Katz M E, Holmes M D, Power K L, Wise P H
Harvard Institute for Reproductive and Child Health, Harvard Medical School, Brigham and Women's Hospital, Boston, Mass.
Am J Public Health. 1995 Aug;85(8 Pt 1):1135-8. doi: 10.2105/ajph.85.8_pt_1.1135.
Mortality rates were examined for Boston women, aged 15 to 44, from 1980 to 1989. There were 1234 deaths, with a rate of 787.8/100,000 for the decade. Leading causes were cancer, accidents, heart disease, homicide, suicide, and chronic liver disease. After age adjustment, African-American women in this age group were 2.3 times more likely to die than White women. Deaths at least partly attributable to smoking and alcohol amounted to 29.8% and 31.9%, respectively. Mortality was found to be related more directly to the general well-being of young women than to their reproductive status, and many deaths were preventable. African-American/White disparities were most likely linked to social factors. These findings suggest that health needs of reproductive-age women transcend reproductive health and require comprehensive interventions.
对1980年至1989年间年龄在15至44岁的波士顿女性的死亡率进行了研究。共有1234人死亡,该十年的死亡率为787.8/10万。主要死因包括癌症、事故、心脏病、凶杀、自杀和慢性肝病。年龄调整后,该年龄组的非裔美国女性死亡可能性是白人女性的2.3倍。至少部分归因于吸烟和饮酒的死亡率分别为29.8%和31.9%。研究发现,死亡率与年轻女性的总体健康状况的关联比与她们的生殖状况更为直接,而且许多死亡是可以预防的。非裔美国人和白人之间的差异很可能与社会因素有关。这些发现表明,育龄妇女的健康需求超越了生殖健康,需要全面干预。