Rodríguez J A, Lemkow L
Department of Sociology, University of Barcelona, Spain.
Soc Sci Med. 1990;31(3):351-8. doi: 10.1016/0277-9536(90)90282-w.
This article examines the relationship between health and social differences in Spain. The dominant explanatory models (medical, health system oriented and economical) have focused on health care as the main source of health. They have disregarded the role of socioeconomic variables in the genesis, development and cure of illness. In relation to the distribution of health, the variables analysed here are those of poverty, social class, sex, age, living conditions, lifestyles and some existential indicators using both official aggregated data and survey data. We conclude that Spain is a country with major economic, social and regional differences and manifests important variations in the health of its population. The evidence taken from the data presented here seems to indicate that poverty, living conditions and income play a relevant explanatory role.
本文探讨了西班牙健康与社会差异之间的关系。主流的解释模型（医学、以卫生系统为导向和经济方面的）将医疗保健视为健康的主要来源。它们忽视了社会经济变量在疾病的发生、发展和治愈过程中的作用。关于健康分布，这里分析的变量包括贫困、社会阶层、性别、年龄、生活条件、生活方式以及一些使用官方汇总数据和调查数据的生存指标。我们得出结论，西班牙是一个存在重大经济、社会和地区差异的国家，其人口健康状况也呈现出显著差异。此处所呈现数据的证据似乎表明，贫困、生活条件和收入起着相关的解释作用。
