Borrell Carme, Marí-Dell'Olmo Marc, Rodríguez-Sanz Maica, Garcia-Olalla Patrícia, Caylà Joan A, Benach Joan, Muntaner Carles
Agència de Salut Pública de Barcelona, Pl. Lesseps 1, 08023, Barcelona, Spain.
Eur J Epidemiol. 2006;21(9):633-40. doi: 10.1007/s10654-006-9047-4. Epub 2006 Oct 18.
The objective of this study is to determine whether the excess of mortality which occurred in Barcelona during the summer of 2003 was dependent on age, gender and educational level. We included all deaths among Barcelona residents 20 years of age and older that occurred in the city during the months of June, July and August of 2003 and also during the same months of the five preceding years. Poisson regression models were fitted to obtain the risk of death in 2003 with respect to the period 1998-2002. The relative risk (RR) of mortality during the summer of 2003, compared to the summers of the previous 5 years, was higher for women than for men and among older ages. Although an increase among women was observed in all educational groups, in some age groups the increase was larger for people with less than primary education. The excess number of deaths was higher for those with less education. These results suggest that age, gender and educational level were important determinants of excess mortality in the 2003 Barcelona heat wave.
本研究的目的是确定2003年夏季巴塞罗那出现的超额死亡率是否取决于年龄、性别和教育水平。我们纳入了2003年6月、7月和8月以及此前五年相同月份在巴塞罗那市发生的所有20岁及以上巴塞罗那居民的死亡病例。采用泊松回归模型来获取2003年相对于1998 - 2002年期间的死亡风险。与前五年的夏季相比，2003年夏季女性和老年人的死亡率相对风险（RR）高于男性。尽管在所有教育组中都观察到女性死亡率有所上升，但在一些年龄组中，小学以下文化程度人群的死亡率上升幅度更大。受教育程度较低者的超额死亡人数更多。这些结果表明，年龄、性别和教育水平是2003年巴塞罗那热浪中超额死亡率的重要决定因素。
