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1976年至2000年芬兰按婚姻状况划分的死亡率差异:婚姻状况分布、社会人口统计学和家庭构成变化以及死因分析

Differences in mortality by marital status in Finland from 1976 to 2000: analyses of changes in marital-status distributions, socio-demographic and household composition, and cause of death.

作者信息

Martikainen Pekka, Martelin Tuija, Nihtilä Elina, Majamaa Karoliina, Koskinen Seppo

机构信息

Population Research Unit, Department of Sociology, University of Helsinki, Finland.

出版信息

Popul Stud (Camb). 2005 Mar;59(1):99-115. doi: 10.1080/0032472052000332737.

DOI:10.1080/0032472052000332737
PMID:15764137
Abstract

Being currently not married is more common today than 25 years ago. Over this period relative differences in mortality by marital status have increased in several countries, mainly as a result of a sharp decline in mortality among the married. Using Finnish census data linked with death certificates, we show that these increases are not explained by the non-married population becoming more marginalized in socio-economic status or household composition. However, the increases in marital-status differences in mortality from accidental, violent, and alcohol-related causes of death in the 30-64 age group indicate that changes in the health-related behaviour of the non-married population may play a role. The public-health burden associated with not being married has also grown. At the end of the 1990s about 15 per cent of all deaths above the age of 30 would not have occurred if the non-married population had had the same age-specific mortality rates as the married population.

摘要

目前未婚的情况在当今比25年前更为普遍。在此期间,几个国家按婚姻状况划分的死亡率相对差异有所增加,主要是由于已婚者的死亡率急剧下降。利用与死亡证明相关联的芬兰人口普查数据,我们发现这些增加并非由未婚人口在社会经济地位或家庭构成方面变得更加边缘化所解释。然而,30 - 64岁年龄组中因意外、暴力和与酒精相关的死因导致的死亡率的婚姻状况差异增加表明,未婚人口与健康相关行为的变化可能起到了作用。与未婚相关的公共卫生负担也有所增加。在20世纪90年代末,如果未婚人口具有与已婚人口相同的年龄别死亡率,那么30岁以上的所有死亡中约15%本不会发生。

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