Variability of mortality levels and trends by state in the United States

美国各州死亡率和趋势的变化

• 批准号: 8526340
• 负责人: William Hatfield Dow
• 金额: $ 23.26万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8526340
• 关键词: Age; Calendar; Categories; Cause of Death; Censuses; Cessation of life; Code; Collection; Communities; Country; Data; Data Reporting; Data Sources; Databases; Defect; Development; Differential Mortality; Future; Geographic state; Health; Income; Inequality; International; International Classification of Diseases; Intervention; Knowledge; Life Expectancy; Life Table Estimate; Life Tables; Longevity; Medicare; Methodology; Pattern; Policies; Population; Process; Public Health; Records; Research; Research Personnel; Series; Social Security; Source; System; Time; United States; United States National Center for Health Statistics; Variant; Woman; Work; age group; beneficiary; comparative; design; driving force; geographic difference; health disparity; human mortality; improved; insight; meetings; member; mortality; sex; tool; trend; web site

DESCRIPTION (provided by applicant): The purpose of the project is to promote research on historical trends and, in particular, interstate variations in the mortality of the United States since the 1930s. To this end, we will construct a publicly-accessible collection of mortality data series by state, designed to meet the research needs of team members and collaborators as well as those of the greater academic community. The new data series will include indicators of both total (i.e., all causes of death) and cause-specific mortality. We will create state-level estimates of all-cause mortality by age, sex, and year for the period from 1933 to 2007. We will also create annual state-specific estimates of mortality by age, sex, and cause of death for 1959-2007 (possibly, 1950-1958 as well). All data series will have the same format used for country estimates in the Human Mortality Database (HMD, www.mortality.org), helping to facilitate comparative research both within the United States and on an international level. This work will draw on data from various sources, including the vital registration system, the decennial census, and the beneficiary records of Social Security and Medicare. It will require the development of new methodologies for combining such information into coherent and comparable series of mortality estimates, including complete life tables. Our knowledge of the data sources, including their defects and limitations, will be clearly documented and distributed alongside the data within the HMD. The project is intended to catalyze research on mortality patterns and trends by state within the U.S. State-specific mortality data are intrinsically useful for the analysis of health disparities, since geographic differences are an important component of overall inequality in the face of death. The products of the work proposed here will facilitate more detailed analyses of regional mortality differentials by cause within the U.S., which could offer new insights and evidence about the driving forces behind the country's mortality trends in recent decades - in particular the slow pace of decline compared to other high-income nations, especially for women.

描述（由申请人提供）：该项目的目的是促进对历史趋势的研究，尤其是自1930年代以来美国死亡率的州际差异。为此，我们将按州构建可公开访问的死亡率数据系列集合，旨在满足团队成员和合作者以及更大学术界的研究需求。新的数据系列将包括总计（即所有死亡原因）和特定原因死亡率的指标。我们将在1933年至2007年期间按年龄，性别和年份划分全因死亡率的州级估计。我们还将在1959 - 2007年对年龄，性别和死亡原因（可能也是1950- 1958年）进行年度特定州的死亡率估计。所有数据系列都将具有与人类死亡率数据库（HMD，www.mortality.org）中国家估计的相同格式，有助于促进美国境内和国际水平的比较研究。这项工作将借鉴来自各种来源的数据，包括重要的注册系统，十年型人口普查以及社会保障和医疗保险的受益人记录。它将需要开发新方法，以将此类信息结合到一系列可比的死亡率估计中，包括完整的寿命表。我们对数据源的了解，包括它们的缺陷和局限性，将与HMD中的数据一起清楚地记录和分发。该项目旨在催化美国州特异性死亡率数据中对州的死亡率模式和趋势的研究，对于分析健康差异在本质上有用，因为地理差异是死亡面对死亡的总体不平等的重要组成部分。此处提出的工作的产品将促进对美国事业范围内的区域死亡率差异的更详细分析，这可以提供新的见解和证据，以了解最近几十年来该国死亡率趋势背后的驱动力，特别是与其他高收入国家相比，尤其是女性，尤其是与其他高收入国家相比的速度缓慢。