Badaloni Chiara, Michelozzi Paola, Davoli Marina
Dipartimento di epidemiologia del Servizio sanitario regionale del Lazio, ASL Roma 1;
Dipartimento di epidemiologia del Servizio sanitario regionale del Lazio, ASL Roma 1.
Epidemiol Prev. 2020 Sep-Dec;44(5-6):342-348. doi: 10.19191/EP20.5-6.P342.009.
to evaluate the gap in life expectancy on the municipality of Rome, through the spatio-temporal changes in life expectancy at the birth and at 65 years old of residents in between 2006 and 2017, by gender, socioeconomic position, and health district.
epidemiological study based on the construction of mortality tables describing age-specific mortality rates and life expectancy at birth and at 65 years old.
from the Register of the Causes of Death (ReNCaM), between 2006 to 2017, 329,426 deaths of residents in Rome were selected.
the variation in life expectancy at birth was estimated by gender, by socioeconomic position, and by health district for four triennial observation periods from 2006 to 2017. Temporal and socioeconomic position changes, through an indicator of deprivation of a small area specific for the city of Rome, and possible geographical patterns, by observing the variation in the 15 health districts, between 2006 and 2017 were observed.
in Rome, between the first three-year period (2006-2008) and the last one (2015-2017), the life expectancy at birth increases, whit a gain of about 1.5 years among males (from 78.7 to 80.4 years) and just under 1 year among females (from 83.6 to 84.4 years). The increase in life expectancy, however, is not uniform in the population and the results show differences in socioeconomic position that increase in the most recent three years to 4 years for males and 2.2 years for females. The geographical analysis shows important differences in the life expectancy among health districts with differences up to about 3 years for males and 2.2 years for females at the beginning of the study period among districts in the historical centre and districts on the outskirts of the City of Rome, which are reduced to 2.7 years for males and 2.1 years for females in the most recent period.
the analysis of geographical and socioeconomic differences of the life expectancy provides important information to identify the areas of the Municipality of Rome on which to strengthen prevention interventions and the actions to be taken for Objective 10 ("Reducing inequalities") of Agenda 2030 for sustainable development.
通过2006年至2017年间罗马市居民出生时和65岁时预期寿命的时空变化，按性别、社会经济地位和健康区评估罗马市预期寿命的差距。
基于构建死亡率表的流行病学研究，该表描述了特定年龄死亡率以及出生时和65岁时的预期寿命。
从死亡原因登记册（ReNCaM）中选取了2006年至2017年间罗马市居民的329426例死亡病例。
对2006年至2017年的四个三年观察期，按性别、社会经济地位和健康区估计出生时预期寿命的变化。通过罗马市特定小区域贫困指标观察时间和社会经济地位变化，以及通过观察15个健康区在2006年至2017年间的变化来观察可能的地理模式。
在罗马，从第一个三年期（2006 - 2008年）到最后一个三年期（2015 - 2017年），出生时预期寿命有所增加，男性增加了约1.5岁（从78.7岁增至80.4岁），女性增加了不到1岁（从83.6岁增至84.4岁）。然而，预期寿命的增加在人群中并不均匀，结果显示社会经济地位存在差异，在最近三年中男性差异增加到4岁，女性差异增加到2.2岁。地理分析表明，健康区之间的预期寿命存在重要差异，在研究初期，历史中心区和罗马市郊区的男性差异高达约3岁，女性差异高达2.2岁，在最近时期，男性差异降至2.7岁，女性差异降至2.1岁。
对预期寿命的地理和社会经济差异分析提供了重要信息，以确定罗马市哪些区域需要加强预防干预措施以及为2030年可持续发展议程目标10（“减少不平等”）采取的行动。
