Sun Peter C, Lawlor Edward F, McBride Timothy D, Morrow-Howell Nancy, Park Sojung
Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Harvey A. Friedman Center for Aging, Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.
J Gerontol Soc Work. 2023 May-Jun;66(4):491-511. doi: 10.1080/01634372.2022.2130491. Epub 2022 Oct 3.
Recent declines in life expectancy in the US, especially for middle-aged White persons, have called attention to mortality from deaths of despair - deaths due to alcohol, drugs, and suicide. Using data from the Centers for Disease Control and the U.S. Census Bureau, this paper examined deaths of despair by race/ethnicity, age, cause of death, birth cohort, and sex in Missouri. We focused on Area Agencies on Aging as geographic units of interest to increase usefulness of our findings to public administrators. Deaths of despair began trending up for all age groups beginning in 2007-2009, with the sharpest increases occurring for Black or African American non-Hispanics beginning in 2013-2015. The most dramatic increases occurred for the population age 50-59 in St. Louis City and Area Agency on Aging regions in southern Missouri. For older adults, considerable variation in rates, trends, and cause of deaths of despair is evident across the state.
近年来，美国的预期寿命有所下降，尤其是中年白人，这引起了人们对绝望死亡（即因酒精、毒品和自杀导致的死亡）的关注。本文利用疾病控制中心和美国人口普查局的数据，按种族/族裔、年龄、死因、出生队列和性别对密苏里州的绝望死亡情况进行了研究。我们将老年事务地区机构作为感兴趣的地理单位，以提高研究结果对公共管理人员的实用性。从2007年至2009年开始，所有年龄组的绝望死亡人数都呈上升趋势，从2013年至2015年开始，非西班牙裔黑人的增长最为显著。圣路易斯市以及密苏里州南部老年事务地区机构区域内50至59岁人群的增长最为显著。对于老年人来说，全州范围内绝望死亡的发生率、趋势和死因存在很大差异。
