论文部分内容阅读
背景个体社会经济位置维度-受教育程度、社会阶层、社会地位及收入与死亡率相关。死亡率的差异也与个体在家庭中的社会位置相关。然而,对婚姻/同居某伴侣的社会经济位置如何影响另一伴侣的死亡率仍不清楚。本研究对社会经济位置4个因素对个体及其伴侣死亡率的影响进行调查。方法收集1990年瑞典普查人口(1 502 148人,年龄30~59岁)的婚姻状况、同居双方受教育程度、社会阶层、社会地位及收入等登记数据。所收集的全因死亡和死于癌症或循环系统疾病数据源于之后的1991年—2003年死亡原因记录。采用Cox回归模式评估不同的社会经济组相关死亡风险。结果男性和女性全因死亡率因女性受教育程度及地位、男性社会阶层及收入的不同而不同。男性:当男性社会阶层包含于模式中,那么妻子受教育程度带来的死亡风险比其自己受教育程度还重要。女性:丈夫社会阶层比女性自己的职业测量导致的死亡率差异要大。就女性因循环系统疾病死亡率来讲,女性受教育程度、男性社会阶层及收入特别重要。结论伴侣的社会位置与死亡率无关,女性受教育程度和男性的社会阶层显得特别重要。
Context Individual socioeconomic position dimensions - education, social class, social status and income and mortality. The difference in mortality is also related to the social position of the individual in the family. However, it remains unclear as to how the socio-economic location of a partner / married partner affects the mortality rate of another partner. This study investigated the impact of four factors of socioeconomic status on the mortality of individuals and their partners. Methods The data on the marital status, cohabitation, social status, social status and income of the 1990 Swedish census population (1,502,148 persons aged 30-59 years) were collected. All-cause deaths and deaths from 1991- 2003 after death from cancer or circulatory disease data were collected. Cox regression models were used to assess the socio-economic group-related death risks. Results The all-cause mortality rate of males and females varied according to their level of education and status, male social class and income. Male: When the male social class is included in the model, the risk of death from a wife’s educational attainment is more important than his or her own level of education. Women: The difference in mortality rates among husbands in the social strata over women’s own occupations is greater. In terms of female mortality due to circulatory system diseases, women’s education level, male social class and income are particularly important. Conclusion The partner’s social location has nothing to do with the mortality rate. Female education level and men’s social class are especially important.