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Aging well? Social spending, age, and subjective wellbeing across Europe 衰老吗?整个欧洲的社会支出、年龄和主观幸福感
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv2202075m
V. Mentus
The association between age and subjective wellbeing has been examined across different samples and obser?vational time frames, most often indicating a decline in subjective wellbeing with age or a U-shaped relation. Although various contextual variables have been examined as moderators of this relation, the moderating effect of social spending has not been investigated so far. Given that social spending is potentially beneficial for wellbeing and that social spending in Europe is primarily elderly-oriented, we assumed that in countries with higher social spending expenditures, there is a more positive effect of age on subjective wellbeing. We used cross-sectional hierarchical linear modelling (HLM) analysis and the data from the ninth round of the European Social Survey, including 29 countries. Our results show that age is generally negatively related, while age squared is positively related to subjec?tive wellbeing, indicating a U-shaped relation between age and wellbeing. Additionally, social spending at the aggregate level is a significant determinant of wellbeing at the individual level. Most importantly, social spending is a significant positive moderator of this association: with increasing social spending levels, aging is more positively related to wellbeing.
年龄和主观幸福感之间的关系已经通过不同的样本和观察者进行了研究。通常表明主观幸福感随年龄增长而下降或呈u型关系。虽然各种背景变量已经被检验为这种关系的调节因子,但社会支出的调节作用迄今尚未被调查。鉴于社会支出对幸福感有潜在的好处,而且欧洲的社会支出主要是面向老年人的,我们假设在社会支出较高的国家,年龄对主观幸福感有更积极的影响。我们使用横断面分层线性模型(HLM)分析和来自第9轮欧洲社会调查的数据,包括29个国家。我们的研究结果表明,年龄一般是负相关的,而年龄的平方与主体?年龄与幸福感呈u型关系。此外,总体社会支出是个人福祉的重要决定因素。最重要的是,社会支出是这种关联的显著正向调节因素:随着社会支出水平的增加,老龄化与幸福感的正相关程度更高。
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引用次数: 0
The demographic approach to the quality of official ethnicity data in Serbia - a research proposal 塞尔维亚官方族裔数据质量的人口统计学方法-一项研究建议
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv220416004t
Nevena Trnavcevic, Aleksandar Knezevic
Demographic studies of the population by ethnicity are gaining new significance. Emigration, intensive aging, and declining fertility have caused changes in demographic trends, particularly in communities of different ethnic backgrounds. Ethnodemographic trends are mostly observed through the lens of official ethnic statistics. The most important factor regarding data quality is the approach towards subjective criteria in the self-declaration of ethnic affiliation in censuses and vital statistical surveys. This paper presents examples of statistical deviations of demographic indicators based on official data on ethnicity and introduces a proposal for research into their quality and use value. Our research proposal is based on previous demographic analyses of ethnicity data and focuses on the demographic framework of statistics of ethnicity in Serbia through data quality analysis. We contend that the results presented in the paper constitute a sufficient argument for a broader methodological discussion regarding the necessity of demographic research into ethnicity data to create a ?more objective? demographic picture of minorities. Examining the quality of ethnicity data is ver y important for analysing indicators of statistically variable minority ethnic groups. The results of the research can form the basis for reviewing the data sources on which policies towards ethnic minorities are formulated.
