Borrell C, Plasència A, Huisman M, Costa G, Kunst A, Andersen O, Bopp M, Borgan J-K, Deboosere P, Glickman M, Gadeyne S, Minder C, Regidor E, Spadea T, Valkonen T, Mackenbach J P
Agència de Salut Pública de Barcelona, Barcelona, Spain.
Inj Prev. 2005 Jun;11(3):138-42. doi: 10.1136/ip.2004.006346.
To study the differential distribution of transportation injury mortality by educational level in nine European settings, among people older than 30 years, during the 1990s.
Deaths of men and women older than 30 years from transportation injuries were studied. Rate differences and rate ratios (RR) between high and low educational level rates were obtained.
Among men, those of low educational level had higher death rates in all settings, a pattern that was maintained in the different settings; no inequalities were found among women. Among men, in all the settings, the RR was higher in the 30-49 age group (RR 1.46, 95% CI 1.32 to 1.61) than in the age groups 50-69 and > or = 70 years, a pattern that was maintained in the different settings. For women for all the settings together, no differences were found among educational levels in the three age groups. In the different settings, only three had a high RR in the youngest age group, Finland (RR 1.33, 95% CI 1.01 to 1.74), Belgium (RR 1.38; 95% CI 1.13 to 1.67), and Austria (RR 1.49, 95% CI 0.75 to 2.96).
This study provides new evidence on the importance of socioeconomic inequalities in transportation injury mortality across Europe. This applies to men, but not to women. Greater attention should be placed on opportunities to select intervention strategies tailored to tackle socioeconomic inequalities in transportation injuries.
研究20世纪90年代欧洲九个地区30岁以上人群中交通伤死亡率按教育水平的差异分布。
对30岁以上因交通伤死亡的男性和女性进行研究。得出高教育水平率与低教育水平率之间的率差和率比（RR）。
在男性中，低教育水平者在所有地区的死亡率都较高，这种模式在不同地区都存在；女性中未发现不平等现象。在男性中，在所有地区，30 - 49岁年龄组的RR（RR 1.46，95%置信区间1.32至1.61）高于50 - 69岁和≥70岁年龄组，这种模式在不同地区都存在。对于所有地区的女性而言，三个年龄组的教育水平之间未发现差异。在不同地区，只有三个地区在最年轻年龄组的RR较高，即芬兰（RR 1.33，95%置信区间1.01至1.74）、比利时（RR 1.38；95%置信区间1.13至1.67）和奥地利（RR 1.49，95%置信区间0.75至2.96）。
本研究为欧洲交通伤死亡率方面社会经济不平等的重要性提供了新证据。这适用于男性，但不适用于女性。应更加关注选择针对解决交通伤方面社会经济不平等问题的干预策略的机会。
