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新西兰毛利人和非毛利摩门教徒的死亡率。

Mortality among New Zealand Maori and non-Maori Mormons.

作者信息

Smith A H, Pool D I, Pearce N E, Lyon J L, Lilley B M, Davis P B, Prior I A

出版信息

Int J Epidemiol. 1985 Jun;14(2):265-71. doi: 10.1093/ije/14.2.265.

DOI:10.1093/ije/14.2.265
PMID:4018993
Abstract

Mortality rates for New Zealand Maori and non-Maori Mormons in the period 1970-77 have been compared with those for non-Mormons in the census year 1976 to measure the impact of the Mormon lifestyle on differences in mortality between Maoris and non-Maoris. Maori mortality was much lower among Mormons than non-Mormons suggesting that environmental, rather than genetic factors, play a predominant role in the relatively high overall Maori mortality. However the prevalence of smoking among Maori Mormons was not much lower than for the general Maori population. Reasons for the relative mortality advantage of Maori Mormons were therefore not clear, although attitudes to health and health services utilization, and the influence of strong social support networks, might be involved. Paradoxically, non-Maori Mormon mortality rates were similar to those for non-Mormons. A combination of factors appeared to contribute to this finding including the fact that 26% of non-Maori Mormons were of Pacific Island origin, non-Maori Mormons were of lower socioeconomic status than other non-Maoris, and part Maoris probably constitute a high, but unknown, proportion of Mormons classified as non-Maoris.

摘要

1970年至1977年期间,新西兰毛利摩门教徒和非毛利摩门教徒的死亡率与1976年人口普查年非摩门教徒的死亡率进行了比较,以衡量摩门教生活方式对毛利人和非毛利人死亡率差异的影响。摩门教毛利人的死亡率远低于非摩门教毛利人,这表明环境因素而非遗传因素在毛利人总体死亡率相对较高中起主要作用。然而,毛利摩门教徒中的吸烟率并不比一般毛利人群体低多少。因此,毛利摩门教徒相对死亡率优势的原因尚不清楚,尽管可能涉及对健康和医疗服务利用的态度以及强大社会支持网络的影响。矛盾的是,非毛利摩门教徒的死亡率与非摩门教徒相似。多种因素似乎促成了这一发现,包括26%的非毛利摩门教徒有太平洋岛屿血统这一事实、非毛利摩门教徒的社会经济地位低于其他非毛利人,以及部分毛利人可能在被归类为非毛利人的摩门教徒中占比很高但未知。

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