Mortality in the Victorian asylum: was it so high? Standardised Mortality Rate compared with historical methods.

IF 0.3 3区 哲学 Q4 HISTORY OF SOCIAL SCIENCES History of Psychiatry Pub Date : 2024-08-08 DOI:10.1177/0957154X241269206
Charlotte Richardson, Alastair Robson, Loopinder Sood, I Nicol Ferrier, Andy Owen
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Abstract

Mortality is closely linked to age, sex, and social and historical context. Standardised Mortality Rates (SMR) address these contextual factors by comparing mortality in a population under study with that in people of the same age and sex, the same period in history and from a similar cultural context. We use records from the Hatton Asylum and contemporaneous census data in order to calculate SMR in the asylum population, showing rates that were about 2.5 times greater than the population at the time. This is much lower than crude mortality rates, which we calculated as being more than seven times greater than in the population. The SMR method may enable a more meaningful understanding of mortality in asylums or other institutions.

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维多利亚时期精神病院的死亡率:有那么高吗?标准化死亡率与历史方法的比较。
死亡率与年龄、性别、社会和历史背景密切相关。标准化死亡率(SMR)通过将所研究人群的死亡率与同年龄、同性别、同历史时期以及类似文化背景下的人群死亡率进行比较,来解决这些背景因素。我们利用哈顿庇护所的记录和同期人口普查数据来计算庇护所人口的 SMR,结果显示其死亡率约为当时人口的 2.5 倍。这比粗死亡率要低得多,我们计算出的粗死亡率是人口粗死亡率的七倍多。采用 SMR 方法可以更有意义地了解庇护所或其他机构的死亡率。
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来源期刊
CiteScore
1.10
自引率
16.70%
发文量
34
期刊介绍: History of Psychiatry publishes research articles, analysis and information across the entire field of the history of mental illness and the forms of medicine, psychiatry, cultural response and social policy which have evolved to understand and treat it. It covers all periods of history up to the present day, and all nations and cultures.
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