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家庭政策与不同福利国家的健康不平等。

Family policy and inequalities in health in different welfare states.

出版信息

Int J Health Serv. 2014;44(2):233-53. doi: 10.2190/HS.44.2.c.

Abstract

This article focuses on differences in health and welfare outcomes for families with children in three European countries, discussed in relation to national policies for child and family welfare. Data consist of policy documents and cross-national surveys. The document analysis was based on policy documents that described government policies. The statistical analyses utilize data from the European Social Survey. For the analyses in this article, a sub-sample of child families was selected from the countries Slovenia, Sweden, and the United Kingdom. Data showed that England's policy has mainly addressed socially disadvantaged groups and areas. Sweden and Slovenia are mainly developing universal policies. The United Kingdom has high scores for subjective general health, but a steep income gradient in the population. Parents in England experience the highest level of at-risk-of-poverty. Sweden generally scores well on health outcomes and on level of at-risk-of-poverty, and the gradient in self-rated general health is the mildest. Slovenia has the weakest economy, but low levels of inequality and low child at-risk-for-poverty scores. The Slovenian example suggests that not only the level of economic wealth, but also its distribution in the population, has bearings on health and life satisfaction, not least on the health of children.

摘要

本文重点讨论了三个欧洲国家中儿童家庭在健康和福利方面的差异,这些差异与儿童和家庭福利的国家政策有关。数据包括政策文件和跨国调查。本文的文献分析基于描述政府政策的政策文件。统计分析利用了来自欧洲社会调查的数据。对于本文的分析,从斯洛文尼亚、瑞典和英国这三个国家中选择了儿童家庭的子样本。数据表明,英国的政策主要针对社会弱势群体和地区。瑞典和斯洛文尼亚主要在制定普遍政策。英国在主观一般健康方面得分较高,但人口收入差距较大。英国的父母经历着最高水平的贫困风险。瑞典在健康结果和贫困风险水平方面总体得分较好,自评一般健康状况的梯度最平缓。斯洛文尼亚经济实力最弱,但不平等程度低,儿童贫困风险得分也低。斯洛文尼亚的例子表明,不仅经济财富的水平,而且其在人口中的分布,对健康和生活满意度都有影响,尤其是对儿童的健康。

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