Haynes R
School of Environmental Sciences, University of East Anglia, Norwich, England.
Soc Sci Med. 1991;33(4):361-8. doi: 10.1016/0277-9536(91)90317-6.
The General Household Survey data file for 1982 was examined to identify variations in self-reported morbidity and health service use between socio-economic groups and geographical areas in Great Britain. Both acute and chronic morbidity varied with socio-economic status. Morbidity was more strongly related to housing tenure and car availability than to occupational class. A north-west to south-east gradient in sickness was observed, although morbidity was comparatively high in Wales and comparatively low in Scotland, taking mortality differences into account. The highest age-adjusted morbidity ratios were for females in multiple occupancy inner city areas. Service use rates in relation to reported sickness showed little systematic variation. There was an indication that lack of car transport was an inhibiting factor for the sick in rural areas.
对1982年的综合住户调查数据文件进行了审查，以确定英国不同社会经济群体和地理区域之间自我报告的发病率和医疗服务使用情况的差异。急性和慢性发病率均随社会经济地位而变化。发病率与住房保有 tenure 和汽车拥有情况的关联比与职业阶层的关联更强。尽管考虑到死亡率差异，威尔士的发病率相对较高，苏格兰的发病率相对较低，但仍观察到疾病从西北到东南的梯度变化。年龄调整后发病率最高的是内城区多户居住的女性。与报告疾病相关的服务使用率几乎没有系统性变化。有迹象表明，缺乏汽车交通是农村地区病人就医的一个阻碍因素。
