Leclerc A, Lert F
U88 INSERM, Paris.
Rev Epidemiol Sante Publique. 1989;37(3):233-44.
The fact that lower socioeconomic groups experience the highest mortality rates is widely recognized. However, few attempts have been made to compare the situation between countries, taking into consideration the causes of death. The existence of comparable nation-wide data, and collaborative work in the workshops of the European Science Foundation, made possible the comparison presented in this paper. The mortality experience of male unskilled workers is described for Finland, Norway, Denmark, England and Wales, and France. The excess of mortality in the group is more pronounced in some countries; it is especially high in France. The causes of death responsible for extra deaths are not the same in every country: in Finland accidents and cardiovascular diseases have an important place; respiratory diseases are more important in England and Wales than in other countries; in France, a large part of differential mortality is linked to diseases related to alcohol consumption.
社会经济地位较低群体的死亡率最高,这一事实已得到广泛认可。然而,考虑到死亡原因,很少有人尝试比较不同国家之间的情况。由于存在可比较的全国性数据,以及欧洲科学基金会研讨会上的合作成果,本文才得以进行这样的比较。本文描述了芬兰、挪威、丹麦、英格兰和威尔士以及法国男性非技术工人的死亡情况。该群体的死亡率过高在一些国家更为明显;在法国尤其高。每个国家导致额外死亡的死因不尽相同:在芬兰,事故和心血管疾病占重要比例;呼吸系统疾病在英格兰和威尔士比在其他国家更为重要;在法国,很大一部分死亡率差异与酒精消费相关疾病有关。