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本文引用的文献

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Changing area socioeconomic patterns in U.S. cancer mortality, 1950-1998: Part II--Lung and colorectal cancers.1950 - 1998年美国癌症死亡率中地区社会经济模式的变化：第二部分——肺癌和结直肠癌
J Natl Cancer Inst. 2002 Jun 19;94(12):916-25. doi: 10.1093/jnci/94.12.916.
2
Changing area socioeconomic patterns in U.S. cancer mortality, 1950-1998: Part I--All cancers among men.1950 - 1998年美国癌症死亡率中地区社会经济模式的变化：第一部分——男性所有癌症
J Natl Cancer Inst. 2002 Jun 19;94(12):904-15. doi: 10.1093/jnci/94.12.904.
3
Increasing inequalities in all-cause and cardiovascular mortality among US adults aged 25-64 years by area socioeconomic status, 1969-1998.1969年至1998年期间，美国25至64岁成年人因地区社会经济地位导致的全因死亡率和心血管死亡率不平等现象加剧。
Int J Epidemiol. 2002 Jun;31(3):600-13. doi: 10.1093/ije/31.3.600.
4
Income inequality and mortality in US counties: does minority racial concentration matter?美国各县的收入不平等与死亡率：少数族裔集中程度有影响吗？
Am J Public Health. 2002 Jan;92(1):99-104. doi: 10.2105/ajph.92.1.99.
5
All-cause and cause-specific mortality of immigrants and native born in the United States.美国移民和本土出生者的全因死亡率和特定原因死亡率。
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Deaths: final data for 1998.死亡情况：1998年最终数据。
Natl Vital Stat Rep. 2000 Jul 24;48(11):1-105.
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Geographic, racial and ethnic disparities in heart disease mortality among women.女性心脏病死亡率的地域、种族和民族差异。
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1969 - 1998年美国死亡率中的地区贫困与不平等加剧

Area deprivation and widening inequalities in US mortality, 1969-1998.

作者信息

Singh Gopal K

机构信息

National Cancer Institute, Division of Cancer Control and Population Sciences, National Institutes of Health, Bethesda, MD 20892-8316, USA.

出版信息

Am J Public Health. 2003 Jul;93(7):1137-43. doi: 10.2105/ajph.93.7.1137.

DOI:10.2105/ajph.93.7.1137
PMID:12835199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1447923/
Abstract

OBJECTIVES

This study examined age-, sex-, and race-specific gradients in US mortality by area deprivation between 1969 and 1998.

METHODS

A census-based area deprivation index was linked to county mortality data.

RESULTS

Area deprivation gradients in US mortality increased substantially during 1969 through 1998. The gradients were steepest for men and women aged 25 to 44 years and those younger than 25 years, with higher mortality rates observed in more deprived areas. Although area gradients were less pronounced for women in each age group, they rose sharply for women aged 25 to 44 and 45 to 64 years.

CONCLUSIONS

Areal inequalities in mortality widened because of slower mortality declines in more deprived areas. Future research needs to examine population-level social, behavioral, and medical care factors that may account for the increasing gradient.

摘要

目的

本研究调查了1969年至1998年间美国按地区贫困程度划分的年龄、性别和种族特异性死亡率梯度。

方法

将基于人口普查的地区贫困指数与县死亡率数据相关联。

结果

1969年至1998年间，美国死亡率的地区贫困梯度大幅增加。25至44岁的男性和女性以及25岁以下人群的梯度最为陡峭，在贫困程度更高的地区观察到更高的死亡率。尽管每个年龄组女性的地区梯度不太明显，但25至44岁和45至64岁女性的梯度急剧上升。

结论

由于贫困程度更高地区的死亡率下降较慢，死亡率的地区不平等加剧。未来的研究需要调查可能导致梯度增加的人口层面的社会、行为和医疗保健因素。