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非西班牙裔黑人和非西班牙裔白人男性在受教育程度相同的情况下,全因死亡率是否存在差异?利用 2000-2011 年全国健康访谈调查的分析。

Is There a Difference in All-Cause Mortality Between Non-Hispanic Black and Non-Hispanic White Men With the Same Level of Education? Analyses Using the 2000-2011 National Health Interview Surveys.

机构信息

1 Trachtenberg School of Public Policy and Public Administration, George Washington University, Washington, DC, USA.

2 Program for Research on Men's Health, Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

出版信息

Am J Mens Health. 2019 Jan-Feb;13(1):1557988319827793. doi: 10.1177/1557988319827793.

Abstract

Although men have greater societal and economic privileges, men have higher all-cause mortality rates than women, even after controlling for education. Further, racial/ethnic mortality disparities exist among men with varying levels of education. Few studies have explored the independent effects of education and all-cause mortality between non-Hispanic Black and non-Hispanic White men with the same level of education. Our purpose was to identify trends in racial differences in all-cause mortality between non-Hispanic White and non-Hispanic Black men with the same level of education. Data for the study came from the National Health Interview Surveys 2000-2011 linked to the 2000-2009 Mortality Files. The Student's t and chi-square tests were used to assess the mean and proportional differences between non-Hispanic White and non-Hispanic Black men (≥18 years of age) across a range of demographic and health-related factors. Cox proportional hazard models were specified to examine the association between level of education and all-cause mortality adjusting for the demographic and health characteristics. Except for men who did not complete high school, statistically significant differences in all-cause mortality are present between non-Hispanic Black and non-Hispanic White men with the same level of education. The findings reveal the importance of understanding the level of education on differences in all-cause mortality between non-Hispanic Whites and non-Hispanic Blacks.

摘要

虽然男性在社会和经济方面享有更多特权,但即使在控制了教育因素后,男性的全因死亡率仍高于女性。此外,不同受教育程度的男性之间存在种族/民族死亡率差异。很少有研究探讨具有相同受教育程度的非西班牙裔黑人和非西班牙裔白人男性之间,教育程度和全因死亡率的独立影响。我们的目的是确定具有相同受教育程度的非西班牙裔黑人和非西班牙裔白人男性之间全因死亡率的种族差异趋势。该研究的数据来自于 2000 年至 2011 年的全国健康访谈调查,与 2000 年至 2009 年的死亡率档案相关联。学生 t 检验和卡方检验用于评估一系列人口统计学和健康相关因素中,非西班牙裔白人和非西班牙裔黑人男性(≥18 岁)之间的平均和比例差异。指定 Cox 比例风险模型,以在调整人口统计学和健康特征后,研究教育程度与全因死亡率之间的关联。除了未完成高中学业的男性外,在具有相同教育程度的非西班牙裔黑人和非西班牙裔白人男性之间,全因死亡率存在显著差异。这些发现揭示了理解教育程度对非西班牙裔白人和非西班牙裔黑人之间全因死亡率差异的重要性。

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