THE BLACK REPORT ON SOCIOECONOMIC INEQUALITIES IN HEALTH 10 YEARS ON
THE BLACK REPORT ON SOCIOECONOMIC INEQUALITIES IN HEALTH 10 YEARS ON
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DOI：
10.1136/bmj.301.6748.373
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发表时间：
1990-08-18
影响因子：
105.7
通讯作者：
BLANE, D
中科院分区：
文献类型：
--
作者：
SMITH, GD;BARTLEY, M;BLANE, D
本月是布莱克报告发表10周年。“1977年，当时的社会服务大臣大卫·恩纳尔斯召集了健康不平等问题研究工作组，皇家医师学院院长道格拉斯·布莱克爵士担任主席。研究结果在1980年8月发表时并不受政府欢迎，但在联合王国和其他国家引起了极大的兴趣。”黑色报告”最初供不应求，直到企鹅出版了平装本，平装本的销售确保了它的广泛读者群。[4]工作组的中心结论-死亡率和发病率方面存在着有利于较高社会阶层的巨大差异，而卫生或社会服务部门没有加以纠正-已广为人知。在其出版后的10年中，特别是在以下四个领域获得了新的信息：使用社会经济地位的替代措施来指数化死亡风险;收集发病率数据;比较英国与其他工业化国家的不平等;以及理解差异的原因。本文对这四个方面进行了评述。
Introduction This month marks the 10th anniversary of the publication of the Black report.'In 1977 the Research Working Group on Inequalities in Health had been convened by David Ennals, then Secretary of State for Social Services, under the chairmanship of Sir Douglas Black, president of the Royal College of Physicians. Its findings were not welcomed by the government when they were published in August 1980, 23 but they generated great interest both in the United Kingdom and in other countries. Copies of the" Black report" were initially in short supply untilPenguin published a paperback version, whose sales have ensured it a wide readership. 4 The central finding of the working group-that there were large differentials in mortality and morbidity that favoured the higher social classes and that were not being redressed by health or social services-became widely known. In the 10 years since its publication new information has become available in four areas in particular: the use of alternative measures of socioeconomic position to index mortality risk; the collection of morbidity data; the comparison of inequalities in Britain with those in other industrialised countries; and the understanding of the causes of the differentials. These four areas are reviewed in this paper.