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甘肃榆中地区健康公平性及其相对变化

Equalities in health and relative changes in Yuzhong county of Shanxi Province

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【作者】 吴静李竹叶荣伟刘远立饶克勤钱军程孙祺李春宇

【Author】 WU Jing,LI Zhu,YE Rong wei,et al.Institute of Reproductive and Child Helath,Peking University(Beijing 100083,China)

【机构】 北京大学生育健康研究所美国哈佛大学公共卫生学院卫生部卫生统计信息中心北京大学公共卫生学院卫生政策与管理学系北京大学公共卫生学院卫生政策与管理学系 北京100083北京100083北京100083

【摘要】 目的 研究甘肃省榆中地区 1993年与 2 0 0 1年健康公平性状况及其相对变化。方法 按照教育程度把人群分为 4组 ,以半年患病率作为健康指标 ,利用Logistic模型和以回归为基础的不平等相对指数 (RII)对 1993年和2 0 0 1年不同人群的健康差异情况及其相对改变进行分析。结果 该地区普遍存在健康差异现象 ,教育程度较低的人群患病率较高。 1993年男性RII为 0 76,女性RII为 0 3 2 ;而到 2 0 0 1年则分别增大到 0 75和 0 17,女性健康差异大于男性 ,并且女性的增长幅度也更大。结论 教育在健康差异中起着重要作用 ,特别是对于女性。要减小健康不公平现象 ,在改善其他条件的同时 ,也应该加强该地区的教育工作。

【Abstract】 Objective To investigate the extent and the relative changes of the equalities in health among population in Yuzhong county.Methods Whole group was divided into four subgroups according to the educational level of the individuals.With the six-month prevalence of disease as the health indicator,cross sectional data of 1993 and 2001 were analyzed and the logistic analysis and the relative index of inequity(RII) were used to measure the inequalities in health.Results The inequalities in health existed and favored the higher educational level groups.In 1993,RII was 0.76 for men and 0.32 for women;RII increased to 0.75 and 0.17,respectively in 2001.The gaps in health were greater in women than in men,and the relative changes were also greater for women than for men.Conclusion Education played an important role in health inequalities,especially for women.To reduce the gaps in health,the education work should be strengthened as well as improving other conditions.

  • 【文献出处】 中国公共卫生 ,China Public Health , 编辑部邮箱 ,2003年02期
  • 【分类号】R19
  • 【被引频次】11
  • 【下载频次】233
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