Fernández E, Schiaffino A, Rajmil L, Borrell C, García M, Segura A
Institut Universitari de Salut Pública de Catalunya, L'Hospitalet de Llobregat, Barcelona.
Aten Primaria. 2000 May 15;25(8):560-2. doi: 10.1016/s0212-6567(00)78568-4.
To study social inequalities in health in Catalonia.
Cross-sectional survey of a representative sample of the population of Catalonia, Spain (Catalan Health Interview Survey, 1994).
Responses from 5641 males and 6604 women aged 15 years or over were included for analysis.
We analysed the information about self-perceived health, restriction of activity, and presence of chronic conditions according to social class by means of logistic regression models. The proportion of subjects that rated their health as fair or poor was higher in social classes IV-V than in classes I-II (men: 25.0% vs. 14.5%; OR, 1.8, 95% CI, 1.5-2.3; women: 34.4% vs. 21.5%; OR, 1.7, 95% CI, 1.4-2.1). There were differences by social class in respect to restriction of activity and presence of chronic conditions.
Despite the decrease of social inequalities in accesibility and use of health services due to the universalisation of health coverage, differences by social class remain in the perception of health status. These inequalities should be addressed by the health system within the framework of broad public and social policies.
研究加泰罗尼亚地区的健康方面的社会不平等现象。
对西班牙加泰罗尼亚地区具有代表性的人群样本进行横断面调查（1994年加泰罗尼亚健康访谈调查）。
纳入了5641名15岁及以上男性和6604名15岁及以上女性的回复进行分析。
我们通过逻辑回归模型，根据社会阶层分析了有关自我感知健康、活动受限和慢性病状况的信息。社会阶层IV - V中认为自己健康状况为一般或较差的受试者比例高于社会阶层I - II（男性：25.0% 对 14.5%；比值比，1.8，95%置信区间，1.5 - 2.3；女性：34.4% 对 21.5%；比值比，1.7，95%置信区间，1.4 - 2.1）。在活动受限和慢性病状况方面存在社会阶层差异。
尽管由于健康覆盖的普及，在获得和使用卫生服务方面的社会不平等有所减少，但在健康状况的认知方面社会阶层差异仍然存在。卫生系统应在广泛的公共和社会政策框架内解决这些不平等问题。
