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伦敦纽汉区健康状况与服务利用方面的社会经济不平等现象。

Socio-economic inequalities in health and service utilization in the London Borough of Newham.

作者信息

Pevalin D J

机构信息

Department of Health and Human Sciences, University of Essex, Colchester CO4 3SQ, UK.

出版信息

Public Health. 2007 Aug;121(8):596-602. doi: 10.1016/j.puhe.2006.12.015. Epub 2007 May 11.

DOI:10.1016/j.puhe.2006.12.015
PMID:17499320
Abstract

OBJECTIVES

To examine the extent of socio-economic inequalities in health in the London Borough of Newham and to compare them with those in the UK as a whole.

STUDY DESIGN

Cross-sectional, individual-level observational study with data on socio-economic and health measures from wave one of the Newham Household Panel Survey (n=1723) and wave 11 of the British Household Panel Survey (n=8444).

METHODS

Age-standardized comparison of the social distribution, by household social class, education, housing conditions and neighbourhood problems, of six indicators of health and service utilization. Relative index of inequality is used to compare magnitude of inequality across the samples.

RESULTS

Age-standardized prevalence ratios for most health and service use indicators indicated that Newham has poorer health and higher utilization compared with the UK as a whole. Significant health inequalities were associated with socio-economic measures in both Newham and Britain, but few significant differences in the relative effects between the two.

CONCLUSIONS

Although Newham has higher prevalence of poor health and high service use, the relative effects of socio-economic inequalities are similar to those in Britain as a whole.

摘要

目标

研究纽汉姆伦敦自治市健康方面社会经济不平等的程度,并将其与英国整体情况进行比较。

研究设计

横断面个体水平观察性研究,数据来自纽汉姆家庭小组调查第一波(n = 1723)和英国家庭小组调查第11波(n = 8444)中的社会经济和健康指标数据。

方法

按家庭社会阶层、教育程度、住房条件和邻里问题,对六项健康和服务利用指标的社会分布进行年龄标准化比较。不平等相对指数用于比较各样本间不平等的程度。

结果

多数健康和服务利用指标的年龄标准化患病率比值表明,与英国整体相比,纽汉姆的健康状况更差,利用率更高。纽汉姆和英国的健康不平等均与社会经济指标相关,但两者相对影响的显著差异较少。

结论

尽管纽汉姆健康状况不佳和服务利用率高的患病率更高,但社会经济不平等的相对影响与英国整体相似。

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