Blane D
Department of Psychiatry, Charing Cross and Westminster Medical School, London, England.
Int J Health Serv. 1990;20(1):43-52. doi: 10.2190/KMRT-6D2X-FF0F-5XY4.
The mortality rates of the various age groups within the population of England and Wales fell dramatically between 1870 and 1914, and this period has been used to examine McKeown's thesis of an inverse relationship between a population's mortality rate and its standard of living. Using real wages as a measure of living standards, McKeown's thesis is found to hold for most age groups for most of the period. Several anomalies are identified, however, and it is argued that these can best be reconciled with the original thesis by taking account of the economic cycle.
1870年至1914年间,英格兰和威尔士人口中各年龄组的死亡率大幅下降,这一时期被用来检验麦克基翁关于人口死亡率与其生活水平呈反比关系的论点。以实际工资作为生活水平的衡量标准,研究发现麦克基翁的论点在该时期的大部分时间里对大多数年龄组都成立。然而,也发现了一些异常情况,有人认为,通过考虑经济周期,这些异常情况可以最好地与原论点相协调。