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智利人种族裔的预期寿命。

Life expectancy by ethnic origin in Chile.

机构信息

Unidad de Nutrición Pública, Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile, Santiago, Chile.

Universidad Nacional de Colombia, Bogotá, Colombia.

出版信息

Front Public Health. 2023 Jun 15;11:1147542. doi: 10.3389/fpubh.2023.1147542. eCollection 2023.

DOI:10.3389/fpubh.2023.1147542
PMID:37397745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10309032/
Abstract

BACKGROUND

Ethnic and racial differences in life expectancy have been well established in different societies. However, even though an important part of the population of Latin America is Indigenous, there is little knowledge about them.

OBJECTIVE

Determine if there are ethnic differences in life expectancy at birth and at 60 years in Chile, and if the Mapuche (largest Indigenous ethnic group) have similar life expectancy to other Indigenous peoples.

METHOD

Life tables for the Mapuche and other Indigenous groups and non-Indigenous people were built using the 2017 census. Specifically, we used the questions of the number of live children born and the number of surviving children. With this information, using the indirect method of own children we determined infantile mortality. Then, using the relational logit model and the model life table (west), we estimated the survival function for all ages.

RESULTS

Indigenous Chileans have seven years lower life expectancy at birth than the non-Indigenous population (76.2 vs. 83.2 years). The differential at age 60 is 6 years (20.3 vs. 26.4 years). We also found that Mapuche have an even greater disadvantage in survival than other ethnic groups. This is reflected in 2 years less life expectancy, both at birth and at 60 years.

DISCUSSION

Our results ratify the existence of marked ethnic-racial inequality in the extension of life in Chile and demonstrate a greater disadvantage in terms of survival of the Mapuche compared to other Indigenous and non-Indigenous groups. It is thus of great relevance to design policies that would decrease the existing inequalities in lifespan.

摘要

背景

不同社会的预期寿命存在明显的种族和民族差异。然而,尽管拉丁美洲的重要人口是土著人,但对他们的了解甚少。

目的

确定智利出生时和 60 岁时的预期寿命是否存在种族差异,以及马普切人(最大的土著民族群体)与其他土著民族的预期寿命是否相似。

方法

使用 2017 年的人口普查数据为马普切人和其他土著群体以及非土著人构建生命表。具体来说,我们使用了活产子女数和存活子女数的问题。利用这些信息,通过自有子女的间接法确定婴儿死亡率。然后,使用关系逻辑模型和模型生命表(西部),我们估计了所有年龄段的生存函数。

结果

智利土著人的出生时预期寿命比非土著人口低 7 年(76.2 岁对 83.2 岁)。60 岁时的差异为 6 年(20.3 岁对 26.4 岁)。我们还发现,马普切人的生存劣势比其他族群更大。这反映在出生时和 60 岁时的预期寿命都少了 2 年。

讨论

我们的研究结果证实了智利在生命延长方面存在明显的种族和民族不平等,并且表明马普切人在生存方面相对于其他土著和非土著群体处于更大的劣势。因此,制定减少现有寿命不平等的政策具有重要意义。

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Death certificate: The urgent consideration of ethnic and racial origin in Chile.死亡证明:智利对种族和族裔出身的紧急考量。
Lancet Reg Health Am. 2022 Nov 24;16:100402. doi: 10.1016/j.lana.2022.100402. eCollection 2022 Dec.
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Improved life expectancy for Indigenous and non-Indigenous people in the Northern Territory, 1999-2018: overall and by underlying cause of death.1999-2018 年北领地原住民和非原住民预期寿命的提高:总体情况和按根本死因分类。
Med J Aust. 2022 Jul 4;217(1):30-35. doi: 10.5694/mja2.51553. Epub 2022 May 29.
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Contributors to reduced life expectancy among Native Americans in the Four Corners States.
弥合差距:向拉丁美洲的原住民社区反馈基因检测结果
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Association between cardiovascular risk factors and cognitive impairment in adults aged 60 years or older from Chile: a cross-sectional study.心血管危险因素与智利 60 岁及以上成年人认知障碍的相关性:一项横断面研究。
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The Importance of Education for Middle- and Old-Age Mortality in Chile: Estimates From Panel Data Linked to Death Records.智利中老年死亡率教育重要性:面板数据与死亡记录关联的估计。
J Aging Health. 2022 Jan;34(1):71-77. doi: 10.1177/08982643211027404. Epub 2021 Jun 17.
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Inflammatory profiles in Chilean Mapuche and non-Mapuche women with gallstones at risk of developing gallbladder cancer.智利马普切族和非马普切族女性胆囊结石患者的炎症特征与胆囊癌风险相关。
Sci Rep. 2021 Feb 11;11(1):3686. doi: 10.1038/s41598-021-83300-2.
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Diversity in Child Mortality and Life Expectancy at Birth Among Major Tribes in Selected States of India.印度部分邦主要部落的儿童死亡率和出生时预期寿命的差异。
Indian Pediatr. 2021 Jan 15;58(1):20-24. Epub 2020 Oct 12.
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Life expectancy of First Nations, Métis and Inuit household populations in Canada.加拿大第一民族、梅蒂斯和因纽特人家庭人口的预期寿命。
Health Rep. 2019 Dec 18;30(12):3-10. doi: 10.25318/82-003-x201901200001-eng.
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An update on aging and dementia in Chile.智利衰老与痴呆症最新情况
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