School of Population of Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z3, Canada.
Institute for Health Metrics and Evaluation, University of Washington, 3980 15th Ave. NE, Seattle, WA, 98195, United States.
Health Place. 2021 Nov;72:102692. doi: 10.1016/j.healthplace.2021.102692. Epub 2021 Oct 30.
Spatially varying baseline data can help identify and prioritise actions directed to determinants of intra-urban health inequalities. Twenty-seven years (1990-2016) of cause-specific mortality data in British Columbia, Canada were linked to three demographic data sources. Bayesian small area estimation models were used to estimate life expectancy (LE) at birth and 20 cause-specific mortality rates by sex and year. The gaps in LE for males and females ranged from 6.9 years to 9.5 years with widening inequality in more recent years. Inequality ratios increased for almost all causes, especially for HIV/AIDS and sexually transmitted infections, maternal and neonatal disorders, and neoplasms.
空间变化的基线数据有助于识别和优先考虑针对城市内部健康不平等决定因素的行动。本文将加拿大不列颠哥伦比亚省 27 年（1990-2016 年）的特定病因死亡率数据与三个人口统计数据源进行了关联。采用贝叶斯小区域估计模型来估计出生时的预期寿命（LE）和 20 种特定病因的死亡率，按性别和年份进行划分。男性和女性的 LE 差距在 6.9 年至 9.5 年之间，近年来不平等程度不断扩大。几乎所有病因的不平等比例都在增加，尤其是艾滋病毒/艾滋病和性传播感染、孕产妇和新生儿疾病以及肿瘤。