按种族对人口进行的人口统计研究具有新的意义。移民、严重老龄化和生育率下降导致了人口趋势的变化,特别是在不同种族背景的社区。民族人口趋势主要是通过官方民族统计来观察的。关于数据质量的最重要因素是在人口普查和人口动态统计调查中自我宣布族裔归属时采用的主观标准。本文提出了基于官方族裔数据的人口指标统计偏差的例子,并提出了对其质量和使用价值进行研究的建议。我们的研究计划是基于之前的种族数据的人口统计分析,并通过数据质量分析,重点关注塞尔维亚种族统计的人口统计框架。我们认为,论文中提出的结果构成了一个充分的论据,可以进行更广泛的方法学讨论,讨论人口统计学研究对种族数据的必要性,以创造一个“更客观的”社会。少数民族人口统计图。检验民族数据的质量对于分析统计上可变的少数民族指标非常重要。研究结果可作为审查数据来源的基础,这些数据来源是制定少数民族政策的依据。
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引用次数: 1
The effects оf Chinese population policy оn the labour market 中国人口政策对劳动力市场的影响
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv220609003f
S. Filipovic, Jelena Ignjatovic
Faced with high levels of poverty, China introduced its "one-child policy" in 1980 and began economic and systemic reforms that led to the country's strong economic development. Thanks to the improvement in the average standard of living, certain socioeconomic aspects related to women's employment, the pursuit of higher education, delays in childbirth, and the number of children have changed. These changes have not only reduced the number of children being born and led to population aging, but have also affected the labour market. The aim of this paper is to determine the effects of Chinese population policy on selected labour market indicators: labour force by age and sex in rural/urban areas, the labour force participation rate, and the unemployment rate. Research results from 2010 to 2020 show the growth of the labour force, while the unemployment rate has been growing since 2018. It is noticeable that the number of workers in the labour force is growing in cities, while it is declining in rural areas. On the other hand, the unemployment rate is lower in rural areas, while the growth of unemployment is evident in urban areas. The research shows that the long-term implementation of this population policy has resulted in a larger number of men, leading to greater participation of men in the labour force. Despite measures to improve the position of women at work, women's social security is still not guaranteed, and it is more difficult for women to decide to expand their families. As China has ambitious plans for economic development, defining adequate population and social policies is crucial for their implementation.
面对高水平的贫困,中国在1980年推出了“独生子女政策”,并开始了经济和体制改革,导致了中国经济的强劲发展。由于平均生活水平的提高,与妇女就业、追求高等教育、推迟生育和子女数量有关的某些社会经济方面发生了变化。这些变化不仅减少了儿童出生数量并导致人口老龄化,而且还影响了劳动力市场。本文的目的是确定中国人口政策对选定的劳动力市场指标的影响:农村/城市地区按年龄和性别划分的劳动力、劳动力参与率和失业率。2010年至2020年的研究结果显示,劳动力在增长,而失业率自2018年以来一直在上升。值得注意的是,城市劳动力中的工人人数在增加,而农村劳动力中的工人人数却在减少。另一方面,农村地区的失业率较低,而城市地区失业率的增长很明显。研究表明,这项人口政策的长期执行使男子人数增加,从而使男子更多地参与劳动力。尽管采取了措施改善妇女在工作中的地位,但妇女的社会保障仍然没有得到保障,妇女更难决定扩大家庭。由于中国有雄心勃勃的经济发展计划,确定适当的人口和社会政策对其实施至关重要。
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引用次数: 0
Anthropological research on coming of age and “extended youth”: Youth “well-spent” in Serbia 关于成年和“延长青年”的人类学研究:塞尔维亚“充分利用”的青年
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv2202089m
Katarina Mitrovic
While focusing on the phenomenon of ?extended youth?, this paper presents the results of anthropological research on coming of age: classical and contemporary. The paper questions the parameters of ?normality? when it comes to ?extending? phases, youth in particular. While examining what it means to be young, the paper emphasises anthro?pological contributions to life course research. First of all, the paper focuses on research that highlights concepts seen as universal and biological. Moreover, it approaches classical anthropological research that analyses lifecycle customs and rites of passage. By emphasising classic an?thropological works, such as the contributions of Margaret Mead, the paper shows how ethnographic examples have helped present the diversity of the perception of ?ade?quate?, ?normal?, and ?good? when it comes to life stages or transitions from one life stage to another. In addition to the work of Mead, special attention is paid to the work of Arnold van Gennep, whose research on rites of passage had a great influence on generations of Serbian ethnologists and anthropologists. Van Gennep?s scheme of successive stages made up of the pattern of rites of passage (separation, transition/liminality, and ag?gregation) has been particularly important in the context of the transition into adulthood. Finally, this paper analy?ses how young people in Serbia perceive their youth and life stages in the contemporary context. The presented results are part of a qualitative research study based on in-depth interviews conducted in 2019 and 2020. The re?sults highlight the cultural representations of the ?normal? life course and life stage transitions, then present how some young people manage their transition to adulthood in order to perceive their youth as ?well-spent?. The con?clusion examines how time, life phases, and expectations have been constructed in the local context. Moreover, the paper highlights the layers of the transition to adulthood and autonomy (residential, financial, emotional etc.) that, furthermore, show the complexity of the phenomenon of ?extended youth?. By questioning the mainstream explanations of extended youth as an exclusive consequence of structural factors and political crisis, the paper offers an alternative explanation of extended youth through the analysis of cultural logic.
