The sex differential in mortality rates: demographic and behavioral factors.
The sex differential in mortality rates: demographic and behavioral factors.
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死亡率的性别差异：人口和行为因素。
DOI：
10.1093/oxfordjournals.aje.a113292
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发表时间：
1982
影响因子：
5
通讯作者：
Wingard,DL
中科院分区：
文献类型：
--
作者：
Wingard,DL
通过1965年对加州阿拉米达县6928名成年人的随机抽样调查和9年的随访，按性别检查死亡风险，同时通过多元逻辑分析控制16个人口统计学和行为风险因素。风险因素包括年龄、种族、社会经济地位、职业、身体健康状况、使用卫生服务、吸烟、饮酒、体育活动、体重、睡眠模式、婚姻状况、社会接触、教会和团体成员以及生活满意度。各因素的患病率和相对死亡风险联合收割机共同影响性别差异。与女性相比，男性的未校正相对死亡风险为1.5（p≤ 0.001）。对某些因素的调整（例如，吸烟和酒精）减少了这种差异，而其他调整（例如，对于身体活动、身体健康状况和婚姻状况）增加差异。校正所有16个因素后，相对危险度略微增加至1.7（p≤ 0.001）。这些人口统计学和行为风险因素不能解释死亡率的总体性别差异。生物和行为危险因素的相互作用的检查可能更充分地解释死亡率的性别差异。
By using the 1965 Human Population Laboratory Survey of a random sample of 6928 adults in Alameda County, California, and a nine-year follow-up, mortality risk is examined by sex, while simultaneously controlling for 16 demographic and behavioral risk factors by a multiple logistic analysis. Risk factors Include age, race, socioeconomic status, occupation, physical health status, use of health services, smoking, alcohol consumption, physical activity, weight, sleeping patterns, marital status, social contacts, church and group membership and life satisfaction. The prevalence and relative mortality risk of each factor combine to influence the sex differential. The unadjusted relative mortality risk for men compared to women is 1.5 (p≤ 0.001). Adjustment for some factors (e.g., smoking and alcohol) decreases this difference, while other adjustments (e.g., for physical activity, physical health status and marital status) increase the difference. Adjustment for all 16 factors slightlyincreasesthe relative risk to 1.7 (p≤ 0.001). These demographic and behavioral risk factors do not account for the overall sex difference in mortality rates. Examination of the interaction of biologic and behavioral risk factors may more fully explain the sex differential in mortality.