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[英文文献] Socio-economic differences in suicide risk vary by sex : A population-based... [推广有奖]

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生药学086 发表于 2005-6-4 17:44:33 |AI写论文

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英文文献:Socio-economic differences in suicide risk vary by sex : A population-based case-control study of 18-65 year olds in Denmark-自杀风险的社会经济差异因性别而异:一项以丹麦18-65岁人群为基础的病例对照研究
英文文献作者:Antonio Rodríguez,Sunny Collings,Ping Qin
英文文献摘要:
The objective of this paper was to investigate variations in the risk of suicide by socioeconomic status/position (SES) for men and women. Data on 15,648 suicide deaths between 18-65 year old men and women over the period 1981-1997 were linked to data on SES indicators, using a nested case control design. Cox’s proportional hazard regression models were fitted separately for men and women. The results showed that suicide, in both men and women aged 18 to 65 years, is strongly associated with a range of commonly measured indicators of SES, and that the association does vary by sex even after adjusting for these SES measures simultaneousely and controlling for the effect of health status. Low economic status, measured as low income, unskilled blue-collar work, unspecific wage work and unemployment, tends to increase suicide risk more prominently in men than in women; marital status seems to have a comparable influence on suicide risk in the both sexes and the risk is significantly higher among the singlers; parenthood is protective against suicide and the protective effect is statistically stronger for women; living in a big city tends to raise suicide risk for women but reduce the risk for men; Foreign citizens living in Denmark have a lower risk for suicide compared with Danish dwellers but the reduced risk is mainly confined to male immigrants. Our findings reflect the reality of the SES distribution of suicide risk, and underscore the importance and necessity of taking sex, various SES proxies and health factors into consideration mutually and simultaneously for a better understanding of this association.

本文的目的是调查男性和女性的社会经济地位/地位(SES)在自杀风险上的差异。使用嵌套病例对照设计,将1981-1997年期间15 648名18-65岁男性和女性自杀死亡的数据与社会经济地位指数数据联系起来。Cox的比例风险回归模型分别适用于男性和女性。结果表明,自杀,在18岁到65岁的男性和女性,一般与一系列SES的衡量指标,而协会也随性,即使调整这些SES措施simultaneousely和控制对健康状况的影响。以低收入、无技能的蓝领工作、无具体工资工作和失业等低经济地位衡量,男性的自杀风险往往比女性更显著;婚姻状况似乎对男女自杀风险都有类似的影响,单身人士的自杀风险明显更高;为人父母可以防止自杀,统计数据显示,女性的保护作用更强;生活在大城市往往会增加女性的自杀风险,但会降低男性的自杀风险;与丹麦居民相比,居住在丹麦的外国公民的自杀风险较低,但降低的风险主要局限于男性移民。我们的研究结果反映了社会经济地位对自杀风险分布的现实,并强调了将性、社会经济地位的各种代理和健康因素相互同时考虑的重要性和必要性,以便更好地理解这种关联。
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