Income related inequalities in self assessed health in Britain: 1979-1995
Income related inequalities in self assessed health in Britain: 1979-1995
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DOI：
10.1136/jech.57.2.125
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发表时间：
2003-02-01
影响因子：
6.3
通讯作者：
Sutton, M
中科院分区：
文献类型：
--
作者：
Gravelle, H;Sutton, M
研究目的：测量和分解收入相关的不平等自我评估的健康在英格兰，苏格兰和威尔士，1979- 1995年。设计：个人健康之间的关系和一个非线性转换的等效收入，允许性别，年龄，国家和年份的影响，估计多元回归。计算了可归因于转换收入的健康份额和转换收入的基尼系数。健康方面的不平等是用部分集中指数来衡量的，该指数是下列指数的乘积。Gini coefficient and the share of health attributed to transformed income.Participants and setting：Representative annual samples of the adult population living in private households in Great Britain 1979-1995.总分析样本为299 968 people.Main results：亲丰富的健康不平等是最大的威尔士和最小的英格兰在此期间，因为收入增加对健康的影响是最大的威尔士和英格兰最少。在这三个国家，亲富人的健康不平等在整个期间都有所增加。在1980年代初，这主要是由于收入不平等的加剧。此后，健康归因于收入的份额增加的主要cause.Conclusions：减少亲丰富的健康不平等可以通过减少收入不平等，减少收入对健康的影响，或两者兼而有之。
Study objective: To measure and decompose income related inequalities in self assessed health in England, Scotland, and Wales, 1979-1995.Design: The relation between individual health and a non-linear transformation of equivalised income, allowing for sex, age, country, and year effects, was estimated by multiple regression. The share of health attributable to transformed income and the Gini coefficient for transformed income were calculated. Inequality in health was measured by the partial concentration index, which is the product of the. Gini coefficient and the share of health attributable to transformed income.Participants and setting: Representative annual samples of the adult population living in private households in Great Britain 1979-1995. The total analysed sample was 299 968 people.Main results: Pro-rich health inequality was largest in Wales and smallest in England over the period because the effect of increased income on health was greatest in Wales and least in England. In all three countries, pro-rich health inequality increased throughout the period. In the early 1980s this was primarily attributable to increases in income inequality. Thereafter the increased share of health attributable to income was the principal cause.Conclusions: Reductions in pro-rich health inequality can be achieved by reducing income inequality, reducing the effect of income on health, or both.