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社会经济不平等对儿童健康的影响:来自印度的最新证据。

Socio-economic inequalities in child health: recent evidence from India.

机构信息

Centre for Development Studies (CDS), Thiruvananthapuram, Kerala, India.

出版信息

Glob Public Health. 2010;5(5):493-508. doi: 10.1080/17441690903213774.

Abstract

This paper analyses the Indian National Family Health Survey (2005-2006) data to present certain broad descriptive features of child health inequalities in India and their distribution across well-defined socio-economic groups classified by gender and sector-of-origin, and their dispersal across space. This study finds that poorer sections of the population are beleaguered with ill health whether in the quest for child survival or due to anxieties pertaining to child nutrition. The concentration index value for the indicators of under-five mortality, full immunisation and underweight outcomes at the national level is calculated to be -0.159, 0.204 and -0.158, respectively. The other disturbing finding here is that there are reigning regional and gender disadvantages irrespective of the developmental status of the State. This study would not only help policymakers to recognise these persistent inequalities but also would help understand health performance at the state and regional levels thus facilitating targeting intervention.

摘要

本文利用印度国家家庭健康调查(2005-2006 年)的数据,展示了印度儿童健康不平等的某些广泛描述性特征,以及它们在按性别和出身部门明确划分的不同社会经济群体中的分布情况,及其在空间上的分布情况。本研究发现,无论在儿童生存方面还是在儿童营养方面的担忧方面,较贫困人群的健康状况都令人担忧。在国家层面上,五岁以下儿童死亡率、全面免疫和体重不足指标的集中指数值分别计算为-0.159、0.204 和-0.158。另一个令人不安的发现是,无论邦的发展状况如何,都存在地区和性别劣势。本研究不仅有助于政策制定者认识到这些持续存在的不平等现象,还有助于了解州和地区一级的健康绩效,从而便于确定干预重点。

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