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2000-2017 年瑞典青年成年人的死亡率趋势。

Mortality trends for young adults in Sweden in the years 2000-2017.

机构信息

Former National Institute of Public Health, Stockholm, Sweden.

Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.

出版信息

Scand J Public Health. 2022 Jun;50(4):448-453. doi: 10.1177/14034948211000836. Epub 2021 Mar 25.

Abstract

AIM

Mental health problems in young people seem to be on the rise and more so in Sweden than in other locations. The aim was to compare the development of mortality rates for young adults in Sweden with Western Europe in total.

METHODS

Young adults were defined as individuals aged 20-34 years and the study period was 2000-2017. Mortality data were derived from the Institute of Health Metrics and Evaluation.

RESULTS

During the period 2000-2017, the mortality rate in young adults in Sweden stayed about the same, while in Western Europe as a whole the mortality rate decreased by 42%. The leading explanation for the unfavourable Swedish development was deaths due to drug use, mainly opioids, which increased by 60% during this period. The other major causes of death decreased both in Sweden and Western Europe, but decreased more slowly in Sweden. The differences in the rate of decrease between Sweden and Western Europe were for self-harm (27%), transport injuries (12%), unintentional injuries (31%) and for neoplasms (23%). The unfavourable development in Sweden resembled the development in the USA.

CONCLUSIONS

摘要

目的

年轻人的心理健康问题似乎呈上升趋势,而瑞典的情况比其他地方更为严重。本研究旨在比较瑞典和整个西欧青年成年人死亡率的发展情况。

方法

将青年成年人定义为 20-34 岁的个体,研究期间为 2000-2017 年。死亡率数据来源于健康计量与评估研究所。

结果

在 2000-2017 年期间,瑞典青年成年人的死亡率基本保持不变,而整个西欧的死亡率下降了 42%。导致瑞典这一不利发展的主要原因是药物使用(主要是阿片类药物)导致的死亡,在此期间增加了 60%。瑞典和西欧的其他主要死亡原因都有所下降,但在瑞典下降速度较慢。瑞典和西欧之间死亡率下降率的差异主要体现在自残(27%)、交通伤害(12%)、意外伤害(31%)和肿瘤(23%)。瑞典的不利发展与美国相似。

结论

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ed/9152592/f104cc3f91ca/10.1177_14034948211000836-fig1.jpg

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