lead to a 1.6% increase.Socioeconomic deprivation was associated with survival among older adults at ecological-level, although with varying magnitude across countries. Reasons for such cross-country differences should be sought. Our results emphasize the importance of reducing socioeconomic differences between areas.