Blank N, Diderichsen F
Karolinska Institute, Department of International Health and Social Medicine, Sundbyberg, Sweden.
Public Health. 1996 May;110(3):157-62. doi: 10.1016/s0033-3506(96)80069-2.
This longitudinal study utilizes a data set from the Survey of Living Conditions conducted by Statistics Sweden (SCB) during the years 1980-1981 and 1988-1989. It comprises a representative sample of the employed Swedish population (2,861 individuals) between the ages of 20 and 65. The objective of the study is to analyse the interaction between socio-economic and personal circumstances in explaining inequalities in health. It is based on a theoretical framework which presupposes that inequalities in health are likely to be explained by a complicated process involving a multitude of factors. At the same time, differential exposures and differential responses to risk factors between socio-economic classes for certain health outcomes are determined. The joint effect on general health status, seven years later, of being a manual worker and having reported psychosomatic symptoms is 113% greater than would have been expected on the assumption of additivity of the singular effects of these variables. It is suggested that it is necessary to highlight in further research the complex interactions and pathways between factors associated with health outcomes to improve our understanding of the causal processes involved and determine appropriate preventive measures.
这项纵向研究使用了瑞典统计局（SCB）在1980 - 1981年以及1988 - 1989年进行的生活状况调查数据集。它包含了年龄在20至65岁之间的受雇瑞典人口的代表性样本（2861人）。该研究的目的是分析社会经济和个人情况在解释健康不平等方面的相互作用。它基于一个理论框架，该框架预先假定健康不平等可能由一个涉及众多因素的复杂过程来解释。同时，确定了社会经济阶层之间对于某些健康结果在危险因素暴露和对危险因素的反应方面的差异。在七年后，身为体力劳动者并报告有身心症状对总体健康状况的联合影响比假设这些变量的单一影响具有可加性时所预期的要大113%。有人提出，在进一步研究中必须突出与健康结果相关的因素之间的复杂相互作用和途径，以增进我们对所涉及的因果过程的理解，并确定适当的预防措施。
