POVERTY AND HEALTH - PROSPECTIVE EVIDENCE FROM THE ALAMEDA COUNTY STUDY
POVERTY AND HEALTH - PROSPECTIVE EVIDENCE FROM THE ALAMEDA COUNTY STUDY
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DOI：
10.1093/oxfordjournals.aje.a114637
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发表时间：
1987-06-01
影响因子：
5
通讯作者：
CAMACHO, T
中科院分区：
文献类型：
--
作者：
HAAN, M;KAPLAN, GA;CAMACHO, T
为了研究社会经济地位与健康状况不佳之间联系的原因，作者研究了加州奥克兰随机抽取的35岁及以上居民九年的死亡率经历。与非贫困地区的居民相比，联邦指定贫困地区的居民在随访期间经历了更高的年龄，种族和性别调整后的死亡率（相对风险= 1.71，95%置信区间1.20-2.44）。当对基线健康状况、种族、收入、就业状况、医疗保健、健康保险覆盖率、吸烟、饮酒、体力活动、体重指数、睡眠模式、社会隔离、婚姻状况、抑郁和个人不确定性进行多变量调整时，死亡风险的增加持续存在。这些结果支持的假设，社会物理环境的属性可能是重要的贡献者之间的关联低社会经济地位和超额死亡率，这种贡献是独立的个人行为。
To examine the reasons for the association between socioeconomic status and poor health, the authors examined the nine-year mortality experience of a random sample of resident aged 35 and over in Oakland, California. Residents of a federally designated poverty area experienced higher age-, race-, and sex-adjusted mortality over the follow-up period compared with residents of nonpoverty areas (relative risk = 1.71, 95 per cent confidence interval 1.20-2.44). This inceased risk of death persisted when there was multivariate adjustment for baseline health status, race, income, employment status, access to medical care, health insurance coverage, smoking, alcohol consumption, physical activity, body mass index, sleep patterns, social isolation, marital status, depression, and personal uncertainty. These results support the hypothesis that properties of the sociophysical environment may be important contributors to the association between low socioeconomic status and excess mortality, and that this contribution is independent of individual behaviors.