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1973年至1983年芬兰的社会阶层与健康相关习惯的变化

Social class and changes in health-related habits in Finland in 1973-1983.

作者信息

Aro S, Räsänen L, Telama R

出版信息

Scand J Soc Med. 1986;14(1):39-47. doi: 10.1177/140349488601400107.

Abstract

The aim of this project was to study social class differences with respect to various health-related habits and especially to note the changes in these habits after a 10-year follow-up period. From this study conclusions can be drawn as to whether health education efforts and increased interest in personal health has been more widely adopted by the more educated groups than the less educated groups, whose morbidity and mortality rates are higher. The sample consisted of 902 white-collar and blue-collar workers. Smoking was found to be more common among blue-collar workers in both years. Smoking rates had declined in all groups except female blue-collar workers. Occasions of drinking were more frequent among white-collar than blue-collar workers. However, heavier forms of drinking were more common in male blue-collar than white-collar groups, while the opposite was true among women. Dietary habits in white-collar groups were closer to the "official" recommendations than in the respective blue-collar groups in both years. White-collar men were physically more active at the time of the first investigation, and even more so ten years later. Among women, social class differences were in the same direction, but less marked. In conclusion, in the early 1970s the health-related habits examined were, in most instances, less favourable among blue-collar than white-collar workers. No consistent pattern of change in these habits was observed in the 10-year follow-up. At the end of the follow-up, many of the "inequalities" still persisted.

摘要

该项目的目的是研究不同社会阶层在各种与健康相关的习惯方面的差异,尤其是要注意经过10年随访期后这些习惯的变化。通过这项研究,可以得出结论:健康教育努力以及对个人健康兴趣的增加,在受教育程度较高的群体中是否比受教育程度较低的群体得到更广泛的采用,而后者的发病率和死亡率更高。样本包括902名白领和蓝领工人。在这两年中,吸烟在蓝领工人中更为常见。除女性蓝领工人外,所有群体的吸烟率均有所下降。白领工人饮酒的场合比蓝领工人更频繁。然而,重度饮酒在男性蓝领群体中比白领群体更常见,而在女性中情况则相反。在这两年中,白领群体的饮食习惯比相应的蓝领群体更接近“官方”建议。在首次调查时,白领男性身体更活跃,十年后更是如此。在女性中,社会阶层差异方向相同,但不太明显。总之,在20世纪70年代初,所研究的与健康相关的习惯在大多数情况下,蓝领工人比白领工人更不理想。在10年的随访中,未观察到这些习惯有一致的变化模式。随访结束时,许多“不平等”现象仍然存在。

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