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人类死亡率中的静止阶段?探索最低脆弱性年龄。

A Quiescent Phase in Human Mortality? Exploring the Ages of Least Vulnerability.

作者信息

Engelman Michal, Seplaki Christopher L, Varadhan Ravi

机构信息

Department of Sociology and Center for Demography and Ecology, University of Wisconsin-Madison, 1180 Observatory Drive, Madison, WI, 53704, USA.

University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

出版信息

Demography. 2017 Jun;54(3):1097-1118. doi: 10.1007/s13524-017-0569-z.

Abstract

Demographic studies of mortality often emphasize the two ends of the lifespan, focusing on the declining hazard after birth or the increasing risk of death at older ages. We call attention to the intervening phase, when humans are least vulnerable to the force of mortality, and consider its features in both evolutionary and historical perspectives. We define this quiescent phase (Q-phase) formally, estimate its bounds using life tables for Swedish cohorts born between 1800 and 1920, and describe changes in the morphology of the Q-phase. We show that for cohorts aging during Sweden's demographic and epidemiological transitions, the Q-phase became longer and more pronounced, reflecting the retreat of infections and maternal mortality as key causes of death. These changes revealed an underlying hazard trajectory that remains relatively low and constant during the prime ages for reproduction and investment in both personal capital and relationships with others. Our characterization of the Q-phase highlights it as a unique, dynamic, and historically contingent cohort feature, whose increased visibility was made possible by the rapid pace of survival improvements in the nineteenth and twentieth centuries. This visibility may be reduced or sustained under subsequent demographic regimes.

摘要

死亡率的人口统计学研究通常强调寿命的两端,关注出生后危险率的下降或老年时死亡风险的增加。我们将注意力转向中间阶段,即人类最不易受死亡因素影响的时期,并从进化和历史的角度考虑其特征。我们正式定义了这个静止阶段(Q阶段),使用1800年至1920年出生的瑞典队列的生命表估计其界限,并描述Q阶段形态的变化。我们表明,对于在瑞典人口和流行病学转变期间老龄化的队列,Q阶段变得更长且更明显,这反映了感染和孕产妇死亡率作为主要死因的消退。这些变化揭示了一条潜在的危险轨迹,在生殖以及个人资本和与他人关系的投资的黄金时期,该轨迹保持相对较低且稳定。我们对Q阶段的描述突出了它作为一种独特、动态且具有历史偶然性的队列特征,其日益显著是19世纪和20世纪生存率迅速提高所致。在随后的人口制度下,这种显著程度可能会降低或持续。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d5/5498292/fd78a4368b49/nihms867373f1.jpg

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