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Seasonal Mortality and its Impact on Spatial Inequality in Life Expectancy Across Italy. 意大利季节性死亡率及其对预期寿命空间不平等的影响。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-10-30 DOI: 10.1007/s10680-025-09753-7
Isabella Marinetti, Dmitri A Jdanov, Domantas Jasilionis, Marília Nepomuceno, Vladimir Shkolnikov, Fanny Janssen

Seasonal mortality fluctuations significantly affect national life expectancy, yet their role in regional inequalities remains underexplored. Understanding this is crucial for targeted health policies aimed at reducing spatial mortality differences. We quantify the impact of seasonal excess mortality on regional life expectancy levels (e0) and inequalities in Italy. Using monthly mortality data from the Italian National Statistical Institute by region (N = 20), sex and age between 2005 and 2019, we assessed e0 losses due to seasonality by using the general approach of comparing observed e0 with minimum achievable levels. Seasonal effects on inequalities in e0 were quantified by comparing standard deviations with and without excess seasonal mortality. We then analysed regional contributions using decomposition analysis. Seasonal excess mortality led to an average loss in e0 of 1.4 years (1.36-1.70) across Italian regions. This effect was most pronounced in southern and insular regions (Campania and Sicilia), especially for winter-related excess mortality. Our analysis showed that spatial inequality in e0 would have been reduced on average by 11.2% by eliminating excess seasonal mortality, mostly due to excess winter mortality (-7.5%). However, during the years with high mortality burdens (2005 and 2015), seasonality contributed to spatial mortality inequality by 10% and 5.2%, respectively. The regional contributions to e0 inequality revealed that Campania and Sicilia also had the strongest role in increasing spatial mortality variation throughout the period. The pronounced regional inequalities in e0 losses due to seasonal excess mortality contributed significantly to shaping regional e0 variation in Italy, mostly due to different impacts of winter mortality within the country.

季节性死亡率波动严重影响国民预期寿命,但其在区域不平等中的作用仍未得到充分探讨。了解这一点对于旨在减少空间死亡率差异的有针对性的卫生政策至关重要。我们量化了季节性超额死亡率对意大利地区预期寿命水平(e0)和不平等的影响。利用意大利国家统计局2005年至2019年间按地区(N = 20)、性别和年龄分列的月度死亡率数据,我们采用将观察到的e0与最低可达到水平进行比较的一般方法,评估了季节性造成的e0损失。通过比较有和没有过量季节性死亡率的标准偏差,量化了季节性对e0不平等的影响。然后,我们使用分解分析分析了区域贡献。季节性死亡率过高导致意大利各地区平均寿命减少1.4岁(1.36-1.70岁)。这种影响在南部和岛屿地区(坎帕尼亚和西西里)最为明显,特别是与冬季有关的死亡率过高。我们的分析表明,如果消除主要由冬季死亡率(-7.5%)造成的超额季节性死亡率,2010年的空间不平等将平均降低11.2%。然而,在死亡率负担高的年份(2005年和2015年),季节性因素对空间死亡率不平等的贡献率分别为10%和5.2%。区域对e0不平等的贡献表明,坎帕尼亚和西西里在整个时期内对增加空间死亡率变化的作用也最大。由于季节性死亡率过高造成的e0损失的明显区域不平等,在很大程度上促成了意大利区域e0差异的形成,这主要是由于国内冬季死亡率的不同影响。
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引用次数: 0
Partner's Education and Mortality in Finland: A Study of Married and Cohabiting Unions Among Cohorts Born Between 1932 and 1970. 芬兰伴侣的受教育程度和死亡率:一项对1932年至1970年间出生的已婚和同居人群的研究。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-10-27 DOI: 10.1007/s10680-025-09752-8
Cecilia Potente, Lydia Palumbo, Marika Jalovaara

