Verbrugge L M
Women Health. 1980 Fall;5(3):17-37. doi: 10.1300/j013v05n03_03.
In the 1970s, the United States population experienced a notable drop in mortality rates, after several decades of relative stability. Has this increased longevity been enjoyed equally by males and females, so that sex mortality differentials are essentially the same as before? Or has one sex benefited more than the other? This paper focuses on the mortality experience of males and females between 1970 and 1977, by age and by leading causes of death. The 1970-1977 data are compared with two earlier periods (1920-1950 and 1950-1970) to show how recent trends contrast with previous ones. Overall, the recent data suggest a new situation for sex mortality differentials. In prior decades, females' longevity advantage over males increased. This continuing increase appeared for virtually all ages and leading causes. But in the 1970s, the increase slowed. Females' situation relative to males actually worsened for several age groups (under 1, 55-64) and for several leading causes (conditions of early infancy, bronchitis/empysema/asthma, homicide, peptic ulcer). Moreover, the pace of females' gains for heart diseases and cancer has slowed, and relative gains have stopped for cerebrovascular diseases and accidents. Reasons for recent changes in sex mortality differentials and possible future trends are discussed.
20世纪70年代,美国人口死亡率在经历了几十年的相对稳定之后显著下降。男性和女性是否同样享有了这种寿命的延长,以至于性别死亡率差异与以前基本相同?还是某一性别比另一性别受益更多?本文重点关注1970年至1977年间男性和女性按年龄和主要死因划分的死亡情况。将1970 - 1977年的数据与两个早期阶段(1920 - 1950年和1950 - 1970年)进行比较,以展示近期趋势与以往趋势的对比。总体而言,近期数据表明性别死亡率差异出现了新情况。在之前几十年里,女性相对于男性的长寿优势有所增加。几乎在所有年龄段和主要死因中都出现了这种持续增加的情况。但在20世纪70年代,这种增长放缓。在几个年龄组(1岁以下、55 - 64岁)以及几个主要死因(婴儿早期疾病、支气管炎/肺气肿/哮喘、凶杀、消化性溃疡)方面,女性相对于男性的情况实际上恶化了。此外,女性在心脏病和癌症方面的改善速度放缓,而在脑血管疾病和事故方面的相对改善已经停止。本文还讨论了性别死亡率差异近期变化的原因以及可能的未来趋势。