Socioeconomic inequalities in health:: A comparative longitudinal analysis using the European Community Household Panel
Socioeconomic inequalities in health:: A comparative longitudinal analysis using the European Community Household Panel
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DOI：
10.1016/j.socscimed.2006.03.017
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发表时间：
2006-09-01
影响因子：
5.4
通讯作者：
Rice, Nigel
中科院分区：
文献类型：
--
作者：
Hernandez-Quevedo, Cristina;Jones, Andrew M.;Rice, Nigel
这项研究衡量了1994年至2001年期间欧洲联盟成员国在健康方面的社会经济不平等。该分析以欧洲共同体住户小组用户数据库为基础，并对全部8波可用数据使用了两个健康限制的二元指标。短期和长期集中指数以及流动性和健康成就指数是针对严重健康限制和任何健康限制的指标得出的。结果表明，在短期（1年）和长期（长达8年），各会员国在健康方面存在社会经济不平等，健康限制集中在低收入人群中。就所有国家而言，长期指数表明，与收入有关的健康不平等随着时间的推移而扩大，也就是说，衡量个人健康和收入的时期越长，与收入有关的健康不平等程度就越大。根据疾病流行率对各国进行的排名不同于根据总体健康成就进行的排名，后者考虑到了不平等。这意味着，在评价不同国家的业绩和比较具有不同保健和社会福利制度的国家时，必须权衡公平与效率。(c)2006爱思唯尔有限公司保留所有权利。
This study measures socioeconomic inequalities in health across European Union Member States between 1994 and 2001. The analysis is based on the European Community Household Panel Users' Database (ECHP-UDB) and uses two binary indicators of health limitations for the full 8 waves of available data. Short- and long-run concentration indices together with mobility and health achievement indices are derived for indicators of severe health limitation and any health limitation. Results demonstrate the existence of socioeconomic inequality in health across Member States in both the short-term (I year) and the long-term (up to 8 years), with health limitations concentrated among those with lower incomes. For all countries, the long-run indices show that income-related inequalities in health widen over time, in the sense that the longer the period over which an individual's health and income are measured the greater the measure of income-related health inequality. The ranking of countries according to their prevalence of illness differs from ranking by overall health achievement, which takes account of inequalities. This means that an equity-efficiency trade-off has to be faced in evaluating the performance of different countries and in comparing countries with diverse health and social welfare systems. (c) 2006 Elsevier Ltd. All rights reserved.