心脏病社会阶层分布的变化。
Changing social-class distribution of heart disease.
作者信息
Marmot M G, Adelstein A M, Robinson N, Rose G A
出版信息
Br Med J. 1978 Oct 21;2(6145):1109-12. doi: 10.1136/bmj.2.6145.1109.
Abstract
Analysis of mortality trends over 40 years in England and Wales showed that mortality from coronary heart disease had become progressively more common in working-class men and women than in those from the middle and upper classes. The change was most noticeable for men. Whereas in 1931 and 1951 heart disease was more common in men of social classes I and II, by 1961 it was more common in men of classes IV and V. This change in social-class distribution can only partly be explained by changes in diagnostic methods. The worsening mortality of classes IV and V correlated with relatively more smoking, a higher consumption of sugar, and a lower consumption of wholemeal bread in these classes. There was no correlation between change in heart disease and change in the social-class pattern of fat consumption.
摘要
对英格兰和威尔士40年死亡率趋势的分析表明，冠心病导致的死亡在工人阶级男性和女性中比在中上层阶级中变得越来越普遍。这种变化在男性中最为明显。1931年和1951年，社会阶层I和II的男性中，心脏病更为常见，到1961年，IV和V阶层的男性中更为常见。社会阶层分布的这种变化只能部分地由诊断方法的变化来解释。IV和V阶层死亡率的恶化与这些阶层中相对更多的吸烟、更高的糖消费量和更低的全麦面包消费量相关。心脏病的变化与脂肪消费的社会阶层模式的变化之间没有相关性。
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