Maclure A, Stewart G T
Lancet. 1984 Sep 22;2(8404):682-5. doi: 10.1016/s0140-6736(84)91234-0.
Children living in deprived districts in Glasgow were on average about nine times (five to over a hundred times) more likely to be admitted to hospital for any reason than children in non-deprived districts. The deprivation variables most strongly correlated with admission rates were overcrowding in households and parental unemployment; in comparison with these the protective effect of vaccination against measles and whooping cough, for example, was less significant. The findings show possibilities of an immense saving in avoidable illness and health service costs by elimination of recognisable disadvantages. But they suggest also the presence of a less recognisable life-style factor which may be responsible for a substantial health-damaging effect in some relatively non-deprived environments.
居住在格拉斯哥贫困地区的儿童因任何原因住院的可能性平均约为非贫困地区儿童的九倍(五倍至一百倍以上)。与住院率最密切相关的贫困变量是家庭拥挤和父母失业;相比之下,例如麻疹和百日咳疫苗接种的保护作用就不那么显著。研究结果表明,消除可识别的不利因素有可能在避免疾病和医疗服务成本方面节省大量开支。但它们也表明存在一种较难识别的生活方式因素,这种因素可能在一些相对非贫困的环境中对健康造成重大损害。