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教育、性别与死亡率:在美国,受教育程度对男性和女性死亡率的影响相同吗?

Education, gender, and mortality: does schooling have the same effect on mortality for men and women in the US?

作者信息

Zajacova Anna

机构信息

Office of Population Research, Princeton University, Wallace Hall, Princeton, NJ 08544, USA.

出版信息

Soc Sci Med. 2006 Oct;63(8):2176-90. doi: 10.1016/j.socscimed.2006.04.031. Epub 2006 Jun 15.

Abstract

In this paper I examine whether the effect of education on mortality for US adults differs by gender. Discrete time logit models were used to analyze a nationally representative dataset (NHANES I) with 12,036 adults who were 25-74-years-old at the baseline survey in 1971-1975, and then re-interviewed three times through 1992. Demographic characteristics, health behaviors and economic status were controlled as potential confounding or mediating factors in the education-mortality relationship. The results showed that education had a comparable effect on mortality for men and women. No statistically significant gender difference was found in all-cause mortality, or mortality by cause of death, among younger persons, and among the elderly. Analysis by marital status, however, suggested that these findings apply only to married men and women. Among the divorced, there was a statistically significant gender difference whereby education had no effect on mortality for men while divorced women evidenced a strong education gradient (seven percent lower odds of dying for each year of schooling). Possible explanations for these patterns are discussed.

摘要

在本文中,我研究了美国成年人中教育对死亡率的影响是否因性别而异。使用离散时间逻辑模型分析了一个具有全国代表性的数据集(第一次全国健康和营养检查调查),该数据集包含12,036名成年人,他们在1971 - 1975年的基线调查时年龄在25 - 74岁之间,随后在1992年之前又接受了三次重新访谈。人口统计学特征、健康行为和经济状况作为教育与死亡率关系中的潜在混杂或中介因素进行了控制。结果表明,教育对男性和女性的死亡率有类似的影响。在年轻人和老年人中,全因死亡率或按死因分类的死亡率在性别上均未发现具有统计学意义的差异。然而,按婚姻状况进行的分析表明,这些发现仅适用于已婚男性和女性。在离婚人群中,存在具有统计学意义的性别差异,即教育对男性死亡率没有影响,而离婚女性则呈现出明显的教育梯度(每多接受一年教育,死亡几率降低7%)。文中讨论了这些模式可能的解释。

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