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北欧国家的非传染性疾病与健康的社会决定因素:来自欧洲社会调查(2014年)健康社会决定因素特别模块的研究结果

Non-communicable diseases and the social determinants of health in the Nordic countries: Findings from the European Social Survey (2014) special module on the social determinants of health.

作者信息

Balaj Mirza, Huijts Tim, McNamara Courtney L, Stornes Per, Bambra Clare, Eikemo Terje A

机构信息

1 Department of Sociology and Political Science, Norwegian University of Science and Technology, Norway.

2 Department of Sociology, Wentworth College, University of York, UK.

出版信息

Scand J Public Health. 2017 Mar;45(2):90-102. doi: 10.1177/1403494816686026. Epub 2017 Jan 27.

DOI:10.1177/1403494816686026
PMID:28128015
Abstract

Comparative studies examining non-communicable diseases (NCDs) and determinants of health in the Nordic countries are scarce, outdated and focus only on a limited range of NCDs and health determinants. This study is the first to present a comprehensive overview of the distribution of social and behavioural determinants of health and of physical and mental NCDs in the Nordic population. We examined regional, country and gender differences for 17 health outcomes and 20 determinants of health. We use data from the 7th wave of the European Social Survey. All results were age-standardised by weighting up or down the unstandardized (crude) prevalence rates for five year age groups in each country to a common standard. We present pooled estimates for the combined regional samples as well as country-specific results for the Nordic region. Overall, the population of the Nordic region reported among the highest prevalence for one or both genders in 10 out of 17 health outcomes. Despite being the region with the highest prevalence for most health outcomes, overall self-rated health levels tend to be better in the Nordic region. Similarly, we found that the Nordic countries adhere to a healthier lifestyle and have better access to health care. Future studies should consider investigating further the association between health outcomes and determinants of health and how they are distributed in the Nordic societies.

摘要

对北欧国家非传染性疾病(NCDs)及其健康决定因素的比较研究较少、过时,且仅关注有限范围的非传染性疾病和健康决定因素。本研究首次全面概述了北欧人群中健康的社会和行为决定因素以及身心非传染性疾病的分布情况。我们研究了17种健康结果和20种健康决定因素的地区、国家和性别差异。我们使用了欧洲社会调查第7波的数据。所有结果都通过将每个国家五岁年龄组的未标准化(粗)患病率上调或下调至共同标准进行了年龄标准化。我们给出了合并区域样本的汇总估计以及北欧地区各国的具体结果。总体而言,北欧地区的人口在17种健康结果中的10种中,一种或两种性别的患病率在最高之列。尽管在大多数健康结果方面患病率最高,但北欧地区总体自评健康水平往往更好。同样,我们发现北欧国家坚持更健康的生活方式,获得医疗保健的机会也更好。未来的研究应考虑进一步调查健康结果与健康决定因素之间的关联以及它们在北欧社会中的分布情况。

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