Epidemiology and Population Health Research Centre (CESP), Paris-Sud University, UMRS 1018, Le Kremlin-Bicêtre, France.
Department of General Practice, Paris-Sud University, Le Kremlin-Bicêtre, France.
PLoS One. 2018 Sep 14;13(9):e0203676. doi: 10.1371/journal.pone.0203676. eCollection 2018.
The present study aimed to assess socioeconomic inequalities in general and mental health, depression and substance use disorders (daily tobacco use, hazardous alcohol use). Data from the 2010 SIRS (French acronym for Health, Inequalities, and Social Ruptures) study, which is deemed to be representative of the French-speaking adult population living in the Paris Metropolitan Area, were analysed. Different socioeconomic position indicators were selected: education, income and perceived financial status. Absolute measures (the slope index of inequality (SII)) and relative measures (the odds ratio (OR) and relative index of inequality (RII)) of health inequalities were used. The OR, RII and SII were adjusted for age, household type and migration characteristics and all analyses were performed separately for men and women. The study included 3,006 adults. The results showed significant relative and absolute socioeconomic inequalities in general, mental health and depression for all socioeconomic position indicators considered (education, income, and perceived financial status). The absolute inequalities were greater for women than for men. Strongest inequalities were observed by perceived financial status for men and women. Education seemed to play a stronger role in inequalities for women, whereas, for men, income seemed to play a stronger role. Only few socioeconomic inequalities were found in daily tobacco use, while a reversed gradient was observed for hazardous alcohol use. We hope that these results will be regularly re-evaluated and compared across time in order to monitor socioeconomic inequalities in health.
本研究旨在评估一般健康、心理健康、抑郁和物质使用障碍（每日吸烟、危险饮酒）方面的社会经济不平等。该研究的数据来自于 2010 年 SIRS（健康、不平等和社会断裂的法国首字母缩写）研究，该研究被认为是代表居住在巴黎大都市区的讲法语的成年人群体。选择了不同的社会经济地位指标：教育、收入和感知财务状况。使用了健康不平等的绝对指标（不平等斜率指数（SII））和相对指标（比值比（OR）和相对不平等指数（RII））。对年龄、家庭类型和移民特征进行了调整，所有分析都分别针对男性和女性进行。该研究共纳入 3006 名成年人。结果表明，对于所有考虑的社会经济地位指标（教育、收入和感知财务状况），一般健康、心理健康和抑郁都存在显著的相对和绝对社会经济不平等。对于女性来说，绝对不平等比男性更严重。对于男性和女性来说，感知财务状况的不平等最大。对于女性来说，教育似乎在不平等中起着更强的作用，而对于男性来说，收入似乎起着更强的作用。在每日吸烟方面，只有很少的社会经济不平等，而危险饮酒则呈现出相反的梯度。我们希望这些结果能够定期重新评估，并在不同时间进行比较，以监测健康方面的社会经济不平等。
