EDUCATION, DISEASE PREVALENCE AND HEALTH-SERVICE UTILIZATION IN THE SWISS NATIONAL-HEALTH SURVEY SOMIPOPS
EDUCATION, DISEASE PREVALENCE AND HEALTH-SERVICE UTILIZATION IN THE SWISS NATIONAL-HEALTH SURVEY SOMIPOPS
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DOI：
10.1016/0091-7435(89)90005-4
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发表时间：
1989-07-01
影响因子：
5.1
通讯作者：
WIETLISBACH, V
中科院分区：
文献类型：
--
作者：
GUTZWILLER, F;LAVECCHIA, C;WIETLISBACH, V
使用1981-1983年瑞士全国健康调查SOMIPOPS的数据，对代表整个瑞士人口的4，255人进行了随机抽样，分析了教育、疾病患病率和卫生服务利用频率之间的关系。几种重要的心血管、呼吸、消化、骨关节和精神疾病的患病率在受教育程度较低的个体中较高;只有过敏性疾病与社会阶层的指标直接相关。受教育程度较高的人报告说，全科医生就诊的频率较低，但专业咨询的频率较高。这些研究结果证实，教育不仅是死亡率的重要决定因素，而且也是发病率和保健利用率的重要决定因素，因此在规划和评价保健服务时需要认真考虑。
The relation among education, disease prevalence, and frequency of health service utilization was analyzed using data from the Swiss National Health Survey SOMIPOPS, conducted in 1981-1983 on a randomly selected sample of 4,255 individuals, representative of the entire Swiss population. The prevalence of several important cardiovascular, respiratory, digestive, osteoarticular, and psychiatric disorders was higher among less educated individuals; only allergic conditions were directly associated with indicators of social class. More educated individuals reported lower frequencies of general practitioner visits, but higher frequencies of specialized consultations. These findings confirm that education is an important determinant not only of mortality but also of morbidity and health-care utilization and require careful consideration in terms of the planning and evaluation of health services.