WOMEN AND SOCIAL-CLASS - A METHODOLOGICAL STUDY COMPARING INDIVIDUAL, HOUSEHOLD, AND CENSUS MEASURES AS PREDICTORS OF BLACK-WHITE DIFFERENCES IN REPRODUCTIVE HISTORY
WOMEN AND SOCIAL-CLASS - A METHODOLOGICAL STUDY COMPARING INDIVIDUAL, HOUSEHOLD, AND CENSUS MEASURES AS PREDICTORS OF BLACK-WHITE DIFFERENCES IN REPRODUCTIVE HISTORY
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DOI：
10.1136/jech.45.1.35
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发表时间：
1991-03-01
影响因子：
6.3
通讯作者：
KRIEGER, N
中科院分区：
文献类型：
--
作者：
KRIEGER, N
研究目的-目的是比较四种不同的措施，妇女的社会阶层（访谈和人口普查为基础）作为预测众所周知的社会梯度在生殖结果。 其目的是解决美国在妇女健康的社会梯度研究方面面临的两个障碍：研究设计-该研究是一项回顾性队列分析，使用基于社区的随机样本。背景-Alameda县，加州，1987。受试者-51名黑人和50名白色妇女，年龄介乎20至80岁的受访者，以随机数字拨号方式识别，并以电话访问。测量结果及主要结果-人口普查资料是透过受访者的地址与个人纪录联系。 以足月妊娠的数量为例，多元线性回归分析表明，个体类别与该结局无显著相关性，而家庭类别为：来自非工人阶级家庭的妇女比来自工人阶级家庭的妇女少0.8例足月妊娠（95%置信区间[CI] =-1.4，-0.1）。 街区组测量的功能最像家庭类测量（β =-0.7，95%CI =-1.4，0.1），而人口普查区测量不显著（β =-0.4，95%CI =-1.2，0.4）。 类似的结果：年龄在第一次足月妊娠，提前终止妊娠的百分比，和annually income. Conclusions这些结果表明块组数据可能提供一个统一的来源，可以附加到个人的健康记录的社会阶层信息，这种策略是不是无效的关注生态谬误。
Study objective-The aim was to compare four different measures of women's social class (interview and census based) as predictors of well known social gradients in reproductive outcomes. The intent was to address two obstacles that confront research in the United States regarding social gradients in women's health: how women's social class should be measured, and the absence of socioeconomic data in most health records.Study design-The study was a retrospective cohort analysis, using a community based random sample.Setting-Alameda County, California, 1987.Subjects-51 black and 50 white women, ages 20 to 80 years, identified by random digit dialling, were interviewed by telephone.Measurements and main results-Census data were linked to individual records via the respondents' addresses. Using number of full term pregnancies as an example, multiple linear regression analyses demonstrated that individual class was not significantly associated with this outcome, whereas household class was: women from non-working-class households had 0.8 fewer such pregnancies than women from working class households (95% confidence interval [CI] = -1.4, -0.1). The block group measure functioned most like the household class measure (beta = -0.7, 95% CI = -1.4, 0.1), while the census tract measure was non-significant (beta = -0.4, 95% CI = -1.2, 0.4). Similar results were obtained for the outcomes: age at first full term pregnancy, percent of early terminated pregnancies, and yearly income.Conclusions-These results suggest block group data may offer a uniform source of social class information that can be appended to individual health records, and that this strategy is not invalidated by concerns regarding ecological fallacy.