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不同福利制度下按教育水平划分的健康不平等:23个欧洲国家的比较

Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries.

作者信息

Eikemo Terje A, Huisman Martijn, Bambra Clare, Kunst Anton E

机构信息

Department of Sociology and Political Science, Norwegian University of Science and Technology and SINTEF Health Research, Norway.

出版信息

Sociol Health Illn. 2008 May;30(4):565-82. doi: 10.1111/j.1467-9566.2007.01073.x. Epub 2008 Feb 20.

Abstract

The object of this study was to determine whether the magnitude of educational health inequalities varies between European countries with different welfare regimes. The data source is based on the first and second wave of the European Social Survey. The first health indicator describes people's mental and physical health in general, while the second reports cases of any limiting longstanding illness. Educational inequalities in health were measured as the difference in health between people with an average number of years of education and people whose educational years lay one standard deviation below the national average. Moreover, South European welfare regimes had the largest health inequalities, while countries with Bismarckian welfare regimes tended to demonstrate the smallest. Although the other welfare regimes ranked relatively close to each other, the Scandinavian welfare regimes were placed less favourably than the Anglo-Saxon and East European. Thus, this study shows an evident patterning of magnitudes of health inequalities according to features of European welfare regimes. Although the greater distribution of welfare benefits within the Scandinavian countries are likely to have a protective effect for disadvantaged cities in these countries, other factors such as relative deprivation and class-patterned health behaviours might be acting to widen health inequalities.

摘要

本研究的目的是确定在具有不同福利制度的欧洲国家之间,教育健康不平等的程度是否存在差异。数据来源基于欧洲社会调查的第一波和第二波。第一个健康指标总体描述人们的精神和身体健康,而第二个指标报告任何长期存在的限制性生活疾病的病例。健康方面的教育不平等被衡量为平均受教育年限的人群与受教育年限低于全国平均水平一个标准差的人群之间的健康差异。此外,南欧福利制度下的健康不平等程度最大,而实行俾斯麦式福利制度的国家往往表现出最小的健康不平等。尽管其他福利制度的排名相对接近,但斯堪的纳维亚福利制度的排名不如盎格鲁-撒克逊和东欧福利制度。因此,本研究表明,根据欧洲福利制度的特征,健康不平等程度呈现出明显的模式。尽管斯堪的纳维亚国家内福利利益的更广泛分配可能对这些国家中处于不利地位的城市具有保护作用,但相对剥夺和阶级模式化的健康行为等其他因素可能会加剧健康不平等。

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