Martín Santos F J, March Cerdá J C
Distrito Sanitario Málaga-Puerto, Granada.
Gac Sanit. 1992 Sep-Oct;6(32):198-206. doi: 10.1016/s0213-9111(92)71113-3.
Social inequalities and health inequalities are closely related, and their reduction is the goal of international organizations and governments as well. In order to better understand the territorial distribution of social inequalities in the city of Málaga (Spain) and compare them with measured health differences, a descriptive study was done using different sources of information. Using the city's neighbourhoods as the unit of analysis, a cluster analysis was carried out based on a set of demographic, socioeconomic and standard of living indicators. This led to the configuration of six social areas within the city. In these areas, as defined by socially homogeneous criteria, diverse health indicators have been measured, leading the verification of important health differences among them. For example, clear differences in mortality rates between Area IV (socioeconomically deprived) and Area III (with a higher standard of living) are observed: the ratio between their respective "years of potential life lost" was 1.79, and between standardized mortality rates, 1.42. A similar disadvantage in low birth weight was confirmed notably so in adolescent pregnancies (five times higher). In conclusion, those areas of the city with a lower socio-economic status also had the lowest health levels.
社会不平等与健康不平等密切相关,减少这两者也是国际组织和各国政府的目标。为了更好地了解西班牙马拉加市社会不平等的地域分布,并将其与所测得的健康差异进行比较,我们利用不同信息来源开展了一项描述性研究。以该市各社区为分析单位,基于一系列人口、社会经济和生活水平指标进行了聚类分析。这使得该市内部形成了六个社会区域。在这些按照社会同质化标准定义的区域中,我们测量了各种健康指标,从而验证了它们之间存在的重大健康差异。例如,观察到第四区(社会经济贫困区)和第三区(生活水平较高区)之间的死亡率存在明显差异:它们各自的“潜在寿命损失年数”之比为1.79,标准化死亡率之比为1.42。低出生体重方面也存在类似的劣势,在青少年怀孕情况中尤为明显(高出五倍)。总之,该市社会经济地位较低的区域,健康水平也最低。