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英国健康状况的迁移与地理不平等

Migration and geographical inequalities in health in Britain.

作者信息

Brimblecombe N, Dorling D, Shaw M

机构信息

The Maternity Alliance, London, UK.

出版信息

Soc Sci Med. 2000 Mar;50(6):861-78. doi: 10.1016/s0277-9536(99)00371-8.

DOI:10.1016/s0277-9536(99)00371-8
PMID:10695983
Abstract

This paper explores the role of migration in creating geographical inequalities in mortality at the district level in Britain for the British Household Panel Study sample--a representative sample of 10264 British residents born after 1890 and enumerated in 1991. Analysis of the mortality rates of migrants showed that male migration accounts for nearly all the differences in mortality rates between districts. The BHPS was then utilised to look at the lifetime socio-economic characteristics of these migrants and to compare men and women. It was found that the health of both men and women moving from high mortality districts to low mortality districts could be explained by advantage over their lifetimes. The small proportion of men and women moving from low mortality districts to high mortality districts represent a very mixed group and their contribution, whilst small, is intriguing, as is the very different mortality rates of men and women in this group.

摘要

本文针对英国家庭追踪调查样本,探讨了移民在英国地区层面造成死亡率地理不平等方面所起的作用。该样本是对1890年以后出生且在1991年进行人口普查的10264名英国居民的代表性抽样。对移民死亡率的分析表明,男性移民几乎造成了各地区死亡率的所有差异。随后利用英国家庭追踪调查来研究这些移民一生的社会经济特征,并对男性和女性进行比较。研究发现,从高死亡率地区迁移到低死亡率地区的男性和女性的健康状况可以用他们一生中的优势来解释。从低死亡率地区迁移到高死亡率地区的男性和女性比例很小,他们构成了一个非常混杂的群体,他们的贡献虽然不大,但很有趣,该群体中男性和女性截然不同的死亡率也是如此。

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