老年人死亡率的种族差异：超越社会经济地位的因素。
Racial differences in mortality in older adults: factors beyond socioeconomic status.
机构信息
Hopkins Center for Health Disparities Solutions, Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, USA.
出版信息
Ann Behav Med. 2012 Feb;43(1):29-38. doi: 10.1007/s12160-011-9335-4.
BACKGROUND
Little is known about the simultaneous effect of socioeconomic status (SES), psychosocial, and health-related factors on race differences in mortality in older adults.
PURPOSE
This study examined the association between race and mortality and the role of SES, health insurance, psychosocial factors, behavioral factors, and health-related factors in explaining these differences.
METHODS
Data consisted of 2,938 adults participating in the Health, Aging and Body Composition study. Mortality was assessed over 8 years.
RESULTS
SES differences accounted for 60% of the racial differences in all-cause mortality; behavioral factors and self-rated health further reduced the disparity. The racial differences in coronary heart disease mortality were completely explained by SES. Health insurance and behavioral factors accounted for some, but not all, of the race differences in cancer mortality.
CONCLUSIONS
Race-related risk factors for mortality may differ by the underlying cause of mortality.
背景
关于社会经济地位（SES）、心理社会和与健康相关的因素对老年人死亡率的种族差异的综合影响，目前知之甚少。
目的
本研究旨在探讨种族与死亡率之间的关系，以及 SES、健康保险、心理社会因素、行为因素和与健康相关的因素在解释这些差异中的作用。
方法
数据来自参与健康、老龄化和身体成分研究的 2938 名成年人。在 8 年内评估死亡率。
结果
SES 差异解释了全因死亡率种族差异的 60%；行为因素和自我报告的健康状况进一步缩小了差距。SES 完全解释了冠心病死亡率的种族差异。健康保险和行为因素解释了部分而非全部癌症死亡率的种族差异。
结论
与死亡率相关的种族相关风险因素可能因死亡率的潜在原因而异。
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