Pevalin D J, Robson K
Department of Health and Human Sciences, University of Essex, Colchester, Essex CO4 3SQ, UK.
Public Health. 2007 Aug;121(8):588-95. doi: 10.1016/j.puhe.2007.01.012. Epub 2007 May 1.
To examine the social determinants of inequalities in health in Bosnia and Herzegovina in the post-conflict period, and to test if the relative effects vary across the two entities of the Federation of Bosnia and Herzegovina and the Republika Srpska.
Cross-sectional data come from the first wave of the Bosnia and Herzegovina Household Panel Study conducted in 2001, which collected data from 7482 respondents aged 17 years and older based on over 3000 households.
Distributions and odds ratios for physical limitations and poor mental well-being were calculated over a number of known social determinants. Multivariate logistic regression and t-tests were used to compare risks across entities within the state of Bosnia and Herzegovina.
The prevalence of poor mental well-being and physical limitations was significantly higher in the Republika Srpska. Significant differences in poor mental well-being and physical limitations were observed across most determinants within each entity, but only a few of these relative effects differed between entities.
Efforts to tackle absolute differences in poor health between the entities within Bosnia and Herzegovina should be pursued, along with reducing social inequalities.
研究波斯尼亚和黑塞哥维那冲突后时期健康不平等的社会决定因素，并检验波斯尼亚和黑塞哥维那联邦及塞族共和国这两个实体的相关影响是否存在差异。
横断面数据来自2001年开展的波斯尼亚和黑塞哥维那家庭小组研究的第一波调查，该研究基于3000多个家庭收集了7482名17岁及以上受访者的数据。
针对一些已知的社会决定因素，计算身体受限和心理健康状况不佳的分布及比值比。采用多变量逻辑回归和t检验来比较波斯尼亚和黑塞哥维那国内各实体之间的风险。
塞族共和国心理健康状况不佳和身体受限的患病率显著更高。在每个实体内，大多数决定因素在心理健康状况不佳和身体受限方面存在显著差异，但这些实体之间只有少数相关影响有所不同。
应努力消除波斯尼亚和黑塞哥维那各实体之间健康状况不佳的绝对差异，并减少社会不平等现象。