在关注“超长青春”现象的同时,本文从古典和当代两方面介绍了关于成年的人类学研究成果。本文对“正态性”的参数提出了质疑。说到扩展?阶段,尤其是青年时期。在研究年轻意味着什么时,这篇论文强调了人类?对生命历程研究的人类学贡献。首先,本文着重研究了被认为是普遍的和生物的概念。此外,它接近经典人类学研究,分析生命周期习俗和仪式。通过强调经典和经典?人类学著作,如玛格丽特·米德的贡献,这篇论文显示了民族志的例子如何帮助呈现了对“外来的?等同的?”的看法的多样性。,正常吗?好吗?当涉及到人生阶段或从一个人生阶段过渡到另一个人生阶段时。除了米德的工作外,人们还特别关注阿诺德·范·格内普的工作,他对成人仪式的研究对几代塞尔维亚民族学家和人类学家产生了重大影响。范Gennep吗?由成人仪式模式(分离、过渡/阈限和聚合)组成的连续阶段方案在过渡到成年的背景下尤为重要。最后,本文分析了?研究塞尔维亚年轻人在当代背景下如何看待自己的青春和人生阶段。本文给出的结果是基于2019年和2020年进行的深度访谈的定性研究的一部分。再保险吗?结果突出了“正常”的文化表征。人生历程和人生阶段的转变,然后介绍一些年轻人如何管理他们的过渡到成年,以认为他们的青春“花得好”。反对吗?结论研究了时间、生活阶段和期望是如何在当地环境中构建的。此外,本文强调了过渡到成年和自主的层次(居住,经济,情感等),进一步显示了“延长青年”现象的复杂性。通过质疑将延长青年视为结构性因素和政治危机的唯一结果的主流解释,本文通过文化逻辑分析提供了延长青年的另一种解释。
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引用次数: 0
Populism and the migrant crisis in Europe - political implications 民粹主义与欧洲移民危机——政治影响
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv221103005l
Zoran Lutovac
Dealing with the migrant crisis in Europe has shown that the regulations, principles, and values of the European Union are overshadowed by the individual interests of its member states. On the one hand, EU member states have faced internal political challenges caused by populism, while on the other hand, there has been a lack of rapid, coordinated, and synchronised measures to solve the problems at hand. The mass influx of migrants from Asia and Africa to Europe indicates demographic shifts on a historic scale and possible global consequences, but EU member states have been observing the issue and are still observing it primarily from their own national point of view. A comparative analysis of electoral support for populist parties and movements in Europe since the beginning of the migrant crisis has led to an indicative conclusion that there is a direct correlation between increasing support for populists and the large-scale migrant crisis. The significant influx of migrants has contributed not decisively, but to a significant extent to the creation of a great populist wave that has engulfed almost all of Europe.
