Näyhä S
Br J Prev Soc Med. 1977 Dec;31(4):231-7.
Morality rates for various social groups within the population of Finland were compared, using 179 919 death certificates for the period 1969-72. Morality was generally lowest in the highest social groups and highest among unskilled workers. Male mortality from coronary heart disease was also high among lower salaried employees. In the less developed area of northern Finland, female mortality from coronary heart disease and vascular lesions of the central nervous system was highest among the agricultural population. Cancer of the breast, cancer of the intestine, and suicides among women were apparently concentrated in the higher classes. Life table analysis showed that the social group differences in life expectancy at birth could be as great as 7.2 years. It is considered indispensable for a national health policy to improve on the recording of occupational data and to give regularly the occupation of the deceased when publishing mortality rates.
利用1969 - 1972年期间的179919份死亡证明,对芬兰人口中不同社会群体的死亡率进行了比较。总体而言,社会地位最高的群体死亡率最低,非技术工人的死亡率最高。低薪雇员中男性冠心病死亡率也很高。在芬兰北部欠发达地区,农业人口中女性冠心病和中枢神经系统血管病变的死亡率最高。女性乳腺癌、肠癌和自杀显然集中在较高阶层。生命表分析表明,出生时预期寿命的社会群体差异可能高达7.2岁。人们认为,国家卫生政策必须改进职业数据的记录,并在公布死亡率时定期提供死者的职业信息。