Kunze Ursula, Böhm Gabriela
Institute for Social Medicine, Center for Public Health, Medical University Vienna, Austria.
Breast Care (Basel). 2009;4(4):263-267. doi: 10.1159/000232792. Epub 2009 Aug 20.
With 28% of all cancers, breast cancer is the most common cancer in the Austrian female population (also worldwide), and incidence has shown a development similar to that in most of the Western European countries. Several studies reveal a higher incidence of breast cancer in women of higher socioeconomic status (SES) compared to women of lower SES. Later age of first childbearing, low total parity, significantly greater use of hormone replacement therapy, and a greater use of mammography screening by women of higher SES are possible explanations for these trends. Socioeconomic inequalities have a strong influence on the subjective perception of health, but also on objective indicators of the health situation. The health behavior of the Austrian population is, of course, determined by social factors. People with a higher socioeconomic status not only live longer than people with a lower SES, they also have a healthier lifestyle and they better assess their own health status. These inequalities can also be observed in significant differences in life expectancy between university graduates and low-educated people (6.2 years for men and 2.6 years for women).
乳腺癌占所有癌症的28%,是奥地利女性人群中最常见的癌症(在全球亦是如此),其发病率的发展趋势与大多数西欧国家相似。多项研究表明,社会经济地位较高(SES)的女性患乳腺癌的几率高于社会经济地位较低的女性。初育年龄较大、总生育率较低、激素替代疗法的使用显著增加,以及社会经济地位较高的女性更多地进行乳房X光检查,这些可能是导致这些趋势的原因。社会经济不平等不仅对健康的主观认知有很大影响,也对健康状况的客观指标有影响。奥地利人群的健康行为当然由社会因素决定。社会经济地位较高的人不仅比社会经济地位较低的人寿命更长,他们的生活方式也更健康,并且能更好地评估自己的健康状况。这些不平等现象在大学毕业生和低学历人群的预期寿命显著差异中也可见一斑(男性为6.2年,女性为2.6年)。