Helmert Uwe, Voges Wolfgang
Zentrum für Sozialpolitik Universität Bremen Parkallee 39 28209 Bremen, Germany.
Z Gerontol Geriatr. 2002 Oct;35(5):450-62. doi: 10.1007/s00391-002-0125-2.
The study goal was to analyze to what extent social factors contribute in addition to health-related characteristics to the mortality of the general population in Germany. Data are from the first National Health Survey carried out in the former Federal Republic of Germany in 1984/86. This survey is based on a representative sample of the German population with the main focus on "Living Conditions and Health in Germany". In 1998, a mortality follow-up was carried out for all study participants of the birth cohorts 1914-1934. Out of the 3962 study participants in 1984/86, it was possible to ascertain the vital status for 3519 persons in 1998. During the observation period, 519 males and 251 females died. Based on multivariate analyses using the Cox-regression approach, it was found that the strongest predictors for mortality were, besides age and sex, smoking behavior, perceived general health and the number of chronic diseases. Statistically significantly increased relative risks were observed in addition for social characteristics such as social class and family status.
该研究的目标是分析除与健康相关的特征外，社会因素在多大程度上对德国普通人群的死亡率产生影响。数据来自1984/86年在前德意志联邦共和国进行的首次全国健康调查。这项调查基于德国人口的代表性样本，主要关注“德国的生活条件与健康”。1998年，对1914 - 1934年出生队列的所有研究参与者进行了死亡率随访。在1984/86年的3962名研究参与者中，1998年能够确定3519人的生命状态。在观察期内，519名男性和251名女性死亡。基于使用Cox回归方法的多变量分析发现，除年龄和性别外，死亡率的最强预测因素是吸烟行为、自我感知的总体健康状况和慢性病数量。此外，还观察到社会阶层和家庭状况等社会特征的相对风险在统计学上显著增加。
