Pudaric S, Sundquist J, Johansson S E
Department of Community Health Sciences Dalby/Lund, University of Lund, Sweden.
J Epidemiol Community Health. 1998 Jan;52(1):34-40. doi: 10.1136/jech.52.1.34.
The aim of this study is to analyse the influence of country of birth and attained level of education, on impaired mobility and impaired working capacity adjusted for age, sex, and other background variables.
Sweden.
A random sample of 5798 men and 6072 women ages 55-74 years were interviewed face to face by Statistics Sweden 1986-1993. Dependent variable: impaired mobility and impaired working capacity.
sex, age, country of birth (Swedes, Finns, Western countries, south Europeans, and all others), attained level of education, marital status, form of tenure, and social network. This study was designed as a cross sectional study. The data were analysed with unconditional logistic regression in main effect models. The results are shown as odds ratios (OR) with 95% confidence intervals (CI).
In general, poor health, defined as impaired working capacity or impaired mobility, proved to be more frequent among foreign born people and in all socially disadvantaged groups such as those with a low educational status, people renting a dwelling or with a poor social network. Impaired working capacity and impaired mobility were more frequent among female "all others". The impaired mobility among men and women born in south Europe was high with OR = 2.65 (CI = 1.34, 5.25) and OR = 3.17 (CI = 1.44, 7.00) in the full model. Men and women from Finland and all other countries had high risks for impaired mobility when adjusted for all background variables. Finnish men and south European women had the highest odds ratios for impaired working capacity. There was a clear gradient between educational status and impaired working capacity, with the highest odds ratios for men and women, 2.39 and 1.92, with a low attained level of education, when adjusting for the independent variables.
Country of birth and educational status are two important independent factors with influence on poor health defined as impaired mobility and impaired working capacity in age 55-74.
本研究旨在分析出生国家和受教育程度，对在调整年龄、性别及其他背景变量后出现的行动不便和工作能力受损情况的影响。
瑞典。
1986年至1993年期间，瑞典统计局对5798名年龄在55至74岁之间的男性和6072名女性进行了随机抽样面对面访谈。因变量：行动不便和工作能力受损。
性别、年龄、出生国家（瑞典人、芬兰人、西方国家、南欧人以及所有其他国家）、受教育程度、婚姻状况、居住形式和社会网络。本研究设计为横断面研究。数据在主效应模型中采用无条件逻辑回归进行分析。结果以比值比（OR）和95%置信区间（CI）表示。
总体而言，健康状况不佳，定义为工作能力受损或行动不便，在外国出生人群以及所有社会弱势群体中更为常见，如教育程度低、租房居住或社会网络不佳的人群。女性“所有其他国家”人群中工作能力受损和行动不便更为常见。在全模型中，南欧出生的男性和女性行动不便发生率较高，比值比分别为2.65（置信区间=1.34，5.25）和3.17（置信区间=1.44，7.00）。在调整所有背景变量后，来自芬兰和所有其他国家的男性和女性行动不便风险较高。芬兰男性和南欧女性工作能力受损的比值比最高。教育程度和工作能力受损之间存在明显梯度，在调整自变量后，教育程度低的男性和女性比值比最高，分别为2.39和1.92。
出生国家和教育程度是两个重要的独立因素，对55至74岁人群中定义为行动不便和工作能力受损的健康不佳情况有影响。
