Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries
Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries
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DOI：
10.1016/s0277-9536(00)00096-4
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发表时间：
2000-11-01
影响因子：
5.4
通讯作者：
Marmot, M
中科院分区：
文献类型：
--
作者：
Bobak, M;Pikhart, H;Marmot, M
本研究探讨了感知控制和几个社会经济变量和自测健康在七个后共产主义国家（俄罗斯，爱沙尼亚，立陶宛，拉脱维亚，匈牙利，波兰，捷克共和国）之间的关联。问卷调查被用来收集数据的自测健康在过去的12个月，教育，婚姻状况，感知控制的基础上的9个问题，和物质匮乏的基础上提供的食物，衣服和暖气。对于每个人口，有两种衡量物质不平等的生态标准：根据调查数据估计的不平等分数，即物质匮乏的第90个和第10个等级之间的距离，以及公布的基尼系数。分析了5330名20-60岁男性和女性的数据。健康状况不佳（低于平均水平）的患病率在捷克人中为8%，在匈牙利人中为19%。大学与小学教育的年龄-性别调整比值比为0.36（0.26-0.49）;感知控制和物质剥夺每增加1个标准差的比值比分别为0.58（95%CI 0.48-0.69）和1.51（1.40-1.63）。不平等程度增加的优势比相当于最不平等和最不平等人口之间的差异，使用物质不平等评分为1.49（0.88-2.52），使用基尼系数为1.41（0.91-2.20）。在对个人的剥夺或感知控制进行调整后，没有迹象表明任何一种不平等措施的效果。结果表明，在西方人群中，教育和物质匮乏与自我评价的健康密切相关。知觉控制似乎在统计上介导了物质剥夺的一些影响。两个生态措施的不平等的非显着影响被消除控制个人的特点。(C)2000爱思唯尔科技有限公司版权所有。
This study examined the association between perceived control and several socioeconomic variables and self-rated health in seven post-communist countries (Russia, Estonia, Lithuania, Latvia, Hungary, Poland, Czech Republic). Questionnaire interviews were used to collect data on self-rated health in the last 12 months, education, marital status, perceived control based on nine questions, and material deprivation based on availability of food, clothing and heating. For each population, two ecological measures of material inequalities were available: an inequality score estimated from the survey data as the distance between the 90th and 10th percentiles of material deprivation, and Gini coefficient from published sources. Data on 5330 men and women aged 20-60 were analysed. Prevalence of poor health (worse than average) varied between 8% in Czechs and 19% in Hungarians. The age-sex-adjusted odds ratio for university vs primary education was 0.36 (0.26-0.49); odds ratios per 1 standard deviation increase in perceived control and in material deprivation were 0.58 (95% CI 0.48-0.69) and 1.51 (1.40-1.63), respectively. The odds ratio for an increase in inequality equivalent to the difference between the most and the least unequal populations was 1.49 (0.88-2.52) using the material inequality score and 1.41 (0.91-2.20) using the Gini coefficient. No indication of an effect of either inequality measure was seen after adjustment for individuals' deprivation or perceived control. The results suggest that, as in western populations, education and material deprivation are strongly related to self-rated health. Perceived control appeared statistically to mediate some of the effects of material deprivation. The non-significant effects of both ecological measures of inequality were eliminated by controlling for individuals' characteristics. (C) 2000 Elsevier Science Ltd. All rights reserved.