Economics Studies Program, The Brookings Institution, Washington, DC 20036, USA; email:
Annu Rev Public Health. 2018 Apr 1;39:237-251. doi: 10.1146/annurev-publhealth-040617-014615.
This review focuses on the widening disparities in death rates by socioeconomic class. In recent years, there has been a major increase in the availability of data linking mortality risk and measures of socioeconomic status. The result has been a virtual explosion of new empirical research showing not only the existence of large inequities in the risk of death between those at the top and those at the bottom of the socioeconomic distribution, but also that the gaps have been growing. This assessment of the empirical research finds a consistent pattern of growing disparities within the United States. However, this widening gap in death rates does appear to be a uniquely American phenomenon, as the disparities by socioeconomic class appear to be stable or even declining in Europe and Canada.
本综述重点关注社会经济阶层之间死亡率差距的扩大。近年来,与死亡率风险和社会经济地位衡量指标相关的数据越来越多。其结果是新的实证研究呈爆炸式增长,不仅表明社会经济分布顶层和底层人群之间的死亡风险存在巨大不平等,而且还表明这种差距一直在扩大。对这些实证研究的评估发现,美国内部的差距一直在扩大。然而,这种死亡率差距的扩大似乎是美国特有的现象,因为欧洲和加拿大的社会经济阶层之间的差距似乎保持稳定甚至在缩小。