Woodbury M A, Manton K G, Blazer D
Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Int J Epidemiol. 1988 Jun;17(2):356-62. doi: 10.1093/ije/17.2.356.
Interest has recently emerged in increases in suicide among US teenagers. Nonetheless suicide remains one of the major causes of death among the fastest growing components of the US population--the elderly. We examine the trends in US age-specific suicide rates for the period 1962 to 1981 for four elderly race and sex groups. The trends were analysed using a Poisson regression model which isolated the age, period, cohort effects for suicide mortality for demographic groups. Age, period and cohort effects all significantly contributed to these trends. The race and sex differences were largest for the age pattern of changes in suicide mortality. Of particular interest was the different contribution of each of these factors to recent increases in mortality at advanced ages for black males--a hitherto little recognized or studied trend.
最近,美国青少年自杀率上升引发了人们的关注。尽管如此,自杀仍是美国人口中增长最快的群体——老年人的主要死因之一。我们研究了1962年至1981年期间美国四个老年种族和性别人群按年龄划分的自杀率趋势。使用泊松回归模型分析这些趋势,该模型分离了不同人口群体自杀死亡率的年龄、时期和队列效应。年龄、时期和队列效应均对这些趋势有显著影响。自杀死亡率变化的年龄模式在种族和性别上的差异最大。特别值得关注的是,这些因素对老年黑人男性近期死亡率上升的不同贡献——这是一个迄今为止很少被认识或研究的趋势。