Centre for Developmental Health, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia.
Am J Public Health. 2012 Jan;102(1):107-17. doi: 10.2105/AJPH.2011.300354. Epub 2011 Nov 28.
The pattern of association between socioeconomic factors and health outcomes has primarily depicted better health for those who are higher in the social hierarchy. Although this is a ubiquitous finding in the health literature, little is known about the interplay between these factors among indigenous populations. We begin to bridge this knowledge gap by assessing evidence on social gradients in indigenous health in Australia. We reveal a less universal and less consistent socioeconomic status patterning in health among Indigenous Australians, and discuss the plausibility of unique historical circumstances and social and cultural characteristics in explaining these patterns. A more robust evidence base in this field is fundamental to processes that aim to reduce the pervasive disparities between indigenous and nonindigenous population health.
社会经济因素与健康结果之间的关联模式主要描绘了社会等级较高的人群健康状况更好。尽管这是健康文献中的普遍发现，但对于土著人群中这些因素之间的相互作用却知之甚少。我们通过评估澳大利亚土著居民健康方面的社会梯度证据来开始弥合这一知识差距。我们揭示了澳大利亚土著居民的健康状况中社会经济地位模式不太普遍且不太一致，并讨论了独特的历史环境和社会文化特征在解释这些模式方面的合理性。该领域更强大的证据基础对于旨在减少土著居民和非土著居民健康之间普遍存在的差异的过程至关重要。
