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美国年轻人死亡率上升带来的双重后果:预期寿命降低和寿命变化更大。

Twin consequences of rising U.S. death rates among young adults: Lower life expectancy and greater lifespan variability.

机构信息

College of Health Solutions, Arizona State University, Phoenix, AZ, United States of America.

Pennsylvania State University, University Park, PA, United States of America.

出版信息

Prev Med. 2019 Oct;127:105793. doi: 10.1016/j.ypmed.2019.105793. Epub 2019 Aug 6.

Abstract

The current study is an original investigation of the U.S. mortality pattern from 2000 to 2017. Previous research has shown that the unusual post-2014 decline in life expectancy is related to the increase in death rates for ages 25-44, mostly due to rising prevalence in drug poisoning and suicide deaths. Our investigation reveals that such increase in younger-age mortality has had an impact not only on life expectancy (or mean age at death), but also, and to a larger extent, on lifespan variability (the dispersion around the mean age at death). Even though lifespan variability is a key component of mortality change, as well as a measure of human well-being, with social, economic, and psychological implications, it has received much less attention than life expectancy has.

摘要

本研究是对 2000 年至 2017 年美国死亡率模式的一项原创性调查。先前的研究表明,2014 年后预期寿命的异常下降与 25-44 岁年龄段死亡率的上升有关,主要是由于药物中毒和自杀死亡的发生率上升。我们的调查显示,这种较低年龄段死亡率的增加不仅对预期寿命(或平均死亡年龄)产生了影响,而且对寿命变异性(围绕平均死亡年龄的离散程度)的影响更大。尽管寿命变异性是死亡率变化的一个关键组成部分,也是衡量人类福祉的一个指标,具有社会、经济和心理方面的影响,但它受到的关注远不及预期寿命。

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