Menzies School of Health Research, Charles Darwin University, PO Box 41096, Casuarina, NT 0811, Australia.
Int J Public Health. 2011 Jun;56(3):295-304. doi: 10.1007/s00038-010-0228-2. Epub 2011 Jan 13.
To examine socioeconomic disparities in arthritis among non-remote Indigenous and non-Indigenous Australian adults aged 18-64.
Weighted data on self-reported arthritis and several socioeconomic measures from two nationally representative surveys conducted in 2004-2005 were analysed using logistic regression.
Current diagnosed arthritis was more commonly reported by Indigenous than non-Indigenous people across all age groups. After adjusting for age and sex, arthritis was significantly more common among those of lower socioeconomic status (SES) in the non-Indigenous population for all SES variables examined. In the Indigenous population, associations between SES and arthritis were significant for household income and employment status, but not for education, post-school qualifications, home ownership, area-level disadvantage, or area of residence.
The SES disparities were less consistent in the Indigenous than the non-Indigenous population, and within the Indigenous population, they were less consistent for arthritis than those previously reported for diabetes among the same survey participants. Although some of the differences may be due to self-reporting of disease, these findings also suggest the potential salience of factors occurring across the SES spectrum, especially among Indigenous Australians.
研究非偏远地区澳大利亚 18-64 岁成年原住民和非原住民中关节炎的社会经济差异。
利用 2004-2005 年两次全国代表性调查的加权数据,采用逻辑回归分析了自我报告关节炎和几个社会经济指标的数据。
在所有年龄组中,报告有当前确诊关节炎的原住民人数均多于非原住民。在调整了年龄和性别因素后,在所有被调查的社会经济变量中,非原住民中社会经济地位较低的人群关节炎更为常见。在原住民中,家庭收入和就业状况与关节炎之间存在关联,但教育程度、中学后资格、住房所有权、地区劣势或居住地与关节炎之间并无关联。
在原住民中,社会经济地位与关节炎之间的关联不如非原住民中那么一致,而在原住民中,与同一调查参与者的糖尿病相比,这种关联也不那么一致。尽管部分差异可能归因于疾病的自我报告,但这些发现也表明,在社会经济范围内,尤其是在澳大利亚原住民中,可能存在着各种因素的重要作用。