The consequences of educational expansion and changes in couples' educational distribution on mortality risk remain understudied. Using Finnish full population register data, this study examines the extent to which the education of both partners in married and cohabiting couples born between 1932 and 1970 is related to mortality risk. The results of Gompertz survival models show that a "resource multiplication mechanism" tends to prevail among these couples. Specifically, homogamous highly educated couples tend to have the highest survival advantage, low-educated couples have the greatest mortality risk, and heterogamous couples fall in between. One exception is women born in 1932-1950, who present a "resource substitution mechanism." Women in couples in which one of the partners has a low level of education have similar survival probabilities to those in highly educated couples, meaning that men's education could fully compensate for women's lack of education. However, among women born between 1951 and 1970, these differences grow to resemble those observed in men, although they remain less pronounced. Furthermore, mortality has risen over time among low-educated couples, particularly cohabiters, while highly educated married couples have experienced significant mortality declines. Overall, cohabiters and low-educated men partnered with low-educated women emerge as the most vulnerable groups.

教育扩张和夫妻教育分布变化对死亡风险的影响仍未得到充分研究。本研究使用芬兰完整的人口登记数据,研究了1932年至1970年间出生的已婚和同居夫妇双方的教育程度与死亡风险的关系。Gompertz生存模型的结果表明,“资源倍增机制”倾向于在这些夫妇中占上风。具体来说,同性婚姻的高学历夫妇往往有最高的生存优势,低学历夫妇有最大的死亡风险,而异性婚姻的夫妇介于两者之间。一个例外是1932-1950年出生的女性,她们表现出“资源替代机制”。夫妻中一方受教育程度较低的女性与受教育程度较高的女性的生存概率相似,这意味着男性受教育程度可以完全弥补女性受教育程度的不足。然而,在1951年至1970年之间出生的女性中,这些差异越来越类似于在男性中观察到的差异,尽管它们仍然不那么明显。此外,随着时间的推移,受教育程度较低的夫妇,特别是同居者的死亡率有所上升,而受教育程度较高的已婚夫妇的死亡率则大幅下降。总体而言,同居者和受教育程度低的男性与受教育程度低的女性一起成为最脆弱的群体。
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引用次数: 0
Multi-Morbidity at Death and the US Disadvantage in Mortality. 死亡的多重发病率和美国在死亡率上的劣势。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-10-23 DOI: 10.1007/s10680-025-09749-3
Magali Barbieri, Aline Désesquelles, Viviana Egidi, Luisa Frova, Francesco Grippo, France Meslé, Marilena Pappagallo, Sergi Trias-Llimós

The US experiences significant excess mortality compared to peer countries. The literature indicates that a similar disadvantage affects morbidity and, more generally, the prevalence of risk factors for major diseases within the US population. In this study, we assess the impact of multi-morbidity at death on the mortality gap between the US and three other high-income countries with comparable data, namely France, Italy, and Spain. The study relies on an analysis of the multiple cause-of-death information available on all death certificates for 2017, used to classify morbid processes leading to death into three categories: simple, multi-morbid, and ill-defined. The results show disproportionately high rates of multi-morbid processes in the US compared with the other three countries. Multi-morbid processes contribute 51% of the US gap in life expectancy at birth with Italy, 73% with Spain, and 75% with France, with a particular concentration at ages 20-85 years. The prevalence of multi-morbid processes in the US is consistent with the hypothesis that multiple factors, rather than a single culprit, are at play in the disadvantage in mortality and it could explain, at least in part, the extraordinarily high cost of health care in this country.

与其他国家相比,美国的死亡率明显偏高。文献表明,类似的劣势影响发病率,更普遍地说,影响美国人口中主要疾病风险因素的流行。在这项研究中,我们评估了死亡时多重发病对美国和其他三个高收入国家(法国、意大利和西班牙)死亡率差距的影响。该研究依赖于对2017年所有死亡证明上提供的多种死因信息的分析,用于将导致死亡的病态过程分为三类:简单、多病态和不明确。结果显示,与其他三个国家相比,美国的多病过程发病率高得不成比例。美国与意大利、西班牙和法国在出生时预期寿命方面的差距分别为51%、73%和75%,其中20-85岁尤为突出。多病过程在美国的盛行与一种假设是一致的,即多种因素,而不是单一的罪魁祸首,在死亡率的劣势中起作用,这可以解释,至少部分地解释,这个国家的医疗保健成本异常高。
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引用次数: 0
Silver Splits and Parent-Child Disconnectedness: Mental Health Consequences for European Older Adults. 银色分裂和亲子分离:欧洲老年人的心理健康后果。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-10-14 DOI: 10.1007/s10680-025-09751-9
Lisa Jessee, Deborah Carr

