中年时期行动能力受限起始阶段的社会不平等:丹麦的一项纵向研究
Social inequality in onset of mobility limitations in midlife: a longitudinal study in Denmark.
作者信息
Nilsson Charlotte Juul, Avlund Kirsten, Lund Rikke
机构信息
Section of Social Medicine, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K, Denmark.
Center for Healthy Aging, University of Copenhagen, Copenhagen K, Denmark.
出版信息
Eur J Ageing. 2011 Oct 28;8(4):255-269. doi: 10.1007/s10433-011-0204-6. eCollection 2011 Dec.
The aim of this longitudinal study was to investigate if social inequality in onset of mobility limitations is present in early midlife, and to examine whether common determinants of disability account for social status differences in onset of mobility limitations in midlife. 3,586 40-and 50-year-old Danish men and women enrolled in The Danish Longitudinal Study on Work, Unemployment and Health constituted the study population. Data were collected by mailed questionnaires in 2000 and 2006. Limitations in running 100 m and in climbing two flights of stairs represented two aspects of mobility limitations. Occupational social class was applied as a measure of socioeconomic position. Among individuals reporting no limitations in 2000 social gradients in onset of mobility limitations emerged in 2006. Having a low social class at age 40 and 50 respectively was associated with higher onset of mobility limitations 6 years later, and this association was overall only partly explained by common determinants of disability: smoking, alcohol consumption, physical activity, body mass index, and chronic diseases. These results indicate that the development of mobility limitations might begin earlier in lower compared to higher social strata, and that social status differences in mobility limitations might emerge already in the forties.
这项纵向研究的目的是调查中年早期是否存在行动能力受限发病方面的社会不平等现象,并检验残疾的常见决定因素是否能够解释中年行动能力受限发病方面的社会地位差异。参与“丹麦工作、失业与健康纵向研究”的3586名40岁和50岁的丹麦男性和女性构成了研究人群。2000年和2006年通过邮寄问卷收集数据。100米跑步和爬两层楼梯受限代表行动能力受限的两个方面。职业社会阶层被用作社会经济地位的衡量指标。在2000年报告无行动能力受限的个体中,2006年出现了行动能力受限发病方面的社会梯度。40岁和50岁时社会阶层较低分别与6年后行动能力受限发病几率较高相关,而且这种关联总体上仅部分由残疾的常见决定因素解释:吸烟、饮酒、身体活动、体重指数和慢性病。这些结果表明,与社会阶层较高者相比,社会阶层较低者行动能力受限的发展可能更早开始,而且行动能力受限方面的社会地位差异可能在40多岁时就已出现。
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