Smith T
Tayside Health Board, Dundee.
J Public Health Med. 1992 Dec;14(4):402-7. doi: 10.1093/oxfordjournals.pubmed.a042781.
Socio-economic factors and sex are both known to have a pronounced bearing on the risk of early death. To determine the relative effects of these factors in our Health Board, an analysis was carried out of all deaths under the age of 70 registered in Tayside during 1989 and 1990, by age, years of life lost, diagnosis and postcode sector/deprivation category. A yearly average of 14,520 years of life up to the age of 70 were lost by males compared with 8248 by females. When cancers of the breast and sex organs were excluded, just over a quarter (28 per cent) of the difference was due to the higher death rate in males resulting from injuries and poisoning and another quarter to ischaemic heart disease (23 per cent), with infant deaths in third place (17 per cent). Deprivation category analysis showed that deaths and years of lost life from ischaemic heart disease and injuries and poisoning in males in the most deprived areas were approximately one-third higher than in the most affluent. At the same time, the death rate in males from these causes in each area, from the most affluent to the most deprived, was approximately two and a half to three times as high as in females, as were lost years of life.(ABSTRACT TRUNCATED AT 250 WORDS)
社会经济因素和性别都被认为对过早死亡风险有显著影响。为了确定这些因素在我们健康委员会辖区内的相对影响，我们对1989年和1990年泰赛德地区登记的所有70岁以下死亡病例进行了分析，分析内容包括年龄、寿命损失年数、诊断结果以及邮政编码区/贫困类别。男性在70岁前每年平均损失14520年寿命，而女性为8248年。排除乳腺癌和性器官癌症后，略超过四分之一（28%）的差异是由于男性因伤害和中毒导致的较高死亡率，另有四分之一是由于缺血性心脏病（23%），婴儿死亡位居第三（17%）。贫困类别分析显示，最贫困地区男性因缺血性心脏病、伤害和中毒导致的死亡和寿命损失年数比最富裕地区高出约三分之一。与此同时，从最富裕到最贫困的每个地区，男性因这些原因导致的死亡率约为女性的二点五至三倍，寿命损失年数也是如此。（摘要截选至250字）
