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男性健康:基于人群的社会不平等研究。

Men's health: a population-based study on social inequalities.

机构信息

Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.

出版信息

Cad Saude Publica. 2012 Nov;28(11):2133-42. doi: 10.1590/s0102-311x2012001100013.

Abstract

This study evaluates social inequalities in health according to level of schooling in the male population. This was a cross-sectional, population-based study with a sample of 449 men ranging from 20 to 59 years of age and living in Campinas, São Paulo State, Brazil. The chi-square test was used to verify associations, and a Poisson regression model was used to estimate crude and adjusted prevalence ratios. Men with less schooling showed higher rates of alcohol consumption and dependence, smoking, sedentary lifestyle during leisure time, and less healthy eating habits, in addition to higher prevalence of bad or very bad self-rated health, at least one chronic disease, hypertension, and other health problems. No differences were detected between the two schooling strata in terms of use of health services, except for dental services. The findings point to social inequality in health-related behaviors and in some health status indicators. However, possible equity was observed in the use of nearly all types of health services.

摘要

本研究根据男性受教育程度评估健康方面的社会不平等现象。这是一项横断面、基于人群的研究,样本包括来自巴西圣保罗州坎皮纳斯市的 449 名年龄在 20 至 59 岁之间的男性。采用卡方检验来验证关联,并用泊松回归模型来估计粗患病率比和调整后的患病率比。受教育程度较低的男性更倾向于饮酒和依赖、吸烟、闲暇时间久坐不动的生活方式以及不健康的饮食习惯,此外,他们的自评健康状况较差或非常差、至少患有一种慢性病、高血压和其他健康问题的比例也更高。在健康服务的使用方面,除了牙科服务外,两个受教育程度阶层之间没有差异。研究结果表明,在与健康相关的行为和一些健康状况指标方面存在社会不平等现象。然而,在几乎所有类型的健康服务的使用方面,可能存在公平性。

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