Rising rates of "silver splits" in Europe resemble increases in gray divorce in the U.S. Partnership dissolutions may harm older adults' mental health, especially for 'disconnected' parents who do not receive support from their children. However, researchers have relied primarily on multilevel modeling, neglecting unobserved characteristics that may select an individual into both divorce and parent-child disconnectedness. This brief report addresses this research gap by estimating fixed-effects linear regression models that control for time-invariant confounders. We used data from the Survey of Health, Ageing and Retirement in Europe (SHARE; 2004-2022, N = 2216 observations, 546 silver splits) to document changes in depressive symptoms pre- and post-dissolution and evaluate whether these patterns are moderated by parent-child disconnectedness. Consistent with previous research, we find that depressive symptoms increase steeply in the year of dissolution and remain high four years post-dissolution for parents who are disconnected from their adult child(ren). However, individuals who maintain a relationship with all their child(ren) show stable levels of depressive symptoms throughout the dissolution process, challenging the assumption that dissolution is uniformly distressing. Our results reveal that depressive symptoms trajectories during the period preceding and following a major life event differ across sociorelational contexts. Social programs and supports for divorced older adults should recognize this heterogeneity rather than assuming uniformly negative mental health outcomes.

欧洲“银发离婚”比例的上升与美国“灰发离婚”比例的上升类似。同居关系的解除可能会损害老年人的心理健康,尤其是对那些得不到子女支持的“疏远”父母而言。然而,研究人员主要依赖于多层模型,忽略了可能选择一个人进入离婚和亲子分离的未观察到的特征。这篇简短的报告通过估计控制时不变混杂因素的固定效应线性回归模型来解决这一研究缺口。我们使用来自欧洲健康、老龄化和退休调查(SHARE; 2004-2022, N = 2216观察,546银分裂)的数据来记录离婚前后抑郁症状的变化,并评估这些模式是否被亲子分离所缓和。与先前的研究一致,我们发现,在离婚的那一年,抑郁症状急剧增加,并且在离婚后的四年里,与成年子女(ren)分离的父母的抑郁症状仍然很高。然而,与所有子女(ren)保持关系的个体在整个解散过程中表现出稳定的抑郁症状水平,挑战了解散总是令人痛苦的假设。我们的研究结果表明,在重大生活事件前后的抑郁症状轨迹在不同的社会关系背景下是不同的。对离异老年人的社会项目和支持应该认识到这种异质性,而不是假设一致的负面心理健康结果。
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引用次数: 0
Origin, Generation, and Destination Country Context: Employment Changes and Childbearing Among Female Immigrants and Their Descendants in the UK, France, and Germany. 来源、世代和目的国背景:英国、法国和德国女性移民及其后代的就业变化和生育。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-10-13 DOI: 10.1007/s10680-025-09750-w
Júlia Mikolai, Hill Kulu, Isaure Delaporte, Chia Liu

This study investigates the link between childbearing and employment changes of female immigrants and their descendants in three European countries: the UK, France, and Germany. Although childbearing significantly influences female labour force participation, the interrelationship between fertility and employment changes among migrant populations is poorly understood. We use event history models to study employment entry and exit by migration background and parity. Mothers are less likely to enter and more likely to exit employment than childless women among native women, immigrants, and their descendants. The largest differences in employment entry and exit are observed between migrant origin groups and generations, and between destination countries. European and Western immigrants are more likely to (re-)enter and less likely to exit employment than those from non-European countries. The descendants of immigrants have higher employment levels than immigrants and the differences compared to natives are smaller, but they persist, particularly among those of non-European descent. We also observe some differences across countries: mothers are the most likely to exit employment in Germany and the least likely in France. Our study highlights the importance of work-family reconciliation and immigration policies for reducing labour market disadvantage among mothers overall and particularly among immigrants and their descendants.

