Rahkonen O, Lahelma E
Department of Social Policy, University of Helsinki, Finland.
Soc Sci Med. 1992 Mar;34(6):649-56. doi: 10.1016/0277-9536(92)90192-s.
Gender and social class differences in illness among young people have been a neglected area in research on social inequities in health. It has been assumed that the illness differentials among adults persist throughout their lives. Only recently have social class health differentials among young people become a topic for research. The aim of this study is, first, to examine gender and social class differences in self-reported illness among young Finns; secondly, to determine whether the relationship between social class and limiting long-standing illness is similar among young men and women. In addition to the two main aims, we also examined whether several background variables have any impact on the relationship between class and illness or, directly, on illness. The data were derived from a nationwide Finnish 'Level of Living Survey', which was carried out by the Central Statistical Office of Finland in 1986. This interview material represents the noninstitutional Finnish population aged 15 years old or older. The number of respondents were 12,057, and the response rate was 87%. In the present study we only examined those who were 15-24-year-olds (N = 2238); i.e. 1101 men and 1137 women; the response rates were 91% and 92% respectively. Young women reported a limiting long-standing illness more often than young men. The prevalence of limiting long-standing illness increased with age. Cross-tabulation analyses showed virtually no relationship between social class and limiting long-standing illness. This held true irrespective of the various measures of social class that were used. Controlling the impact of several background variables in the logistic regression analyses did not alter this general result.
年轻人疾病中的性别和社会阶层差异,在健康方面社会不平等的研究中一直是一个被忽视的领域。人们一直认为成年人之间的疾病差异会贯穿他们的一生。直到最近,年轻人中的社会阶层健康差异才成为一个研究课题。本研究的目的,首先是调查芬兰年轻人自我报告疾病中的性别和社会阶层差异;其次,确定社会阶层与导致生活受限的长期疾病之间的关系在年轻男性和女性中是否相似。除了这两个主要目的之外,我们还研究了几个背景变量是否对阶层与疾病之间的关系,或者直接对疾病有任何影响。数据来源于芬兰中央统计局1986年进行的一项全国性“生活水平调查”。这份访谈材料代表了15岁及以上的非机构化芬兰人口。受访者有12057人,回复率为87%。在本研究中,我们只调查了15至24岁的人群(N = 2238);即1101名男性和1137名女性;回复率分别为91%和92%。年轻女性比年轻男性更常报告有导致生活受限的长期疾病。导致生活受限的长期疾病的患病率随年龄增长而增加。交叉列表分析显示,社会阶层与导致生活受限的长期疾病之间几乎没有关系。无论使用何种社会阶层衡量标准,都是如此。在逻辑回归分析中控制几个背景变量的影响并没有改变这一总体结果。