Self-rated health: inequalities and potential determinants.

Self-rated health: inequalities and potential determinants.
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DOI:
10.3390/ijerph6092456
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发表时间:
2009-09
影响因子:
--
通讯作者:
Geitona M
Geitona M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Alexopoulos EC;Geitona M

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了解健康方面的社会不平等非常重要;它为调查影响健康的社会因素提供了概念框架,并为改善人口健康提供了经验证据。从1,000名参与者的代表性样本中收集了个人和社会经济数据,疾病相关状况和自测健康(SRH)评级,以研究希腊的健康不平等。20.8%的男性和37.2%的女性报告健康状况不佳。观察到性健康和生殖健康方面的显著不平等。研究发现,性健康和生殖健康状况不佳与性别、年龄、保险覆盖率和慢性病密切相关。社会保险制度在多变量分析中部分反映了教育程度、收入和居住地对SRH的影响。接受长期治疗的受访者和患有心血管、肌肉骨骼和神经/精神疾病的受访者报告性健康和生殖健康状况不佳的风险最高。我们的研究结果为决策者提供了如何通过优先考虑预防措施来管理健康不平等的见解,从而朝着公平分配医疗资源的方向取得进展。
Understanding social inequalities in health is of great importance; it provides the conceptual frame for investigating the social factors that affect health, together with empirical evidence for improving population health. Individual and socioeconomic data, disease related conditions and self rated health (SRH) ratings were collected from a representative sample of 1,000 participants in order to study health inequalities in Greece. 20.8% of men and 37.2% of women reported poor health status. Significant inequalities in SRH were observed. Strong associations of poor SRH with gender, age, insurance coverage and chronic diseases were identified. Social insurance scheme captured partly the effects of educational level, income and residence area in SRH in multivariate analysis. Respondents under chronic treatment and those suffering from cardiovascular, musculoskeletal and neurological/psychiatric disorders exhibited the highest risk of reporting poor SRH. Our findings provide decision-makers with insights into how to manage health inequalities by prioritizing preventive measures and consequently, progress towards the fair distribution of healthcare resources.
DOI: 10.1093/oxfordjournals.aje.a113387
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影响因子: 5
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影响因子: 12.7
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