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收入与健康:两者关系的本质是什么?

Income and health: what is the nature of the relationship?

作者信息

Ecob R, Smith G D

机构信息

MRC Medical Sociology Unit, Glasgow, UK.

出版信息

Soc Sci Med. 1999 Mar;48(5):693-705. doi: 10.1016/s0277-9536(98)00385-2.

Abstract

The aim of this article is to examine the relationship between income and morbidity, both before and after controlling for other socio-economic variables. We use data from the Health and Lifestyle Survey (first wave), a national sample survey of adults, aged 18 upwards, in England, Wales and Scotland, conducted in 1984-1985. In total, 9003 interviews were achieved. We examine the shape of the relationship between household equivalised income and height, waist-hip ratio, respiratory function (FEV1), malaise, limiting longterm illness. These indices of morbidity, both self-reported and measured, are approximately linearly related to the logarithm of income, in all except very high and low incomes (this means that increasing income is associated with better health, but that there are diminishing returns at higher levels of income). A doubling of income is associated with a similar effect on health, regardless of the point at which this occurs, providing this is within the central portion (10-90%) of the income distribution. The effect of income on the health measures is comparable to that of the other socio-economic variables in combination. The shape of the relationship found between income and health is compatible with worse health in countries with greater income inequality, without the need to postulate any direct effect of income inequality itself.

摘要

本文旨在研究在控制其他社会经济变量之前和之后,收入与发病率之间的关系。我们使用了健康与生活方式调查(第一波)的数据,该调查是对1984 - 1985年在英格兰、威尔士和苏格兰进行的18岁及以上成年人的全国抽样调查。总共完成了9003次访谈。我们研究了家庭等效收入与身高、腰臀比、呼吸功能(第一秒用力呼气量)、不适、长期限制性生活的疾病之间关系的形态。这些发病率指标,无论是自我报告的还是测量的,除了在非常高和非常低的收入水平外,都与收入的对数大致呈线性关系(这意味着收入增加与健康状况改善相关,但在较高收入水平上收益递减)。收入翻倍对健康的影响相似,无论这种情况发生在收入分布的哪个点,只要这处于收入分布的中间部分(10 - 90%)。收入对健康指标的影响与其他社会经济变量综合起来的影响相当。在收入与健康之间发现的这种关系形态与收入不平等程度较高的国家中较差的健康状况相符,而无需假定收入不平等本身有任何直接影响。

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