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欧洲身心非传染性疾病的患病率: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。

Prevalence of physical and mental non-communicable diseases in Europe: findings from the European Social Survey (2014) special module on the social determinants of health.

作者信息

Huijts Tim, Stornes Per, Eikemo Terje A, Bambra Clare

机构信息

Department of Sociology, Wentworth College, University of York, Heslington, York YO10 5DD, UK.

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

出版信息

Eur J Public Health. 2017 Feb 1;27(suppl_1):8-13. doi: 10.1093/eurpub/ckw232.

DOI:10.1093/eurpub/ckw232
PMID:28355647
Abstract

Previous studies examining physical and mental non-communicable diseases (NCDs) in Europe have so far largely either focused on limited numbers of countries or on fairly limited ranges of NCDs, with mental health in particular often being ignored. This article has three aims: (i) To provide a recent, comprehensive overview of a broad range of NCDs across a range of countries in all European regions; (ii) To give an overview of measures of physical and mental health in the new special rotating module in the European Social Survey (ESS); and (iii) To offer the first comprehensive comparison of estimates on physical and mental NCDs across European countries in this new promising data source. We use data from the 7th wave of the ESS. Results are presented separately for men and women. All results were age-standardized by weighting up or down the unstandardized (crude) prevalence rates for 5-year age groups in each country to a common standard. We present pooled estimates for the combined cross-national sample as well as country-specific results. Overall, 74.1% of men and 79.7% of women reported at least one physical NCD. Across the 21 countries were observed that these percentages varied between 45.2% (for men in Hungary) and 91.6% (women in Finland). Serious depressive symptoms were reported by 10.2% of men and 18.8% of women, with percentages ranging between 6.2% (men in Ireland) and 30.9% (women in Portugal). A substantial share of Europeans experience the burden of NCDs, and the extent to which people report these conditions varies across countries. However, all physical and mental NCDs in this rotating module are reported by considerable percentages in each of the 21 country samples, which emphasizes that these conditions are not marginal phenomena but public health concerns.

摘要

此前对欧洲身体和精神方面非传染性疾病(NCDs)的研究,到目前为止,很大程度上要么聚焦于数量有限的国家,要么关注范围相当有限的非传染性疾病,尤其是心理健康常常被忽视。本文有三个目标:(i)提供近期对欧洲所有地区一系列国家中广泛的非传染性疾病的全面概述;(ii)概述欧洲社会调查(ESS)新的特殊轮换模块中的身心健康测量方法;(iii)在这个新的有前景的数据源中,首次对欧洲国家身体和精神非传染性疾病的估计进行全面比较。我们使用了ESS第7轮的数据。结果按男性和女性分别呈现。所有结果通过将每个国家5岁年龄组的未标准化(原始)患病率向上或向下加权到一个共同标准进行年龄标准化。我们展示了跨国合并样本的汇总估计以及各国的具体结果。总体而言,74.1%的男性和79.7%的女性报告至少有一种身体方面的非传染性疾病。在这21个国家中观察到,这些百分比在45.2%(匈牙利男性)和91.6%(芬兰女性)之间变化。10.2%的男性和18.8%的女性报告有严重抑郁症状,百分比在6.2%(爱尔兰男性)和30.9%(葡萄牙女性)之间。相当一部分欧洲人承受着非传染性疾病的负担,而且人们报告这些疾病的程度在各国有所不同。然而,在这个轮换模块中的所有身体和精神非传染性疾病在21个国家样本中的每个样本中都有相当比例的报告,这强调了这些疾病不是边缘现象,而是公共卫生问题。

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