本研究调查了英国、法国和德国三个欧洲国家女性移民及其后代生育与就业变化之间的关系。虽然生育对女性劳动力参与率有重大影响,但对移徙人口中生育率与就业变化之间的相互关系了解甚少。我们使用事件历史模型来研究移民背景和平价的就业进入和退出。在本地妇女、移民及其后代中,母亲就业的可能性比没有子女的妇女要小,而退出就业的可能性要大。在就业入境和出境方面,移民原籍群体和世代之间以及目的地国之间存在最大差异。与来自非欧洲国家的移民相比,欧洲和西方移民更有可能(重新)进入美国,而退出就业的可能性更小。移民后裔的就业水平高于移民,与本地人相比差异较小,但这种差异仍然存在,尤其是在非欧洲血统的人中。我们还观察到各国之间的一些差异:德国的母亲最可能辞职,法国的母亲最不可能辞职。我们的研究强调了工作-家庭和解和移民政策对于减少母亲在劳动力市场上的劣势的重要性,特别是在移民及其后代中。
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引用次数: 0
Non-cohabiting Partners' Economic Characteristics and the Transition to Living Together in Germany: A Couple-Level Perspective. 德国非同居伴侣的经济特征和向共同生活的转变:一个夫妻层面的视角。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-10-08 DOI: 10.1007/s10680-025-09740-y
Valeria Ferraretto, Nicole Hiekel, Agnese Vitali

Living together marks an important step in the progression of intimate partner relationships. While existing literature highlights the relevance of both partners' economic characteristics for union formation, it remains unclear whether both partners' economic characteristics are equally linked to the transition to co-residence, whether one partner's traits matter more, and how this varies by gender. We address these gaps by examining how the economic characteristics of women and men in non-residential relationships relate to their transition to co-residence. Using 13 waves (2008-2021) of the German Family Panel pairfam and Cox proportional hazards model, we analyse 7165 non-residential relationships, capturing dyadic data on partners' employment status, contract type, and income. Our findings show that economic factors significantly influence the likelihood of moving in together. Couples with two employed partners are most likely to move in together, while gender plays a role when only one partner works-this transition being more likely when the man is employed. Among employed individuals, higher income increases the probability of moving in together for both men and women. Additionally, temporary employment raises the likelihood of starting a co-residence exclusively for women. Overall, results suggest that men's employment status plays a pivotal role in this transition and that union formation is socially stratified among young adults, reinforcing gender inequalities in partnership dynamics.

共同生活标志着亲密伴侣关系发展的重要一步。虽然现有文献强调了伴侣双方的经济特征与婚姻形成的相关性,但尚不清楚伴侣双方的经济特征是否与共同居住的过渡同样相关,伴侣一方的特征是否更重要,以及性别之间的差异。我们通过研究非住宅关系中女性和男性的经济特征与他们向共同居住的过渡之间的关系来解决这些差距。利用德国家庭面板的13个波(2008-2021)和Cox比例风险模型,我们分析了7165个非住宅关系,获取了关于伴侣就业状况、合同类型和收入的二元数据。我们的研究结果表明,经济因素对同居的可能性有显著影响。夫妻双方都有工作的夫妇最有可能搬到一起住,而当只有一方工作时,性别会起作用——这种转变在男性有工作的情况下更有可能发生。在有工作的人中,高收入增加了男女同居的可能性。此外,临时就业增加了专门为女性开设共同住所的可能性。总体而言,研究结果表明,男性的就业地位在这一转变中起着关键作用,在年轻人中,工会的形成是社会分层的,这加剧了伙伴关系动态中的性别不平等。
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引用次数: 0
Quantifying the Role of Self-Declared Obstacles to Unachieved Fertility: Proposing A New Method. 量化自我宣称的障碍对未实现生育的作用:提出一种新方法。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-09-24 DOI: 10.1007/s10680-025-09747-5
Qi Cui, Diederik Boertien, Albert Esteve

