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本文引用的文献

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Income inequality and mortality: time series evidence from Canada.收入不平等与死亡率：来自加拿大的时间序列证据。
Health Policy. 2003 Oct;66(1):107-17. doi: 10.1016/s0168-8510(03)00047-2.
2
Income inequality, household income, and health status in Canada: a prospective cohort study.加拿大的收入不平等、家庭收入与健康状况：一项前瞻性队列研究。
Am J Public Health. 2003 Aug;93(8):1287-93. doi: 10.2105/ajph.93.8.1287.
3
No association of income inequality with adult mortality within New Zealand: a multi-level study of 1.4 million 25-64 year olds.新西兰国内成人死亡率与收入不平等之间不存在关联：一项针对140万25至64岁人群的多层次研究。
J Epidemiol Community Health. 2003 Apr;57(4):279-84. doi: 10.1136/jech.57.4.279.
4
Income inequality and self rated health in Britain.英国的收入不平等与自评健康状况
J Epidemiol Community Health. 2002 Jun;56(6):436-41. doi: 10.1136/jech.56.6.436.
5
Individual income, income distribution, and self rated health in Japan: cross sectional analysis of nationally representative sample.日本的个人收入、收入分配与自评健康状况：对全国代表性样本的横断面分析
BMJ. 2002 Jan 5;324(7328):16-9. doi: 10.1136/bmj.324.7328.16.
6
State-level income inequality and individual mortality risk: a prospective, multilevel study.州级收入不平等与个体死亡风险：一项前瞻性多层次研究。
Am J Public Health. 2001 Mar;91(3):385-91. doi: 10.2105/ajph.91.3.385.
7
Relation between income inequality and mortality in Canada and in the United States: cross sectional assessment using census data and vital statistics.加拿大和美国收入不平等与死亡率之间的关系：使用人口普查数据和人口动态统计的横断面评估。
BMJ. 2000 Apr 1;320(7239):898-902. doi: 10.1136/bmj.320.7239.898.
8
Economic transition and changing relation between income inequality and mortality in Taiwan: regression analysis.台湾地区的经济转型与收入不平等和死亡率之间不断变化的关系：回归分析
BMJ. 1999 Oct 30;319(7218):1162-5. doi: 10.1136/bmj.319.7218.1162.
9
Aggregation and the measurement of income inequality: effects on morbidity.收入不平等的聚集与测量：对发病率的影响
Soc Sci Med. 1999 Mar;48(6):733-44. doi: 10.1016/s0277-9536(98)00401-8.
10
Place effects for areas defined by administrative boundaries.行政边界定义区域的地点效应。
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安大略省的收入不平等与健康：一项多层次分析。

Income inequality and health in Ontario: a multilevel analysis.

作者信息

Xi Guoliang, McDowell Ian, Nair Rama, Spasoff Robert

机构信息

Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON.

出版信息

Can J Public Health. 2005 May-Jun;96(3):206-11. doi: 10.1007/BF03403692.

DOI:10.1007/BF03403692
PMID:15913087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6976269/
Abstract

OBJECTIVE

To examine the association of income inequality at the public health unit level with individual health status in Ontario.

METHODS

Cross-sectional multilevel study carried out among subjects aged 25 years or older residing in 42 public health units in Ontario. Individual-level data drawn from 30,939 respondents in 1996-97 Ontario Health Survey. Median area income and income inequality (Gini coefficient) calculated from 1996 census. Self-rated health status (SRH) and Health Utilities Index (HUI-3) scores were used as main outcomes.

RESULTS

Controlling for individual-level factors including income, respondents living in public health units in the highest tercile of income inequality had odds ratios of 1.20 (95% CI 1.04 - 1.38) for fair/poor self-rated health, and 1.11 (95% CI 1.01 - 1.22) for HUI score below the median, compared with people living in public health units in the lowest tercile. Controlling further for median area income had little effect on the association.

CONCLUSION

Income inequality was significantly associated with individual self-reported health status at public health unit level in Ontario, independent of individual income.

摘要

目的

研究安大略省公共卫生单位层面的收入不平等与个体健康状况之间的关联。

方法

对居住在安大略省42个公共卫生单位中年龄在25岁及以上的受试者进行横断面多层次研究。个体层面的数据来自1996 - 1997年安大略省健康调查中的30939名受访者。根据1996年人口普查计算地区收入中位数和收入不平等（基尼系数）。自我评估健康状况（SRH）和健康效用指数（HUI - 3）得分用作主要结果。

结果

在控制包括收入在内的个体层面因素后，与生活在收入不平等程度最低三分位公共卫生单位的人群相比，生活在收入不平等程度最高三分位公共卫生单位的受访者自我评估健康状况为一般/较差的比值比为1.20（95%置信区间1.04 - 1.38），健康效用指数得分低于中位数的比值比为1.11（95%置信区间1.01 - 1.22）。进一步控制地区收入中位数对这种关联影响不大。

结论

在安大略省，公共卫生单位层面的收入不平等与个体自我报告的健康状况显著相关，且独立于个体收入。