SOCIAL-CLASS - THE MISSING LINK IN US HEALTH DATA
SOCIAL-CLASS - THE MISSING LINK IN US HEALTH DATA
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DOI：
10.2190/2jg7-ymd5-wcp2-xxnt
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发表时间：
1994-01-01
影响因子：
3.4
通讯作者：
FEE, E
中科院分区：
文献类型：
--
作者：
KRIEGER, N;FEE, E
在发达资本主义国家中，美国的国家人口统计数据是独一无二的，它只按种族、性别和年龄——而不是按阶级和收入——报告数据。本文回顾了有限的美国数据资源，可用于记录社会阶层在健康方面的不平等。总结了英国收集社会阶层和健康数据的方法的优缺点，作者讨论了在美国背景下可能可行的收集数据的方法。他们认为，教育水平不足以作为社会经济地位的标志，适当的措施不仅要考虑个人，还要考虑家庭和社区的社会阶级标志。这些额外类型的社会阶层数据对于准确描述和理解妇女和不同种族/族裔群体之间健康方面的社会阶层不平等尤其重要。
National vital statistics in the United States are unique among those of advanced capitalist countries in reporting data only by race, sex, and age-not by class and income. This article reviews the limited U.S. data resources that may be used to document social class inequalities in health. Summarizing the strengths and weaknesses of the British approach to gathering data on social class and health, the authors discuss possible approaches to collecting data that could be feasible in the U.S. context. They argue that educational level is an insufficient marker for socioeconomic position and contend that appropriate measures must take into account not only individual but also household and neighborhood markers of social class. These additional types of social class data are especially important for accurately describing and understanding social class inequalities in health among women and across diverse racial/ethnic groups.