处理欧洲的移民危机表明,欧盟的法规、原则和价值观被其成员国的个人利益所掩盖。一方面,欧盟成员国面临民粹主义带来的内部政治挑战,另一方面,缺乏快速、协调和同步的措施来解决手头的问题。从亚洲和非洲大量涌入欧洲的移民表明,人口结构正在发生历史性的变化,并可能产生全球性的影响,但欧盟成员国一直在关注这一问题,而且仍主要从本国的角度来看待这一问题。自移民危机开始以来,对欧洲民粹主义政党和运动的选举支持进行了比较分析,得出了一个指示性的结论,即民粹主义者的支持率上升与大规模移民危机之间存在直接关联。大量移民的涌入虽然不是决定性的,但在很大程度上促成了一场席卷几乎整个欧洲的民粹主义浪潮。
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引用次数: 0
Transnational competences and cultural capital: The experiences of two groups of highly educated returnees to Serbia 跨国能力和文化资本:塞尔维亚两组受过高等教育的回返者的经历
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv2201117p
Jelena Predojevic-Despic
The aim of this paper is to contribute to a better understanding of the transnational competencies and cultural capital of migrants, as well as the mechanism of their transfer after returning to their countries of origin, based on Bourdieu?s conception of cultural capital. Using the example of two groups of highly educated returnees to Serbia - scientists and artists - the paper analyses the possibilities of the reproduction of cultural capital in a new, transnational context, between countries of origin and destination, as well as processes of transformation and the creation of new forms of cultural capital. Returning to Serbia was a transnational experience for a large number of respondents. This process was gradual, despite their expressed desire to return to live and work in Serbia. In some cases, it lasted for years, or the respondents were professionally present in both communities at the same time. Establishing themselves in several different societies enabled the respondents to open new transnational fields in which cultural capital was transformed and upgraded. This significantly helped them to better understand the differences in the functioning of the society of origin and destination, as well as to develop innovative opportunities to apply better communication and/or transfer knowledge and skills between the two settings. New forms of cultural capital have helped a large number of respondents come to the realisation that getting to know new cultures and improving communication with them brings new qualities and opportunities for global positioning in a professional sense. They also influence the formation of new life aspirations and missions that can spread new cultural practices that are relevant to the wider community. The results of the research show that the two observed groups of highly skilled returnees differ some-what in the way they have access to institutional support in the process of transferring cultural capital. Artists, especially if they work as freelancers upon their return to Serbia, have a significantly lower opportunity to use institutional support than researchers in science and teaching staff in tertiary education institutions. In that sense, they rely more on social capital, i.e. informal migrant networks, and in that way they look for ways to transform their cultural capital into economic capital. On the other hand, scientific institutes and universities have a relatively high degree of academic engagement and cooperation at both the national and international levels. Therefore, they possess elements of the transnational social field, that is, they represent multiple intertwined networks of professional and social relations through which scientists have the opportunity to exchange, organise, and transform ideas, practices, and resources. Although these processes take place in an uneven way, especially in the transnational context, they provide an opportunity to develop co
本文的目的是为了更好地理解移民的跨国能力和文化资本,以及他们返回原籍国后的转移机制。文化资本的概念。本文以返回塞尔维亚的两组受过高等教育的回返者- -科学家和艺术家- -为例,分析了在原籍国和目的地国之间新的跨国背景下文化资本再生产的可能性,以及转变和创造新形式文化资本的过程。对许多答复者来说,返回塞尔维亚是一次跨国经历。这个过程是渐进的,尽管他们表示希望返回塞尔维亚生活和工作。在某些情况下,调查持续了数年,或者受访者的职业生涯同时出现在两个社区。在几个不同的社会中立足,使受访者能够开辟文化资本转型和升级的新的跨国领域。这极大地帮助他们更好地了解原籍社会和目的地社会在运作方面的差异,并开发创新的机会,以便在两个环境之间应用更好的沟通和/或转移知识和技能。新形式的文化资本帮助大量受访者意识到,了解新文化并改善与新文化的交流,为职业意义上的全球定位带来了新的品质和机会。它们还影响新的生活愿望和使命的形成,从而传播与更广泛的社区有关的新的文化习俗。研究结果表明,观察到的两组高技能回国人员在文化资本转移过程中获得体制支持的方式有所不同。艺术家,特别是那些在返回塞尔维亚后以自由职业者身份工作的艺术家,与科学研究人员和高等教育机构的教学人员相比,获得机构支持的机会要低得多。从这个意义上说,他们更多地依赖社会资本,即非正式的移民网络,并以这种方式寻找将其文化资本转化为经济资本的方法。另一方面,科研院所和大学在国内和国际层面的学术参与和合作程度相对较高。因此,它们具有跨国社会领域的要素,也就是说,它们代表了专业和社会关系的多个相互交织的网络,通过这些网络,科学家有机会交流、组织和转化思想、实践和资源。尽管这些过程以不平衡的方式发生,特别是在跨国背景下,但它们提供了一个机会,通过不同类型的能力的相互作用,发展世界性的跨国文化资本,这些能力可以转化为其他形式的资本。最后,应该指出的是,这一实证研究的结论是基于一个非代表性的样本,不能一概而论。
