英格兰和威尔士非都市地区的贫困与死亡率
Deprivation and mortality in non-metropolitan areas of England and Wales.
作者信息
Jessop E G
机构信息
West Surrey Health Commission, Ridgewood Centre, Camberley, Surrey.
出版信息
J Epidemiol Community Health. 1996 Oct;50(5):524-6. doi: 10.1136/jech.50.5.524.
OBJECTIVE
To test the hypothesis that the relationship between deprivation and mortality is weaker among residents of non-metropolitan areas of England and Wales than among residents of metropolitan areas.
DESIGN
This study compared mortality, expressed as standardised mortality ratios (SMRs), in residents of metropolitan and non-metropolitan districts at three levels of deprivation classified by an electoral ward deprivation score and by home and car ownership. SMRs were computed for all causes of death, for bronchitis and asthma (ICD9 codes 490-493), and for accident, violence, and poisoning (ICD9 codes 800-999).
SETTING
England and Wales.
PARTICIPANTS
Members of the longitudinal study of the Office of Population Censuses and Surveys, a quasi-random 1% sample of the population of England and Wales.
MAIN RESULTS
There was an association between deprivation and mortality which was clear for all cause mortality, more noticeable for respiratory disease, and less clear for deaths from accident, violence, and poison. In general, the results showed a remarkable similarity between metropolitan and non-metropolitan areas.
CONCLUSIONS
This study does not support the hypothesis that the relationship between mortality and deprivation differs between residents of metropolitan and non-metropolitan areas of England and Wales.
目的
检验如下假设，即与大城市地区居民相比，英格兰和威尔士非大城市地区居民中贫困与死亡率之间的关系较弱。
设计
本研究比较了大城市和非大城市地区居民的死亡率（以标准化死亡率（SMR）表示），贫困程度根据选区贫困得分以及住房和汽车拥有情况分为三个等级。计算了所有死因、支气管炎和哮喘（国际疾病分类第九版编码490 - 493）以及事故、暴力和中毒（国际疾病分类第九版编码800 - 999）的标准化死亡率。
地点
英格兰和威尔士。
参与者
人口普查与调查办公室纵向研究的成员，这是从英格兰和威尔士人口中抽取的1%的准随机样本。
主要结果
贫困与死亡率之间存在关联，这种关联在所有死因死亡率中很明显，在呼吸系统疾病中更显著，而在事故、暴力和中毒导致的死亡中则不太明显。总体而言，结果显示大城市和非大城市地区之间有显著相似性。
结论
本研究不支持以下假设，即英格兰和威尔士大城市与非大城市地区居民中死亡率与贫困之间的关系存在差异。
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