BIODEMOGRAPHY: NEW APPROACHES TO UNDERSTANDING TRENDS AND DIFFERENCES IN POPULATION HEALTH AND MORTALITY
BIODEMOGRAPHY: NEW APPROACHES TO UNDERSTANDING TRENDS AND DIFFERENCES IN POPULATION HEALTH AND MORTALITY
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DOI：
10.1353/dem.2010.0005
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发表时间：
2010-01-01
期刊：
影响因子：
3.5
通讯作者：
Vasunilashorn, Sarinnapha
中科院分区：
文献类型：
--
作者：
Crimmins, Eileen;Kim, Jung Ki;Vasunilashorn, Sarinnapha
在大规模人口调查中纳入生物信息，扩大了人口分析的范围，以澄清观察到的人口健康和死亡率趋势和差异的含义。近年来，由于处方药的广泛使用，人口中可测量的生物风险水平有所降低。抗高血压药物的使用增加，以及在较小程度上，降脂药物的使用可能是死亡率显著降低的原因。黑人和受教育程度较低的人的生物风险因素水平较高，疾病较多，身体较虚弱;这些差异是这些群体死亡率较高的原因。西班牙裔人比非西班牙裔人口更不可能有更高的风险因素和疾病患病率，这为“西班牙裔悖论”提供了进一步的理解。“几乎每一个生物风险、疾病和虚弱的检查指标都与较高的死亡率有关，这表明结合这些信息如何更全面地了解发病过程。
The incorporation of biological information in large population surveys has expanded demographic analysis to clarify the meaning of observed trends and differences in population health and mortality. Levels of measured biological risk in the population were reduced in recent years largely because of the expanded use of prescription drugs. The increased use of antihypertensives and, to a lesser extent, lipid-lowering drugs was a likely cause of significant mortality reduction. Blacks and persons with lower educational attainment experience higher levels of biological risk factors, more diseases, and more frailty; these differences are the sources of higher mortality for these groups. Hispanics are less likely to have a higher prevalence of risk factors and diseases than the non-Hispanic population, providing further understanding of the "Hispanic paradox." Almost every examined indicator of biological risk, disease, and frailty is related to higher mortality, indicating how incorporation of this information provides a fuller understanding of the morbidity process.