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引用次数: 0
Bringing social biography to life course studies: Agency and reflexivity in education-to-work transitions in young adults’ biographies 将社会传记带入人生历程研究:年轻人传记中从教育到工作过渡的能动性和反身性
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv2202009t
S. Tomanović
The paper is based on my longitudinal qualitative study, which takes a ?social biography approach? to exploring and interpreting biographical sequences in a person?s life course from early childhood to young adulthood. Against the background of a recent debate that argues for bringing ?life? back to life course research through the implementa?tion of qualitative data, the paper explores how life course studies could gain from taking a social biography approach to youth transitions. I focus on analysing education-to-work transitions within the biographies of a young woman and a young man from working-class families. The analysis shows that their education-to-work transitions were not based on linear trajectories, but their decision-making agency was path-dependent on their previous agency in differ?ent biographical contexts, and also linked to the lives of significant others. I argue that there is a heuristic benefit to including reflexivity within a study of the life course through the actors? interpretation of the impact of coun?try-specific ?opportunity structures? on their education and employment. Analysis of the two biographies has also revealed that the emotions and satisfaction displayed in the actors? reflections also had an impact on their agency in relation to education and work. After discussing the compatibility of the social biography approach with life course studies, I conclude that life course studies benefit from including a biographisation to the contextualisation of transition process.
本文以我的纵向定性研究为基础,采用社会传记的方法。去探索和解读一个人的生平?从幼儿期到青年期的人生历程。在最近一场争论的背景下,人们认为应该给孩子带来生命。通过实施回到生命历程研究?根据定性数据,本文探讨了生命历程研究如何从采取社会传记方法来研究青年转型中获益。我专注于分析来自工薪阶层家庭的一名年轻女性和一名年轻男性从教育到工作的转变。分析表明,他们的教育到工作的转变不是基于线性轨迹的,但他们的决策机构在不同程度上依赖于他们的前机构。在传记背景下,也与其他重要人物的生活有关。我认为将反身性包含在通过行动者进行的生命历程研究中有启发式的好处?如何解读本案的影响?尝试特定的机会结构?他们的教育和就业。对这两部传记的分析也揭示了演员所表现出的情感和满足感。反思也对他们在教育和工作方面的机构产生了影响。在讨论了社会传记方法与生命历程研究的兼容性之后,我得出结论,生命历程研究受益于将传记纳入过渡过程的语境化。
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引用次数: 0
Infertility and assisted reproductive technologies in Serbia 塞尔维亚的不孕和辅助生殖技术
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv220418002r
M. Rasevic, Katarina Sedlecky
Infertility is a significant challenge, both on individual and macro levels. The overall aim of this paper is to contribute to better understanding infertility in Serbia by analysing relevant policies and programmes, data on the epidemiology of infertility, health services, and research findings. The investigation is grounded in the action research methodology, which is built on a shared process of reflection between researchers and participants on selected data and documents. The legal framework reflects modern approaches to a number of challenges in this area. Since the end of 2006, the Republic Health Insurance Fund (RHIF) has been financing the National Infertility Treatment Program with biomedically assisted reproduction (BMAR) procedures. The data on the epidemiology of infertility is not sufficiently addressed in health statistics and representative research. The quality of infertility treatment in Serbia is on par with developed countries, but it doesn?t include the donation of reproductive cells and surrogacy. There is also a lack of research on various aspects of infertility in Serbia from the perspective of different scientific disciplines. It is also hard to understand why, despite considerable possibilities for individual solutions to the problem of infertility in Serbia, the share of children born from BMAR procedures is relatively low.
