Aiach P, Curtis S
INSERM, Paris, France.
Soc Sci Med. 1990;31(3):267-74. doi: 10.1016/0277-9536(90)90273-u.
This paper considers the results from national surveys of self-reported morbidity in Britain and France and discusses the implications for our understanding of social class differences in the propensity to report illness. The methods adopted in these surveys in the two countries are so different that any comparison of the results must be limited. However, evidence on the trends over time in illness reporting in both countries reinforces the impression that the survey methodology has a significant impact on the results in terms of social class inequalities. The discussion also considers some other possible explanations for apparent changes in the propensity to report illness. It is concluded that in both countries the national survey data on class differences in self-reported morbidity has limitations and might be improved in the light of developments in survey methodology and the cross-fertilisation of ideas through international comparative studies of the subject.
本文考察了英国和法国全国性自我报告发病率调查的结果，并探讨了这些结果对于我们理解疾病报告倾向方面社会阶层差异的意义。这两个国家在这些调查中采用的方法差异极大，以至于对结果的任何比较都必须受到限制。然而，两国疾病报告随时间变化趋势的证据强化了这样一种印象，即就社会阶层不平等而言，调查方法对结果有重大影响。讨论还考虑了疾病报告倾向明显变化的其他一些可能解释。得出的结论是，在这两个国家，关于自我报告发病率的阶层差异的全国性调查数据都存在局限性，鉴于调查方法的发展以及通过该主题的国际比较研究实现的思想交叉融合，这些数据可能会得到改进。