The discrepancies between desired and actual fertility rates are one of the key topics in fertility studies. This paper aims to explore the fertility gap-the difference between desired fertility size and actual fertility outcomes, and how this gap can be decomposed according to the importance of various perceived barriers to fertility. This article introduces an innovative approach to quantify the impact of removing obstacles that individuals report prevent them from having a child (or another child) on the total fertility rate ( TFR ). On the one hand, this method offers an alternative perspective on the relationship between the desired number of children and observed fertility outcomes. Unlike conventional analyses that begin with the differences between desired and actual fertility levels, this approach considers that the sum of the fertility gap-defined by the reported reasons that hinder individuals from having children-and the observed fertility level represents the obstacle-removed TFR . On the other hand, this method provides a cause-deleted analysis for fertility, addressing a gap in formal demographic analysis which has historically focussed on mortality research. Although this approach introduces some assumptions, the results offer insights into the relative importance of reported obstacles to fertility.

期望生育率与实际生育率之间的差异是生育研究的关键问题之一。本文旨在探讨生育差距-期望生育规模与实际生育结果之间的差异,以及如何根据各种感知到的生育障碍的重要性来分解这种差距。本文介绍了一种创新的方法来量化消除个人报告阻止他们生育一个孩子(或另一个孩子)的障碍对总生育率(TFR)的影响。一方面,这种方法提供了另一种观点来看待期望的子女数量和观察到的生育结果之间的关系。与传统的从期望和实际生育水平之间的差异开始的分析不同,这种方法考虑了生育差距(由报告的阻碍个人生育的原因定义)和观察到的生育水平的总和,代表了消除障碍的总生育率。另一方面,这种方法为生育率提供了一种剔除原因的分析,解决了历史上侧重于死亡率研究的正式人口分析中的一个空白。尽管这种方法引入了一些假设,但结果提供了对所报道的生育障碍的相对重要性的见解。
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引用次数: 0
The Prospective Power of Personality Factors for Family Formation and Dissolution Processes Among Males: Evidence from Swedish Register Data. 男性家庭形成和解体过程中人格因素的前瞻性力量:来自瑞典登记数据的证据。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-09-16 DOI: 10.1007/s10680-025-09748-4
Steffen Peters

Personality has increasingly become relevant for family formation processes. However, the association between personality and family formation (dissolution) has been underexplored in demographic research. This study contributes to existing research by examining the prospective association between two personality factors [social maturity (SM), and emotional stability (ES)] and family formation and dissolution processes, i.e., (1) marital status, (2) fertility, and (3) partnership dissolution as both (a) divorce and (b) cohabitation dissolution, based on large Swedish register data. Poisson regression, Linear Probability, and Cox proportional hazard models were applied for different outcomes. Findings suggest that males with high scores on SM and ES measured at age of assignment to military service (17-20 years) are more likely to get married by age 39 and above. Regarding fertility, SM and ES show positive associations with offspring counts and negative associations with the probability of remaining childless by age 39 and above. Relationship dissolution is negatively linked with SM and ES, in particular among the lowest personality scores. Further analyses using sibling comparisons support these findings.

个性与家庭形成过程的关系日益密切。然而,人格与家庭形成(解体)之间的关系在人口统计学研究中尚未得到充分的探讨。本研究基于瑞典大量登记数据,通过考察两个人格因素[社会成熟度(SM)和情绪稳定性(ES)]与家庭形成和解散过程(即:(1)婚姻状况,(2)生育能力,(3)伴侣关系解散(a)离婚和(b)同居关系解散)之间的前瞻性关联,为现有研究做出了贡献。泊松回归、线性概率和Cox比例风险模型用于不同的结果。研究结果表明,在服兵役年龄(17-20岁)测量的SM和ES得分高的男性更有可能在39岁及以上结婚。在生育方面,SM和ES与后代数量呈正相关,与39岁及以上的无子女概率呈负相关。关系破裂与SM和ES呈负相关,尤其是在人格得分最低的人群中。进一步的兄弟姐妹比较分析支持了这些发现。
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引用次数: 0
Women's Domestic Burden and Gendered Fertility Intentions in Italy: The Role of Parity and Child's Sex. 意大利妇女的家庭负担和性别生育意愿:均等和儿童性别的作用。
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-08-27 DOI: 10.1007/s10680-025-09743-9
Thaís García-Pereiro, Letizia Mencarini, Raffaella Patimo, Maria Letizia Tanturri

