Increasing social mobility: an effective policy to reduce health inequalities
Increasing social mobility: an effective policy to reduce health inequalities
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DOI：
10.1111/j.1467-985x.2006.00464.x
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发表时间：
2007-01-01
影响因子：
2
通讯作者：
Plewis, Ian
中科院分区：
文献类型：
--
作者：
Bartley, Mel;Plewis, Ian
国家统计局纵向研究的数据用于调查 1991 年至 2001 年间职业定义的社会阶层之间的流动性对男性和女性健康不平等的影响。逻辑回归模型将 2001 年进入或多或少有利的就业条件与限制长期疾病联系起来，控制了 1991 年和 2001 年的社会阶层。当 1991 年的阶层受到控制时（“起源阶层”），那些进入更有优势的社会阶层的人最不可能报告限制性疾病，而那些进入不太有利的社会阶层的人最有可能报告限制性疾病。然而，当 2001 年社会阶层（“目的地阶层”）受到控制时，那些从弱势地位转向优势地位的人最有可能报告限制性疾病。同样的模式也出现在女性身上。这意味着在观察到的时间段内，社会流动性并没有增加健康不平等的程度，而是起到了限制或稀释的作用。结果根据健康不平等的累积模型进行解释，并讨论了政策含义。
Data from the Office for National Statistics Longitudinal Study are used to investigate the effect of mobility between occupationally defined social classes between 1991 and 2001 on health inequality in men and women. Logistic regression models related movement into more or less advantaged employment conditions to limiting long-term illness in 2001, controlling for social class in 1991 and 2001. When class in 1991 was controlled ('class of origin') those who moved into more advantaged social classes were least likely and those moving into less advantaged classes most likely to report a limiting illness. However, when social class in 2001 ('class of destination') was controlled, those moving from less to more advantaged positions were most likely to report limiting illness. The same patterns were seen in women. This means that social mobility did not increase the extent of health inequality over the time period that was observed, but rather served to constrain or dilute it. The results are interpreted in terms of an accumulation model of health inequality, and the policy implications are discussed.