Income or living standard and health in Germany: different ways of measurement of relative poverty with regard to self-rated health

Income or living standard and health in Germany: different ways of measurement of relative poverty with regard to self-rated health
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DOI:
10.1007/s00038-010-0154-3
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发表时间:
2011-08-01
影响因子:
4.6
通讯作者:
Janssen, Christian
Janssen, Christian
中科院分区:
医学3区
文献类型:
--
作者:
Pfoertner, Timo-Kolja;Andress, Hans-Juergen;Janssen, Christian

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当前的研究引入了生活水平概念作为衡量贫困的替代方法,并将其与基于收入的贫困衡量标准对德国人口主观健康状况的解释力进行了比较。分析基于德国社会经济小组(2001年、2003年和2005年),并参考了关于每种贫困状况、其持续时间及其从前一个时间点起的因果影响的不良主观健康状况的二元逻辑回归。为了计算这两个贫困指标的区分力,最初在回归模型中单独考虑这两个指标,随后将两个指标同时纳入其中。分析表明,生活水平指标具有更强的贫困与健康关系。 2005年的生活水平不足、2001年、2003年和2005年期间较长时间的生活水平不足以及之前时间点的生活水平不足与主观健康的相关性高于收入贫困。我们的结果挑战了贫困与健康之间关系的传统衡量标准,迄今为止这种衡量标准可能被收入衡量标准低估了。
Current study introduces the living standard concept as an alternative approach of measuring poverty and compares its explanatory power to an income-based poverty measure with regard to subjective health status of the German population.Analyses are based on the German Socio-Economic Panel (2001, 2003 and 2005) and refer to binary logistic regressions of poor subjective health status with regard to each poverty condition, their duration and their causal influence from a previous time point. To calculate the discriminate power of both poverty indicators, initially the indicators were considered separately in regression models and subsequently, both were included simultaneously.The analyses reveal a stronger poverty-health relationship for the living standard indicator. An inadequate living standard in 2005, longer spells of an inadequate living standard between 2001, 2003 and 2005 as well as an inadequate living standard at a previous time point is significantly strongly associated with subjective health than income poverty.Our results challenge conventional measurements of the relationship between poverty and health that probably has been underestimated by income measures so far.