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首页> 外文期刊>BMC Public Health >Potential gains in life expectancy by reducing inequality of lifespans in Denmark: an international comparison and cause-of-death analysis
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Potential gains in life expectancy by reducing inequality of lifespans in Denmark: an international comparison and cause-of-death analysis

机译：通过减少丹麦的寿命不平等的预期寿命潜在预期：国际比较和死因分析

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摘要

Reducing lifespan inequality is increasingly recognized as a health policy objective. Whereas lifespan inequality declined with rising longevity in most developed countries, Danish life expectancy stagnated between 1975 and 1995 for females and progressed slowly for males. It is unknown how Danish lifespan inequality changed, which causes of death drove these developments, and where the opportunities for further improvements lie now. We present an analytical strategy based on cause-by-age decompositions to simultaneously analyze changes in Danish life expectancy and lifespan inequality from 1960 to 2014, as well as current Swedish-Danish differences. Stagnation in Danish life expectancy coincided with a shorter period of stagnation in lifespan inequality (1975-1990). The stagnation in life expectancy was mainly driven by increases in cancer and non-infectious respiratory mortality at higher ages (-.63?years) offsetting a reduction in cardiovascular and infant mortality (+?1.52?years). Lifespan inequality stagnated because most causes of death did not show compression over the time period. Both these observations were consistent with higher smoking-related mortality in Danes born in 1919-1939. After 1995, life expectancy and lifespan equality increased in lockstep, but still lag behind Sweden, mainly due to infant mortality and cancer. Since 1960, Danish improvements in life expectancy and lifespan equality were halted by smoking-related mortality in those born 1919-1939, while also reductions in old-age cardiovascular mortality held back lifespan equality. The comparison with Sweden suggests that Denmark can reduce inequality in lifespans and increase life expectancy through a consistent policy target: reducing cancer and infant mortality.
机译：减少寿命不平等越来越被认为是健康政策目标。虽然大多数发达国家的长寿不等式下降，但在大多数发达国家的升高，丹麦人预期寿命在1975年至1995年间为女性停滞不前，为男性慢慢进展。凡是丹麦寿命不等式如何发生变化，死亡的原因推动了这些发展，现在进一步改进的机会谎言。我们提出了一种基于逐年分解的分析策略，同时分析了1960年至2014年丹麦人寿期寿命和寿命不平等的变化，以及目前的瑞典丹麦差异。丹麦人寿的停滞期望恰逢寿命不平等的较短停滞（1975-1990）。预期寿命的停滞主要是癌症和非传染性呼吸道死亡率的增加（-.63？年）抵消心血管和婴儿死亡率的增加（+？1.52？年）。寿命不平等停滞不前，因为大多数死亡原因在时间段没有显示压缩。这两种观察结果都与1919-1939年出生的丹麦人的较高吸烟有关的死亡率一致。 1995年以后，LockStep的预期寿命和寿命平等增加，但仍然落后于瑞典，主要是由于婴儿死亡率和癌症。自1960年1960年以来，丹麦人预期寿命和寿命平等被191919-199人出生的吸烟有关的死亡率停止，同时还减少了养老型心血管死亡率的衰减寿命平等。与瑞典的比较表明，丹麦可以通过一致的政策目标降低寿命的不平等，并通过一致的政策目标增加预期寿命：降低癌症和婴儿死亡率。

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