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加拿大城乡健康不平等:根据个体和基于区域的贫困指数比较生存不平等。

Health inequalities in urban and rural Canada: comparing inequalities in survival according to an individual and area-based deprivation index.

机构信息

Institut national de santé publique du Québec, Québec, Canada G1V 5B3.

出版信息

Health Place. 2010 Mar;16(2):416-20. doi: 10.1016/j.healthplace.2009.11.012. Epub 2009 Dec 3.

Abstract

Social health inequalities are smaller in rural than urban areas because, some argue, people's social conditions are estimated at a small-area level, hiding variability at the individual or household level. This paper compares inequalities in survival according to an individual and area-based version of a deprivation index among a large sample of Canadians living in various urban and rural settings. Results show that survival inequalities in small towns and rural areas are lower than elsewhere when an area-based index is used, except in the remote hinterland, but of equal magnitude when the individual version of this index is considered.

摘要

社会健康不平等在农村地区比城市地区要小,因为有人认为,人们的社会状况是在小区域层面上估计的,掩盖了个人或家庭层面的可变性。本文比较了在不同城市和农村环境中生活的大量加拿大人,根据个人和基于区域的剥夺指数版本,在生存方面的不平等。结果表明,当使用基于区域的指数时,与其他地区相比,小城镇和农村地区的生存不平等程度较低,除了偏远的内陆地区,但当考虑到该指数的个人版本时,其不平等程度则相等。

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