Chan Chee Hon, Wong Ho Kit, Yip Paul Siu Fai
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong.
Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, Hong Kong.
Int J Public Health. 2017 Jul;62(6):697-707. doi: 10.1007/s00038-017-0953-x. Epub 2017 Mar 14.
To investigate the association of relative income deprivation (RID) with perceived happiness and self-rated health in Hong Kong.
We measured RID on Yitzhaki indices constructed using multiple reference groups and used multilevel ordinal logistic regression models to assess its linkages with the two outcomes, using data from 6272 respondents from a large-scale representative household survey.
Among the overall population, increased RID was found to be consistently associated with reduced perceived happiness, even after adjusting for respondents' level of absolute income and other socio-demographic covariates; however, there were no consistent associations between RID and self-rated health. In subgroup analysis, we observed significant linkages between RID and self-rated health only among men, the middle and older age ranges, and among those with less education and those not engaged in economic activities.
Our findings suggest that RID is adversely associated with perceived happiness. However, its negative linkage with self-rated health is less clear. The weak tie between RID and self-rated health may relate to the Hong Kong context, where the public health system is relatively equitable and has multiple pro-poor health policies.
探讨香港相对收入剥夺（RID）与幸福感及自评健康之间的关联。
我们使用多个参照组构建伊扎克指数来衡量RID，并运用多层次有序逻辑回归模型，利用大规模代表性住户调查中6272名受访者的数据，评估其与这两个结果之间的联系。
在总体人群中，即使在调整了受访者的绝对收入水平和其他社会人口协变量之后，仍发现RID增加与幸福感降低始终相关；然而，RID与自评健康之间没有一致的关联。在亚组分析中，我们仅在男性、中年及老年人群、受教育程度较低者以及未从事经济活动者中观察到RID与自评健康之间存在显著联系。
我们的研究结果表明，RID与幸福感呈负相关。然而，其与自评健康的负向联系尚不清楚。RID与自评健康之间的微弱联系可能与香港的情况有关，香港的公共卫生系统相对公平，且有多项扶贫健康政策。
