Bos Vivian, Kunst Anton E, Garssen Joop, Mackenbach Johan P
Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands.
J Epidemiol Community Health. 2005 Apr;59(4):329-35. doi: 10.1136/jech.2004.019794.
To analyse socioeconomic inequalities in mortality in Dutch, Turkish, Moroccans, Surinamese, and Antillean/Aruban men and women living in the Netherlands and to assess the contribution of specific causes of death to these inequalities.
Open cohort design using data from the Municipal Population Registers and cause of death registry.
the Netherlands from 1995 through 2000.
All inhabitants of the Netherlands.
This study calculated directly standardised mortality rates by mean neighbourhood income and estimated relative mortality ratios comparing the two lowest socioeconomic groups with the two highest socioeconomic groups for all and cause specific mortality by country of origin and sex.
Socioeconomic differences in total mortality were comparatively large in Dutch, (RR = 1.49, CI = 1.46 to 1.52), Surinamese (1.32, 1.19 to 1.46), and Antillean/Aruban men (1.56, 1.29 to 1.89) and in Dutch (1.39, 135 to 1.42) and Surinamese women (1.27, 1.11 to 1.46). They were comparatively small among Turkish (1.10, 0.99 to 1.23) and Moroccan men (1.10, 0.97 to 1.26) and among Turkish (1.13, 0.97 to 1.33), Moroccan (1.12, 0.93 to 1.35) and Antillean/Aruban women (1.03, 0.80 to 1.33). The mortality differences among the Dutch were partly attributable to inequalities in mortality from cardiovascular diseases, whereas among Antillean/Aruban men external causes strongly contributed to the mortality differences. The small differences among Turkish and Moroccan men were due to a lack of inequalities for cardiovascular diseases and small inequalities for the other causes.
The impact of socioeconomic status on mortality differed between ethnic groups living in the Netherlands. Maintaining small socioeconomic inequalities in mortality among Turkish and Moroccans men and women and among Antillean/Aruban women could prevent future increases in overall mortality in these groups.
分析生活在荷兰的荷兰人、土耳其人、摩洛哥人、苏里南人以及安的列斯/阿鲁巴人的男女死亡率方面的社会经济不平等现象，并评估特定死因对这些不平等现象的影响。
采用市政人口登记册和死因登记册数据的开放队列设计。
1995年至2000年的荷兰。
荷兰所有居民。
本研究按邻里平均收入直接计算标准化死亡率，并估计将社会经济地位最低的两个群体与最高的两个群体相比较的所有死因及特定死因的相对死亡率比，按原籍国和性别分类。
荷兰人（相对危险度=1.49，可信区间=1.46至1.52）、苏里南人（1.32，1.19至1.46）以及安的列斯/阿鲁巴男性（1.56，1.29至1.89）在总死亡率方面的社会经济差异相对较大；荷兰女性（1.39，1.35至1.42）和苏里南女性（1.27，1.11至1.46）也是如此。土耳其男性（1.10，0.99至1.23）和摩洛哥男性（1.10，0.97至1.26）以及土耳其女性（1.13，0.97至1.33）、摩洛哥女性（1.12，0.93至1.35）和安的列斯/阿鲁巴女性（1.03，0.80至1.33）中的差异相对较小。荷兰人之间的死亡率差异部分归因于心血管疾病死亡率的不平等，而在安的列斯/阿鲁巴男性中，外部原因对死亡率差异的影响很大。土耳其和摩洛哥男性之间的差异较小，是因为心血管疾病方面不存在不平等，而其他原因导致的不平等较小。
社会经济地位对死亡率的影响在生活在荷兰的不同种族群体之间存在差异。保持土耳其和摩洛哥男女以及安的列斯/阿鲁巴女性在死亡率方面较小的社会经济不平等，可能会防止这些群体未来总体死亡率的上升。
