MRC Social & Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK.
Health Place. 2012 Mar;18(2):132-7. doi: 10.1016/j.healthplace.2011.08.005. Epub 2011 Aug 12.
Data from the longitudinal West of Scotland Twenty-07 STUDY: Health in the Community was used to examine whether, over a 20 year period, the self-reported health of people living in deprived areas became poorer faster compared to those living in more affluent areas. Three cohorts (born in the early 1930s, 1950s and 1970s) are included, covering 60 years of the life span. Using multilevel growth curve models, a 40% probability of reporting poor health was predicted among residents of more deprived areas at an earlier age (66) compared to those living in more affluent areas (83). Wider area differences were seen for men than for women. Our findings indicate that attempts to reduce area differences in health should start young but also continue throughout the lifespan.
利用来自纵向苏格兰西部 2007 研究:社区健康的数据,我们检验了在 20 年的时间跨度内,生活在贫困地区的人与生活在较富裕地区的人相比,其自我报告的健康状况是否恶化得更快。该研究纳入了三个队列(分别出生于 20 世纪 30 年代、50 年代和 70 年代),涵盖了 60 年的生命周期。使用多层次增长曲线模型,预测在较早的年龄(66 岁)时,生活在较贫困地区的居民报告健康状况不佳的概率为 40%,而生活在较富裕地区的居民为 83%。男性的区域差异比女性更明显。我们的研究结果表明,减少健康方面的地区差异的努力应该从年轻时开始,但也要持续整个生命周期。