SOCIOECONOMIC DISADVANTAGE AND CHILD MORBIDITY - AN AUSTRALIAN LONGITUDINAL-STUDY
SOCIOECONOMIC DISADVANTAGE AND CHILD MORBIDITY - AN AUSTRALIAN LONGITUDINAL-STUDY
复制标题
DOI：
10.1016/0277-9536(93)90123-l
复制
发表时间：
1993-04-01
影响因子：
5.4
通讯作者：
WILLIAMS, G
中科院分区：
文献类型：
--
作者：
BOR, W;NAJMAN, JM;WILLIAMS, G
虽然大量文献表明社会经济地位与儿童死亡率之间存在关联，但讨论社会经济不平等对儿童发病率影响的论文相对较少。缺乏数据的部分原因是方法学问题（需要大样本、评估发病率的困难），部分原因是缺乏相关的官方健康统计数据。本文报告了昆士兰大学妊娠研究 (MUSP) 的结果及其结果。该样本包含 8556 例连续怀孕，其中超过 90% 的患者进行了出生后随访。在那些分娩的母亲中，大约有。 70% 的儿童在出生五年后成功进行了健康评估（母亲使用一组标准指标报告孩子的健康状况）。结果表明，社会经济地位最弱势的母亲的孩子表现出最差的健康状况，这是一致的模式。因此，生活在社会经济弱势地位的儿童的医疗服务利用率较高，慢性健康问题较多，牙齿健康状况较差。本文讨论了一些纠正这些不平等的社会政策。
While an extensive body of literature has demonstrated an association between socioeconomic status and child mortality, there have been relatively few papers which discuss the impact of socioeconomic inequality on child morbidity. This absence of data is partly attributable to methodological problems (need for large samples, the difficulty of assessing morbidity) and partly to the absence of relevant official health statistics.This paper reports results from the Mater-University of Queensland Study of Pregnancy (MUSP) and its outcomes. The sample comprises 8556 consecutive pregnancies, of which over 90% were followed up to birth. Of those mothers giving birth, approx. 70% of children were successfully given a health assessment five years after the birth (mothers report of the child's health using a set of standard indicators).The results indicate a consistent pattern with the children of the most socioeconomically disadvantaged mothers manifesting the worst health. Thus children living in socioeconomic disadvantage have a higher rate of health service utilisation, more chronic health problems and poorer dental health. The paper discusses some social policies for redressing these inequalities.