Broese van Groenou M I, Deeg D J
Afdeling Sociologie en Sociale Gerontologie, Faculteit der Sociaal-Culturele Wetenschappen, Vrije Universiteít, Amsterdam.
Tijdschr Gerontol Geriatr. 2000 Oct;31(5):219-28.
This article describes to what degree socio-economic differences exist among community living older men and women, and to what degree these differences are to be explained by health, behaviour, childhood and psychosocial conditions. The data are available from 1427 men and 1503 women (aged 55-85), participating in the Longitudinal Aging Study Amsterdam (LASA) in 1992/1993. As indicators of socio-economic status (ses) we used the highest level of education and net monthly income. Age-adjusted mortality risks for men and women with low income and for men with a low level of education are about 1.5 times as high as for to the persons with high income and educational level. Among men, but not among women, the difference in mortality risk between low and high status persons remains after adjustment for age, health status, and several risk factors. Differences in lifestyle, parental ses and psychosocial characteristics explain little to nothing of the age-adjusted ses-differentiation in mortality. It is concluded that ses-inequalities in mortality are present among Dutch men and, to a lesser extent among women, until high age, and are partly explained by the relatively large health problems of the lower status group.
本文描述了社区居住的老年男性和女性之间社会经济差异的程度，以及这些差异在多大程度上可由健康、行为、童年和心理社会状况来解释。数据来自1992/1993年参与阿姆斯特丹纵向衰老研究（LASA）的1427名男性和1503名女性（年龄在55 - 85岁之间）。作为社会经济地位（SES）的指标，我们使用了最高教育水平和月净收入。低收入男性和女性以及低教育水平男性的年龄调整后死亡风险约为高收入和高教育水平者的1.5倍。在男性中，而非女性中，在对年龄、健康状况和若干风险因素进行调整后，低地位和高地位人群之间的死亡风险差异仍然存在。生活方式、父母的SES和心理社会特征差异对年龄调整后的死亡率SES分化几乎没有解释作用。研究得出结论，荷兰男性直至高龄都存在死亡率方面的SES不平等，女性中这种不平等程度较轻，部分原因是低地位群体相对较大的健康问题。