In Italy, the unequal distribution of household chores persists, disproportionately affecting women and potentially discouraging fertility intentions. This study explores the relationship between women's domestic burden and reproductive intentions, and how this relationship varies between men and women, depending on the parity achieved and the sex of the child (or children) they already had. The paper relies on data from 2016 ISTAT Survey on Families and Social Subjects. The results find this association only for women (and not for men), and particularly for those working and residing in the Centre-North. Interestingly, unlike previous findings, as the childless women's domestic burden grows, it correlates negatively with their intention to enter motherhood. For mothers, the correlation is somewhat reversed: notably, among mothers with one child, there's a discernible trend where fertility intentions positively align with increasing household burdens, driven by mothers of one daughter. This suggests a potential preference among traditional mothers of a daughter for having another child, while the more egalitarian, i.e., less burdened ones, seem content with the current family size after having a daughter.

在意大利,家务的不平等分配仍然存在,对妇女的影响不成比例,并可能降低生育意愿。本研究探讨了妇女的家庭负担与生育意愿之间的关系,以及这种关系在男女之间的差异,这取决于所实现的平等和他们已经拥有的孩子的性别。该论文基于2016年ISTAT家庭和社会主题调查的数据。研究结果发现,这种联系仅适用于女性(而不适用于男性),尤其是那些在中北部工作和居住的人。有趣的是,与之前的研究结果不同,随着无子女妇女家庭负担的增加,家庭负担与她们成为母亲的意愿呈负相关。对于母亲来说,这种相关性在某种程度上是相反的:值得注意的是,在有一个孩子的母亲中,有一种明显的趋势,即生育意愿与家庭负担的增加呈正相关,这是由一个女儿的母亲推动的。这表明有女儿的传统母亲可能更倾向于再要一个孩子,而更平等的母亲,即负担较少的母亲,在有了女儿后似乎对目前的家庭规模感到满意。
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引用次数: 0
Spatial Trends in Mortality Convergence: The Cases of France, Italy, and Spain, 1975-2019. 死亡率趋同的空间趋势:1975-2019年法国、意大利和西班牙的案例
IF 2.6 2区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-08-13 DOI: 10.1007/s10680-025-09745-7
Jacob Martin, Carlo Giovanni Camarda, Timothy Riffe

Spatial differences in mortality are a significant source of inequality in low-mortality countries and are important for public health, regional planning, and subnational population forecasts. Long-term trends in geographic mortality inequalities remain poorly understood, especially from a comparative perspective. In this study, we examine trends in subnational mortality differences in France, Italy, and Spain from 1975 to 2019. We study whether life expectancy has converged or diverged between geographic areas, assess how the geographic mortality gradient has changed, and document age-specific differences. We find convergence in life expectancy in all three countries, although the path of convergence varies between countries and sexes. We find concerning evidence of diverging mortality at younger ages in all three countries. Our results show that even in similar national contexts, very different subnational trajectories in mortality inequalities can occur.

死亡率的空间差异是低死亡率国家不平等的一个重要来源,对公共卫生、区域规划和次国家人口预测具有重要意义。地理死亡率不平等的长期趋势仍然知之甚少,特别是从比较的角度来看。在这项研究中,我们研究了1975年至2019年法国、意大利和西班牙地方死亡率差异的趋势。我们研究了不同地理区域的预期寿命是趋同还是分化,评估了地理死亡率梯度是如何变化的,并记录了特定年龄的差异。我们发现这三个国家的预期寿命趋同,尽管趋同的路径因国家和性别而异。我们发现令人担忧的证据表明,在这三个国家中,年轻人的死亡率存在差异。我们的研究结果表明,即使在相似的国家背景下,也可能出现非常不同的次国家死亡率不平等轨迹。
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引用次数: 0
期刊
European Journal of Population-Revue Europeenne De Demographie
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