Homicides In Mexico Reversed Life Expectancy Gains For Men And Slowed Them For Women, 2000-10
Homicides In Mexico Reversed Life Expectancy Gains For Men And Slowed Them For Women, 2000-10
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DOI：
10.1377/hlthaff.2015.0068
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发表时间：
2016-01-01
期刊：
影响因子：
9.7
通讯作者：
Canudas-Romo, Vladimir
中科院分区：
文献类型：
--
作者：
Aburto, Jose Manuel;Beltran-Sanchez, Hiram;Canudas-Romo, Vladimir
墨西哥的预期寿命在60多年的时间里一直在增长，但在2000- 2010年期间停滞不前。这十年的特点是颁布了一项重大的医疗改革----实施了旨在覆盖整个墨西哥人口的Seguro Popular de Salud（大众健康保险）----以及凶杀死亡率的意外增加。我们通过分析州一级的死亡率趋势，评估了适合医疗服务的条件对预期寿命的影响那些对公共卫生政策和行为变化敏感的条件，杀人和糖尿病。我们发现，男性的预期寿命从2005年到2010年有所下降，而2000年到2005年有所增加。2000年至2010年期间，大多数州的女性预期寿命略有增加。2005年后凶杀案数量空前上升，导致21世纪第一个十年大多数州男性预期寿命增长逆转，女性预期寿命增长放缓。
Life expectancy in Mexico increased for more than six decades but then stagnated in the period 2000-10. This decade was characterized by the enactment of a major health care reform-the implementation of the Seguro Popular de Salud (Popular Health Insurance), which was intended to provide coverage to the entire Mexican population-and by an unexpected increase in homicide mortality. We assessed the impact on life expectancy of conditions amenable to medical service-those sensitive to public health policies and changes in behaviors, homicide, and diabetes-by analyzing mortality trends at the state level. We found that life expectancy among males deteriorated from 2005 to 2010, compared to increases from 2000 to 2005. Females in most states experienced small gains in life expectancy between 2000 and 2010. The unprecedented rise in homicides after 2005 led to a reversal in life expectancy increases among males and a slowdown among females in most states in the first decade of the twenty-first century.