Health Economics Research Unit (HERU), University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK.
Int J Equity Health. 2011 Feb 10;10:10. doi: 10.1186/1475-9276-10-10.
Health inequality and its social determinants are well-studied, but the determinants of inequality of alcohol consumption are less well-investigated.
The total differential approach of decomposition of changes in the concentration index of the probability of participation in alcohol consumption was applied to 8-year longitudinal data for Swedish women aged 28-76 in 1988/89.
Alcohol consumption showed a pro-rich inequality, with income being a strong contributor. Overall participation remained fairly constant, but the inequality decreased over time as abstinence became less common among the poor and more common among the rich. This was mainly due to changes in the relative weights of certain population groups, such as a decrease in the proportional size of the oldest cohorts.
Inequality in participation in alcohol consumption is pro-rich in Sweden. This inequality has tended to decrease over time, due to changes in population composition rather than to policy intervention.
健康不平等及其社会决定因素已经得到了充分研究,但饮酒不平等的决定因素研究得还不够充分。
应用变化集中指数的总差异分解方法,对瑞典 1988/89 年年龄在 28-76 岁的女性进行了 8 年的纵向数据分析。
饮酒呈现出贫富不均的现象,收入是一个重要因素。总的来说,参与度相对稳定,但随着贫困人群中戒酒现象的减少和富裕人群中饮酒现象的增加,不平等程度随时间逐渐降低。这主要是由于某些人群的相对权重发生了变化,例如最年长的队列比例有所下降。
在瑞典,饮酒参与的不平等是偏向富有的。这种不平等随着时间的推移趋于减少,这是由于人口构成的变化,而不是政策干预的结果。