Trends in the diversity of mortality causes and age-standardised mortality rates among subpopulations within Scotland, 2001-2019.
Trends in the diversity of mortality causes and age-standardised mortality rates among subpopulations within Scotland, 2001-2019.
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DOI：
10.1016/j.ssmph.2022.101192
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发表时间：
2022-09
影响因子：
4.7
通讯作者：
Mancy, Rebecca
中科院分区：
文献类型：
--
作者：
McMonagle, Ciaran;Brown, Denise;Reeve, Richard;Mancy, Rebecca
此前的研究表明，近几十年来，高收入国家的死亡原因日益多样化，这与健康状况的改善和预期寿命的延长有关。众所周知，这些国家的社区之间的健康结果差异很大，性别和其他亚群体之间的不平等是了解人口健康的关键。尽管如此，人们对这些亚群之间死亡原因多样性的变化知之甚少。死亡原因的多样化表明个人可能面临的潜在死亡原因的增加。这给公共卫生和医疗部门带来了挑战，增加了诊断的不确定性，扩大了公共卫生和医疗干预措施所要解决的病因范围。在这里，我们研究的趋势，随着时间的推移，在苏格兰的死亡原因的多样性，性别和地区一级的剥夺，也研究了那些年龄小于75岁，75岁及以上的分别死亡。我们发现，死亡原因的多样性在各亚人口中有所增加;男性死亡原因的增加速度快于女性;各年龄组的增加速度相似;尽管最贫困人口的死亡率改善较慢，但按贫困五分位数的趋势没有明确的排名。死亡原因的日益多样性表明，可能需要在公共卫生方面更加注重降低更广泛原因造成的死亡率，这对面临更快多样化的男性可能尤为重要。苏格兰的死亡原因在2001-2019年期间变得更加多样化。多样化表明死亡更可能归因于不常见的原因。男性的死亡原因比女性多样化得更快。死亡原因的多样性与贫困之间的关系尚不清楚。需要更加注重降低更广泛原因造成的死亡率。
Previous research has demonstrated increasing diversity in causes of mortality among high-income nations in recent decades, associated with improvements in health and increasing life expectancies. Health outcomes are known to vary widely between communities within these countries and inequalities between sexes and other subpopulations are key in understanding the health of populations. Despite this, little is known about variation in the diversity of mortality causes between these subpopulations. Diversification in mortality causes indicates an increase in the pool of potential causes of mortality an individual is likely to face. This poses challenges for the public health and medical sectors by increasing diagnostic uncertainty and broadening the range of causes to be addressed by public health and medical interventions. Here we examine trends over time in the diversity in causes of mortality in Scotland by sex and area-level deprivation, also examining deaths among those younger than 75 years and those 75 years and older separately. We find that diversity in causes of mortality has increased across subpopulations; that it has risen more quickly in men than women; that the rate of increase has been similar across age categories; and that there is no clear ranking in the trends by deprivation quintile, despite slower improvements in mortality rates among the most deprived. Increasing diversity in mortality causes suggests that a greater public health focus on reducing death rates from a broader range of causes is likely to be required, and this may be especially important for men who face a faster rate of diversification. Causes of mortality in Scotland became more diverse in the period 2001–2019. Diversification indicates deaths are more likely to be attributed to uncommon cause. Mortality causes have diversified more quickly in men than women. The relationship between diversity of causes of mortality and deprivation is unclear. Increased focus on reducing mortality from a broader range of causes is required.
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DOI：
10.1136/heartjnl-2016-309573
发表时间：
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期刊：
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影响因子：
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作者：
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发表时间：
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期刊：
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影响因子：
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作者：
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