Cosby Arthur G, Neaves Tonya T, Cossman Ronald E, Cossman Jeralynn S, James Wesley L, Feierabend Neal, Mirvis David M, Jones Carol A, Farrigan Tracey
Social Science Research Center, Mississippi State University, P.O. Box 5287, Mississippi State, MS 39762, USA.
Am J Public Health. 2008 Aug;98(8):1470-2. doi: 10.2105/AJPH.2007.123778. Epub 2008 Jun 12.
We discovered an emerging non-metropolitan mortality penalty by contrasting 37 years of age-adjusted mortality rates for metropolitan versus nonmetropolitan US counties. During the 1980s, annual metropolitan-nonmetropolitan differences averaged 6.2 excess deaths per 100,000 nonmetropolitan population, or approximately 3600 excess deaths; however, by 2000 to 2004, the difference had increased more than 10 times to average 71.7 excess deaths, or approximately 35,000 excess deaths. We recommend that research be undertaken to evaluate and utilize our preliminary findings of an emerging US nonmetropolitan mortality penalty.
通过对比美国大都市和非大都市县37年的年龄调整死亡率,我们发现了一种新出现的非大都市地区死亡惩罚现象。在20世纪80年代,大都市与非大都市地区的年度死亡率差异平均为每10万非大都市人口中有6.2例额外死亡,即约3600例额外死亡;然而,到2000年至2004年,这一差异增加了10倍多,平均为71.7例额外死亡,即约35000例额外死亡。我们建议开展研究,以评估和利用我们关于美国新出现的非大都市地区死亡惩罚现象的初步发现。