Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
J Epidemiol Community Health. 2021 Aug;75(8):712-720. doi: 10.1136/jech-2020-216141. Epub 2021 Mar 5.
Monitoring socioeconomic inequalities in population health is important in order to reduce them. We aim to determine if educational inequalities in Global Activity Limitation Indicator (GALI) disability have changed between 2002 and 2017 in Europe (26 countries).
We used logistic regression to quantify the annual change in disability prevalence by education, as well as the annual change in prevalence difference and ratio, both for the pooled sample and each country, as reported in the European Union Statistics on Income and Living Conditions (EU-SILC) and the European Social Survey (ESS) for individuals aged 30-79 years.
In EU-SILC, disability prevalence tended to decrease among the high educated. As a result, both the prevalence difference and the prevalence ratio between the low and high educated increased over time. There were no discernible trends in the ESS. However, there was substantial heterogeneity between countries in the magnitude and direction of these changes, but without clear geographical patterns and without consistency between surveys.
Socioeconomic inequalities in disability appear to have increased over time in Europe between 2002 and 2017 as per EU-SILC, and have persisted as measured by the ESS. Efforts to further harmonise disability instruments in international surveys are important, and so are studies to better understand international differences in disability trends and inequalities.
监测人口健康方面的社会经济不平等现象对于减少这些不平等现象至关重要。我们旨在确定在欧洲（26 个国家），全球活动受限指标（GALI）残疾方面的教育不平等现象是否在 2002 年至 2017 年间发生了变化。
我们使用逻辑回归来量化教育程度对残疾流行率的年度变化，以及报告中 30-79 岁人群的欧盟收入和生活条件统计（EU-SILC）和欧洲社会调查（ESS）汇总样本和每个国家的残疾流行率差异和比率的年度变化。
在 EU-SILC 中，高学历者的残疾流行率呈下降趋势。因此，低学历者和高学历者之间的流行率差异和流行率比值随着时间的推移而增加。在 ESS 中没有明显的趋势。然而，这些变化的幅度和方向在国家之间存在很大的异质性，但没有明显的地理模式，也没有调查之间的一致性。
根据 EU-SILC 的数据，2002 年至 2017 年间，欧洲残疾方面的社会经济不平等现象似乎有所增加，而 ESS 则持续存在。努力进一步协调国际调查中的残疾工具非常重要，同时还需要研究更好地理解残疾趋势和不平等现象在国际间的差异。
