1850-1910 年犹他州、丹麦和瑞典的男性-女性健康生存悖论及队列预期寿命的性别差异
The male-female health-survival paradox and sex differences in cohort life expectancy in Utah, Denmark, and Sweden 1850-1910.
机构信息
Department of Epidemiology, Danish Aging Research Center, University of Southern Denmark, Odense C, Denmark.
出版信息
Ann Epidemiol. 2013 Apr;23(4):161-6. doi: 10.1016/j.annepidem.2013.02.001. Epub 2013 Mar 1.
PURPOSE
In Utah, the prevalence of unhealthy male risk behaviors are lower than in most other male populations, whereas women experience higher mortality risk because of higher fertility rates. Therefore, we hypothesize that the Utah sex differential in mortality would be small and less than in Sweden and Denmark.
METHODS
Life tables from Utah, Denmark, and Sweden were used to calculate cohort life expectancies for men and women born in 1850-1910.
RESULTS
The sex difference in cohort life expectancy was similar or larger in Utah when compared with Denmark and Sweden. The change over time in the sex differences in cohort life expectancy was approximately 2 years smaller for active Mormons in Utah than for other groups suggesting lifestyle as an important component for the overall change seen in cohort life expectancy. Sex differences in cohort life expectancy at the age of 50 years were similar for individuals actively affiliated with the Church of Jesus Christ of Latter-day Saints and for Denmark and Sweden.
CONCLUSIONS
The hypothesis that a smaller sex difference in cohort life expectancies in Utah would be detected in relation to Denmark and Sweden was not supported. In Utah, the male-female differences in life expectancy remain substantial pointing toward biological mechanisms or other unmeasured risk factors.
目的
在犹他州，不健康的男性风险行为的流行率低于大多数其他男性人群，而女性由于更高的生育率而面临更高的死亡风险。因此，我们假设犹他州的性别死亡率差异较小，低于瑞典和丹麦。
方法
使用来自犹他州、丹麦和瑞典的生命表来计算 1850-1910 年出生的男性和女性的队列预期寿命。
结果
与丹麦和瑞典相比，犹他州的队列预期寿命性别差异相似或更大。犹他州积极参与摩门教的人在队列预期寿命性别差异方面的变化时间比其他群体小约 2 年，这表明生活方式是队列预期寿命整体变化的一个重要组成部分。50 岁时的队列预期寿命性别差异在积极参与耶稣基督后期圣徒教会的个人与丹麦和瑞典相似。
结论
与丹麦和瑞典相比，犹他州的队列预期寿命性别差异较小的假设并未得到支持。在犹他州，男性和女性的预期寿命差距仍然很大，这表明存在生物学机制或其他未被测量的风险因素。
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