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英国的长期限制性疾病:新冠疫情封锁前后

Long-Term Limiting Illness in the United Kingdom: Before and After the Covid Lockdown.

作者信息

Borooah Vani K, Knox Colin G

机构信息

Ulster University, Belfast, UK.

Nazarbayev University, Astana, Kazakhstan.

出版信息

Int J Health Plann Manage. 2025 Jul;40(4):849-862. doi: 10.1002/hpm.3920. Epub 2025 Mar 5.

Abstract

The purpose of this paper is to study the evolution of LTLI in the UK between the pre- and post-Covid years of, respectively, 2019 and 2022 paying attention to differences in the propensity to LTLI between different subgroups of the population in each of the two years and then examining whether the propensity to LTLI changed between the years, both in respect of overall change and in respect of the separate population subgroups. This was achieved using UK Labour Force Survey data for 2019 and 2022. In terms of the social gradient to health, persons in the Managerial/Professional classes had a significantly higher PP (predicted probability) of N-LTI (i.e., of not having a long-term illness) than persons either in the Routine non-Manual or Routine Manual classes and also had a significantly lower PP of LTLI-lot (i.e., of having a long-term illness which limited activity by a lot) than persons either in the Intermediate or in the Routine Manual or Routine non-Manual classes. This was true in both 2019 and 2022. In other words, there was significant inequality in the PP of LTLI associated with the occupational classes. In terms of changes in the propensity to LTLI, the PP of having a long-term illness-regardless of whether it was limiting or not - was significantly higher in 2022 than it was in 2019 both for the overall population and for its subgroups.

摘要

本文旨在研究2019年(新冠疫情前)和2022年(新冠疫情后)英国长期限制性疾病(LTLI)的演变情况,关注这两年中不同人群亚组LTLI倾向的差异,然后考察这两年间LTLI倾向是否发生了变化,包括总体变化以及各个人口亚组的变化情况。这是通过使用2019年和2022年英国劳动力调查数据来实现的。在健康的社会梯度方面,管理/专业阶层的人无长期疾病(N-LTI)的预测概率(PP)显著高于常规非体力或常规体力阶层的人,并且他们患严重限制活动的长期疾病(LTLI-lot)的PP也显著低于中级、常规体力或常规非体力阶层的人。2019年和2022年都是如此。换句话说,与职业阶层相关的LTLI的PP存在显著不平等。在LTLI倾向的变化方面,无论长期疾病是否具有限制性,2022年总体人群及其亚组患长期疾病(LTLI)的PP均显著高于2019年。

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