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社会环境剥夺对城市男性居民健康状况的影响:一项基于中国全国代表性样本的研究

The Influence of Contextual Social Deprivation on Poor Health Among Urban Male Residents: A Nationally Respresentative Study in China.

作者信息

Zhu Haibao, Yang Tingzhong, Pei Tong, Ying Ying, Peng Sihui

机构信息

Yongkang Women and Children's Health Hospital, Zhejiang, China.

Research Center for Digital Health Behavior Theory and Management, Zhejiang University National Health Big Data Institute, Hangzhou, China.

出版信息

Am J Mens Health. 2025 May-Jun;19(3):15579883251332733. doi: 10.1177/15579883251332733. Epub 2025 May 28.

Abstract

This study aimed to examine whether contextual social deprivation is independently associated with health outcomes. A cross-sectional, multistage sampling design was employed to interview participants from six selected cities in China. A standardized questionnaire was used to collect data on individual socioeconomic characteristics and contextual social deprivation. Multilevel logistic regression models were used to assess the association between social deprivation and self-rated health. A total of 5,782 valid questionnaires were collected in this study. The prevalence of poor health was 5.3% (95% CI [4.2%, 6.3%]). Multilevel logistic regression analysis revealed a negative association between social deprivation and self-rated health. The odds ratios for contextual social deprivation scores of 2, 3, and 4 were 1.89 [1.31, 2.72], 4.21 [2.55, 6.94], and 4.63 [2.77, 7.73], respectively. This study offers new insights into the impact of social deprivation on poor health among urban male residents in China. The research emphasizes the urgent need to address poor health as a key measure to protect the well-being of socially and economically vulnerable populations.

摘要

本研究旨在探讨情境性社会剥夺是否与健康结果独立相关。采用横断面多阶段抽样设计,对来自中国六个选定城市的参与者进行访谈。使用标准化问卷收集关于个体社会经济特征和情境性社会剥夺的数据。采用多水平逻辑回归模型评估社会剥夺与自评健康之间的关联。本研究共收集到5782份有效问卷。健康状况不佳的患病率为5.3%(95%可信区间[4.2%,6.3%])。多水平逻辑回归分析显示社会剥夺与自评健康之间存在负相关。情境性社会剥夺得分2、3和4的比值比分别为1.89[1.31,2.72]、4.21[2.55,6.94]和4.63[2.77,7.73]。本研究为社会剥夺对中国城市男性居民健康状况不佳的影响提供了新的见解。该研究强调迫切需要将解决健康状况不佳问题作为保护社会经济弱势群体福祉的关键措施。

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