不孕症在个人和宏观层面上都是一个重大挑战。本文的总体目标是通过分析相关政策和方案、不孕症流行病学数据、卫生服务和研究结果,促进更好地了解塞尔维亚的不孕症。调查以行动研究方法为基础,该方法建立在研究人员和参与者对选定数据和文件进行共同反思的过程之上。法律框架反映了对这一领域的一些挑战采取的现代办法。自2006年底以来,共和国健康保险基金(RHIF)一直通过生物医学辅助生殖(BMAR)程序资助国家不孕症治疗方案。关于不孕症流行病学的数据在卫生统计和代表性研究中没有得到充分处理。塞尔维亚的不孕症治疗质量与发达国家相当,但事实并非如此。包括捐赠生殖细胞和代孕。从不同科学学科的角度对塞尔维亚不孕症的各个方面也缺乏研究。同样难以理解的是,尽管塞尔维亚的不孕症问题有很大的个别解决办法,但通过BMAR手术出生的儿童比例相对较低。
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引用次数: 1
Bioethical and social constructions of life extension and longevity 生命延长与长寿的生命伦理与社会建构
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv2202107m
Veselin Mitrovic
This paper explores life span extension and longevity as one aspect of life course, focusing on the bioethical and social implications of the rise of longevity in modern societies. We juxtaposed Potter?s categorisation of types of survival with the opposing views about life extension. This ethical and ideological contrast is especially pro?nounced when it comes to human enhancement, which improves human capacities and functioning above and beyond the statistical norm of human health. In the medi?um and long term, these interventions would change not only the human species, but also social roles and relation?ships. The crux of social and bioethical concern could be expressed through the questions: from what age do we start extending human life, and for whom? Does the exten?sion of life lead to the re-establishment of our social roles from youth, or is it just a romantic image of our previous life stage? This study concludes that both paternalistic approaches to life extension and those avoiding modern medical treatments of diseases related to aging are faced with similar epistemological and social reductionism.
本文探讨了寿命延长和长寿作为生命历程的一个方面,重点关注现代社会长寿的兴起所带来的生物伦理和社会影响。我们把波特?生存类型的分类与延长寿命的对立观点。这种道德和意识形态的对比尤其有利。当涉及到人类增强时,它提高了人类的能力和功能,超出了人类健康的统计标准。在媒体上?从长远来看,这些干预措施不仅会改变人类,还会改变社会角色和人际关系。社会和生物伦理问题的关键可以通过以下几个问题来表达:我们从什么年龄开始延长人类的寿命,为谁延长寿命?延长了吗?生活的变化导致了我们从年轻时开始的社会角色的重新确立,或者这只是我们之前生活阶段的一个浪漫的形象?本研究的结论是,无论是家长式的延长寿命方法,还是那些避免现代医学治疗与衰老有关的疾病的方法,都面临着类似的认识论和社会还原论。
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引用次数: 0
The effect of avoidable mortality on life expectancy in Serbia, 2010-2019 2010-2019年塞尔维亚可避免死亡率对预期寿命的影响
Q3 Social Sciences Pub Date : 2022-01-01 DOI: 10.2298/stnv220403001m
I. Marinković
Avoidable mortality is defined as death that could have been avoided by adequate and timely healthcare and public health and prevention measures. The method measures the efficiency of the health system by quantifying premature deaths (0-74) from certain causes. The analysis of avoidable mortality in Serbia, including both amenable and preventable mortality, covers the period from 2010 to 2019. The results for Serbia have shown that the contribution of specific mortality rates by age is mostly positive and that in the second decade of the 21st century, we can see a trend of increasing life expectancy (LE). The decomposition of life expectancy by age groups, sex, and cause of death showed that most positive contributions relate to the reduction of avoidable mortality (about 70%). Observed by gender, the reduction in