Haynes R, Gale S
School of Environmental Sciences, University of East Anglia, Norwich, UK.
Health Place. 1999 Dec;5(4):301-12. doi: 10.1016/s1353-8292(99)00020-9.
The relationships between mortality, limiting long-term illness and indicators of social deprivation were investigated using regression analysis on data for rural wards, metropolitan wards and the remaining wards in England and Wales. Regional differences were controlled. In rural wards, people had better health than average and slightly better health than would be expected from their deprivation scores. Average levels of health in rural areas were only weakly related to deprivation, which was partly but not fully due to the restricted range of average deprivation values in rural wards. In metropolitan areas, relatively poor levels of health were largely explained by social deprivation, but people in Inner London were healthier than might be expected from measures of deprivation. The relationship between health and social deprivation is therefore not uniform over England and Wales, but varies between geographical types of area. One consequence is that resource allocation on the basis of social deprivation would put the populations of rural areas and Inner London at an advantage.
利用对英格兰和威尔士农村选区、大都市选区及其他选区数据的回归分析，研究了死亡率、长期限制性疾病与社会剥夺指标之间的关系。对地区差异进行了控制。在农村选区，人们的健康状况优于平均水平，且比根据其剥夺分数预期的健康状况略好。农村地区的平均健康水平与剥夺程度的关联较弱，部分原因是农村选区平均剥夺值范围有限，但并非完全如此。在大都市地区，相对较差的健康水平在很大程度上可由社会剥夺来解释，但伦敦市中心的居民比根据剥夺指标预期的更健康。因此，健康与社会剥夺之间的关系在英格兰和威尔士并非统一，而是因地区地理类型而异。一个后果是，基于社会剥夺进行资源分配会使农村地区和伦敦市中心的人口处于优势。
