Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne, Cologne, Germany.
Int J Public Health. 2013 Feb;58(1):33-41. doi: 10.1007/s00038-012-0368-7. Epub 2012 May 9.
This article examines whether the social health gradients in diabetes, hypertension and obesity for men and women vary significantly across different age groups.
We use a pooled sample of German survey data from the years 2002 and 2006 with a total of 87,601 observations. We employ a varying Wagstaff index derived from the class of Gini-type concentration indices to estimate age-specific income-related health inequalities.
We find significant health disadvantages among poor women in mid-age, but no significant age-specific income-related health inequalities among men. Some leveling of inequalities in diabetes is observed.
The results suggest that variations in age-specific inequalities are unlikely to be a purely artificial result of health-related selection into retirement or mortality.
本文旨在探讨男性和女性的糖尿病、高血压和肥胖症的社会健康梯度是否因年龄组的不同而存在显著差异。
我们使用了 2002 年和 2006 年德国调查数据的汇总样本,共有 87601 个观测值。我们采用了一种源自基尼型集中指数类的变 Wagstaff 指数,以估计特定年龄组与收入相关的健康不平等。
我们发现中年贫困女性存在显著的健康劣势,但男性没有显著的与年龄相关的收入相关健康不平等。糖尿病的不平等程度有所降低。
这些结果表明,特定年龄组的不平等变化不太可能仅仅是与退休或死亡相关的健康选择的人为结果。