关键词: austerity influenza life expectancy mortality

Mesh : Humans Cause of Death Influenza, Human Wales / epidemiology Life Expectancy England / epidemiology

来  源:   DOI:10.1093/bmb/ldad028   PDF(Pubmed)

Abstract:
BACKGROUND: England and Wales experienced a stagnation of previously improving life expectancy during the 2010s. Public bodies cited influenza as an important cause.
METHODS: We used data from the Office for National Statistics to examine mortality attributed directly to influenza and to all influenza-like diseases for the total population of England and Wales 2010-19. Several combinations of ICD-10 codes were used to address the possibility of under-counting influenza deaths.
RESULTS: Deaths from influenza and influenza-like diseases declined between 2010 and 2019, while earlier improvements in mortality from all causes of death were stalling and, with some causes, worsening. Our findings support existing research showing that influenza is not an important cause of the stalling of mortality rates 2010-19.
RESULTS: Influenza was accepted by many as an important cause of stalling life expectancy for much of the 2010s, while few in public office have accepted austerity as a key factor in the changes seen during that time.
CONCLUSIONS: This adds to the mounting evidence that austerity damaged health prior to COVID-19 and left the population more vulnerable when it arrived.
UNASSIGNED: Future research should explore why so many in public office were quick to attribute the change in trends in overall mortality in the UK in this period to influenza, and why many continue to do so through to 2023 and to deny the key role of austerity in harming population health.
摘要:
背景:英格兰和威尔士在2010年代经历了以前提高预期寿命的停滞。公共机构将流感列为重要原因。
方法:我们使用国家统计局的数据来检查2010-19年英格兰和威尔士总人口中直接归因于流感和所有流感样疾病的死亡率。使用ICD-10代码的几种组合来解决低估流感死亡的可能性。
结果:在2010年至2019年期间,流感和流感样疾病的死亡人数有所下降,而所有死亡原因导致的死亡率的早期改善正在停滞,由于一些原因,恶化。我们的发现支持现有的研究表明,流感不是2010-19年死亡率停滞的重要原因。
结果:许多人认为流感是2010年代大部分时间预期寿命停滞的重要原因,虽然在公职中很少有人接受紧缩作为在此期间发生的变化的关键因素。
结论:这增加了越来越多的证据,即紧缩政策损害了COVID-19之前的健康,并使人群在到达时更加脆弱。
未来的研究应该探讨为什么如此多的公职迅速将这一时期英国总死亡率的变化趋势归因于流感,以及为什么许多人继续这样做,直到2023年,并否认紧缩在损害人口健康方面的关键作用。
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