González-Pérez Guillermo Julián, Vega-López María Guadalupe, Cabrera-Pivaral Carlos Enrique
Universidad de Guadalajara, México.
Rev Panam Salud Publica. 2012 Nov;32(5):335-42. doi: 10.1590/s1020-49892012001100003.
To determine the impact of homicide on male life expectancy in Mexico and its 32 states during the three-year periods 1998-2000 and 2008-2010 and the weight of the different age groups in years of life expectancy lost (YLEL) due to this cause.
Based on official death and population data, abridged tables for male mortality in Mexico as a whole and its states were created for the three-year periods studied. Health-adjusted life expectancy and YLEL for men aged 15 to 75 were calculated by selected causes (homicide, diabetes mellitus, and traffic accidents) and age groups in each three-year period.
In the years between the 1998-2000 and 2008-2010 periods, YLEL due to homicide increased both nationally and in 19 states. In four states, the YLEL in 2008-2010 exceeded two, with the state of Chihuahua standing out at 5.2 years. In 14 of the 18 states where health-adjusted life expectancy among men declined between the two three-year periods, the YLEL due to homicide increased. From 2008 to 2010, homicides were the leading cause of YLEL among men aged 20-44. YLEL due to homicide among those aged 15-44 increased between the two three-year periods.
The increase in the rate of homicidal violence, especially among young people, is impeding an increase in male life expectancy in Mexico. In several states, such as Chihuahua and Durango, this violence appears to be the main reason for the decline in life expectancy among men aged 15 to 75.
确定1998 - 2000年和2008 - 2010年这两个三年期内,杀人犯罪对墨西哥及其32个州男性预期寿命的影响,以及不同年龄组在因该原因导致的预期寿命损失年数(YLEL)中所占的比重。
基于官方死亡和人口数据,为所研究的三年期编制了墨西哥全国及其各州男性死亡率的简略表格。按选定病因(杀人犯罪、糖尿病和交通事故)及年龄组计算了每个三年期内15至75岁男性的健康调整预期寿命和YLEL。
在1998 - 2000年至2008 - 2010年期间,全国及19个州因杀人犯罪导致的YLEL均有所增加。在4个州,2008 - 2010年的YLEL超过了2年,奇瓦瓦州尤为突出,达到5.2年。在两个三年期之间男性健康调整预期寿命下降的18个州中的14个,因杀人犯罪导致的YLEL有所增加。2008年至2010年,杀人犯罪是20 - 44岁男性YLEL的主要原因。两个三年期之间,15 - 44岁人群因杀人犯罪导致的YLEL有所增加。
杀人暴力发生率的上升,尤其是在年轻人中,正在阻碍墨西哥男性预期寿命的提高。在奇瓦瓦州和杜兰戈州等几个州,这种暴力似乎是15至75岁男性预期寿命下降的主要原因。