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[2002年和2011年波兰劳动年龄人口全因死亡率的社会经济不平等状况]

[Socioeconomic inequalities in mortality due to all causes in the working age population of Poland in 2002 and 2011].

作者信息

Pikala Małgorzata, Maniecka-Bryła Irena

机构信息

Uniwersytet Medyczny w Łodzi / Medical University of Lodz, Łódź, Poland (Zakład Epidemiologii i Biostatystyki, Katedra Medycyny Społecznej i Zapobiegawczej / Department of Epidemiology and Biostatistics, Chair of Social and Preventive Medicine).

出版信息

Med Pr. 2017 Oct 17;68(6):771-778. doi: 10.13075/mp.5893.00543. Epub 2017 Sep 12.

Abstract

BACKGROUND

The aim of the study was to evaluate the influence of education, marital status, employment status and place of residence on mortality in the working age population of Poland in 2002 and 2011.

MATERIAL AND METHODS

All deaths of Poland's inhabitants aged 25-64, in 2002 (N = 97 004) and 2011 (N = 104 598) were analyzed. For individual socio-economic groups standardized mortality rates (SDR) per 100 000 and rate ratio (RR) were calculated.

RESULTS

In the group of economically inactive men SDR decreased from 2244.3 in 2002 to 1781.9 in 2011, while in the group of economically active population increased from 253.8 to 298.9 (RR drop from 8.8 to 6). In the group of economically inactive women SDR decreased from 579.5 to 495.2, and among the economically active women population it increased from 78.8 to 90.9 (RR drop from 7.4 to 5.4). In the group of men with higher education SDR decreased from 285.7 to 246, while among men with primary education it increased from 1141 to 1183 (RR increase from 4 to 4.8). In the group of women with higher education SDR decreased from 127.2 to 115.6 and among women with primary education it increased from 375.8 to 423.1 (RR increase from 3 to 3.7). In the group of divorced/separated SDR also increased - from 1521.4 to 1729.8 among men and from 365.5 to 410.8 among women.

CONCLUSIONS

Future prevention and educational programs should be addressed primarily to the population economically inactive, with primary education and those divorced/separated. Med Pr 2017;68(6):771-778.

摘要

背景

本研究旨在评估教育程度、婚姻状况、就业状况和居住地点对2002年和2011年波兰劳动年龄人口死亡率的影响。

材料与方法

分析了2002年(N = 97004)和2011年(N = 104598)波兰25至64岁居民的所有死亡情况。计算了各社会经济群体每10万人的标准化死亡率(SDR)和率比(RR)。

结果

在经济不活跃男性群体中,SDR从2002年的2244.3降至2011年的1781.9,而在经济活跃人口群体中,SDR从253.8增至298.9(RR从8.8降至6)。在经济不活跃女性群体中,SDR从579.5降至495.2,而在经济活跃女性群体中,SDR从78.8增至90.9(RR从7.4降至5.4)。在受过高等教育的男性群体中,SDR从285.7降至246,而在小学教育程度的男性群体中,SDR从1141增至1183(RR从4增至4.8)。在受过高等教育的女性群体中,SDR从127.2降至115.6,而在小学教育程度的女性群体中,SDR从375.8增至423.1(RR从3增至3.7)。在离婚/分居群体中,SDR也有所增加——男性从1521.4增至1729.8,女性从365.5增至410.8。

结论

未来的预防和教育项目应主要针对经济不活跃、小学教育程度以及离婚/分居人群。《医学实践》2017年;68(6):771 - 778。

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