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21世纪第一个十年墨西哥男性预期寿命的停滞:凶杀和糖尿病的影响。

The stagnation of the Mexican male life expectancy in the first decade of the 21st century: the impact of homicides and diabetes mellitus.

作者信息

Canudas-Romo Vladimir, García-Guerrero Víctor Manuel, Echarri-Cánovas Carlos Javier

机构信息

Max-Planck Odense Center on the Biodemography of Aging, University of Southern Denmark, Odense, Denmark.

Centro de Estudios Demográficos, Urbanos y Ambientales, El Colegio de México, Mexico City, Mexico.

出版信息

J Epidemiol Community Health. 2015 Jan;69(1):28-34. doi: 10.1136/jech-2014-204237. Epub 2014 Sep 24.

Abstract

OBJECTIVES

In the first decade of the 21st century, the Mexican life expectancy changed from a long trend of increase to stagnation. These changes concur with an increase in deaths by homicides that the country experienced in that decade, and an obesity epidemic that had developed over the last decades of the 20th century. We quantify the impact of causes of death on life expectancy from 2000 to 2010.

METHODS

Two approaches to analyse causes of death are used: the number of life years lost due to each of the causes of death in a given year, and cause-decomposition techniques for comparisons of life expectancy from 2000 to 2010.

RESULTS

The apparent stagnation in life expectancy is the result of an increase in deaths by homicides and diabetes mellitus on the one hand, and the positive improvements observed in other causes of death on the other. The negative impact of homicides is particularly observed for ages 15 and 50, and for that of diabetes mellitus at ages above 45 years.

CONCLUSIONS

There is little basis for optimism regarding the future scenarios of the health of the Mexican population based on the first decade of the 21st century. Male life expectancy would have increased by 2 years if deaths by homicides and diabetes mellitus had been avoided.

摘要

目标

在21世纪的第一个十年,墨西哥的预期寿命从长期增长趋势转变为停滞状态。这些变化与该国在这十年中凶杀案死亡人数的增加以及20世纪最后几十年中出现的肥胖流行同时发生。我们量化了2000年至2010年期间死因对预期寿命的影响。

方法

采用两种分析死因的方法:给定年份中每种死因导致的生命年损失数量,以及用于比较2000年至2010年预期寿命的死因分解技术。

结果

预期寿命的明显停滞一方面是凶杀案和糖尿病死亡人数增加的结果,另一方面是其他死因出现的积极改善。凶杀案的负面影响在15岁和50岁人群中尤为明显,而糖尿病的负面影响在45岁以上人群中较为明显。

结论

基于21世纪的第一个十年,对于墨西哥人口未来的健康状况,几乎没有乐观的依据。如果避免凶杀案和糖尿病导致的死亡,男性预期寿命将增加2岁。

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