avoidable mortality rates is higher in men, especially in middle-aged people, where gains in LE are over 80%. In women, the share of avoidable mortality by age in changes in LE is usually around 70%. Avoidable mortality rates in Serbia remain relatively high compared to the rest of Europe, but there is a positive shift. The fact that the probability of avoidable mortality in the male population at birth in Serbia is about 30% (18% for women) shows that there is much room for improvement. With the hypothetical elimination of avoidable mortality, the increase in LE in men could be 6.3 years, and in women 3.9. Amenable and preventable mortality rates are always higher in the male population, but the reduction in standardised values is more intense in men in Serbia. Standardised preventable mortality rates have been declining faster than standardised amenable mortality rates in Serbia. Since the male population is significantly more burdened with preventable causes of death, the possibility of reduction is higher. Diseases and conditions that can be amenable by adequate healthcare showed a steady decrease in mortality rates by sex in the observed period, while the main difference observed in avoidable mortality is the result of a greater shift in preventable mortality in men. The most significant positive trend in the reduction of avoidable mortality is in cardiovascular diseases and violent deaths. At the beginning of the observed period, cardiovascular diseases had a higher share than cancer, but 10 years later the situation changed, and cancer became the most significant cause of avoidable mortality in Serbia, with an increasing trend. Malignant neoplasm of the trachea, bronchi, and lungs is the most common disease that can be avoided, while ischemic heart disease is in second place. Data from the 10-year period (2010 to 2019) show that respiratory diseases, infectious and contagious diseases, and addiction have a clear growth trend, as does cancer. The most significant positive trend in the reduction of avoidable mortality is in cardiovascular diseases and violent death. Diseases that can be treat
可避免死亡率是指通过适当和及时的保健以及公共卫生和预防措施可以避免的死亡。该方法通过量化某些原因导致的过早死亡(0-74)来衡量卫生系统的效率。对塞尔维亚可避免死亡率(包括可避免死亡率和可预防死亡率)的分析涵盖2010年至2019年期间。塞尔维亚的结果表明,按年龄划分的具体死亡率的贡献大多是积极的,在21世纪的第二个十年,我们可以看到预期寿命(LE)增加的趋势。按年龄组、性别和死亡原因对预期寿命进行的分解表明,最积极的贡献与可避免死亡率的降低有关(约70%)。从性别来看,男性可避免死亡率的下降幅度较大,尤其是中年人,其死亡率增加了80%以上。在女性中,按年龄划分的可避免死亡率在LE变化中的比例通常在70%左右。与欧洲其他国家相比,塞尔维亚可避免的死亡率仍然相对较高,但也出现了积极的转变。塞尔维亚男性出生时可避免的死亡率约为30%(女性为18%),这一事实表明还有很大的改进空间。假设消除了可避免的死亡率,男性的寿命增加6.3年,女性的寿命增加3.9年。男性人口中可控制的和可预防的死亡率总是较高,但塞尔维亚男性的标准化数值下降幅度更大。在塞尔维亚,标准化的可预防死亡率比标准化的可控制死亡率下降得更快。由于男性人口承受的可预防死亡原因负担更重,因此减少死亡的可能性更高。在观察期间,可通过适当保健加以治疗的疾病和病症按性别分列的死亡率稳步下降,而在可避免死亡率方面观察到的主要差异是由于男性可预防死亡率发生了更大的变化。在减少可避免死亡率方面,最显著的积极趋势是心血管疾病和暴力死亡。在观察期开始时,心血管疾病的比例高于癌症,但10年后情况发生了变化,癌症成为塞尔维亚可避免死亡的最重要原因,并呈上升趋势。气管、支气管和肺部的恶性肿瘤是可以避免的最常见的疾病,其次是缺血性心脏病。从10年(2010年至2019年)的数据来看,呼吸系统疾病、传染病和成瘾有明显的增长趋势,癌症也是如此。在减少可避免死亡率方面,最显著的积极趋势是心血管疾病和暴力死亡。在塞尔维亚,可以通过改变生活方式和定期检查来治疗和预防的疾病可以大大延长预期寿命。投资于医疗保健系统会得到很多倍的回报,因为从长远来看,治疗个人的成本会降低,而且这个人多年来身体健康,可能会对社区做出更大的贡献。
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