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英格兰和威尔士健康预期寿命的不平等——基于2001年人口普查的小区域分析。

[Inequalities in health expectancies in England and Wales--small area analysis from the 2001 Ccensus.

作者信息

Rasulo Domenica, Bajekal Madhavi, Yar Mohammed

机构信息

Office for National Statistics.

出版信息

Health Stat Q. 2007 Summer(34):35-45.

Abstract

This study investigates inequalities in the expectation of life without disability and life in good health using 2001 Census data at small area (ward) level for England and Wales. Inequalities were examined both nationally and within regions by computing life expectancies and health expectancies in groups of wards (twentieths) aggregated according to the Carstairs deprivation score. The results showed that the inequality gaps were significantly larger for health expectancies compared with life expectancy; they were wider for disability-free life expectancy than healthy life expectancy; and, for all measures, were wider for males. Within regions, the gradient in health inequalities with increasing deprivation varied. Those living in the least deprived wards had similar levels of health expectations across all regions. There was more geographical variation in the most deprived areas with lowest health expectations in the northern regions.

摘要

本研究利用2001年英格兰和威尔士小区域(选区)层面的人口普查数据,调查了无残疾预期寿命和健康预期寿命方面的不平等情况。通过计算根据卡斯尔斯贫困得分汇总的选区组(二十分位数)的预期寿命和健康预期寿命,在全国和各区域内对不平等情况进行了考察。结果显示,与预期寿命相比,健康预期寿命的不平等差距显著更大;无残疾预期寿命的差距比健康预期寿命的差距更大;而且,在所有衡量指标中,男性的差距更大。在各区域内,随着贫困程度加剧,健康不平等的梯度有所不同。生活在贫困程度最低选区的人群在所有区域的健康预期水平相似。在贫困程度最高且健康预期最低的地区,北部地区的地理差异更大。

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