Teerawichitchainan Bussarawan, Knodel John
Singapore Management University, Singapore
University of Michigan, Ann Arbor, USA.
J Aging Health. 2015 Dec;27(8):1462-84. doi: 10.1177/0898264315584577. Epub 2015 May 7.
We examine the association between poverty, economic inequality, and health among elderly in Myanmar.
We analyze 2012 data from Myanmar's first representative survey of older adults to investigate how health indicators vary across wealth quintiles as measured by household possessions and housing quality.
Poverty and poor health are pervasive. Self-assessed health, sensory impairment, and functional limitation consistently improve with higher wealth levels regardless of socio-demographic controls. Differentials in self-rated health and sensory impairment between the bottom and second quintiles are clearly evident, suggesting that relative economic inequality matters even among very poor elders and that a small difference in wealth can matter in an extreme poverty setting.
Findings support a global theory of economic gradients in health regardless of level of societal poverty. Modest efforts to improve the standard of living among elderly may improve not only their material well-being but also their health.
我们研究了缅甸老年人贫困、经济不平等与健康之间的关联。
我们分析了缅甸首次针对老年人的代表性调查中的2012年数据,以调查健康指标如何随家庭财产和住房质量衡量的财富五分位数而变化。
贫困和健康状况不佳普遍存在。无论社会人口统计学控制因素如何,自我评估的健康状况、感官障碍和功能限制都随着财富水平的提高而持续改善。最底层和第二五分位数之间在自评健康和感官障碍方面的差异明显,这表明即使在非常贫困的老年人中,相对经济不平等也很重要,而且在极端贫困环境中,财富上的微小差异也可能产生影响。
研究结果支持了一种全球健康经济梯度理论,无论社会贫困程度如何。为改善老年人生活水平所做的适度努力不仅可能改善他们的物质福祉,还可能改善他们的健康。