State income inequality, household income, and maternal mental and physical health: cross sectional national survey
State income inequality, household income, and maternal mental and physical health: cross sectional national survey
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DOI：
10.1136/bmj.321.7272.1311
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发表时间：
2000-11-25
影响因子：
--
通讯作者：
Kawachi, I
中科院分区：
文献类型：
--
作者：
Kahn, RS;Wise, PH;Kawachi, I
Objective To examine the association of state income inequality and individual household income with the mental and physical health of women with young children.Design Cross sectional study. Individual level data (outcomes, income, and other sociodemographic covariates) from a 1991 follow up survey of a birth cohort established in 1988. State level income inequality calculated from the income distribution of each state from 1990 US census.Setting United States, 1991.Participants Nationally representative stratified random sample of 8060 women who gave birth in 1988 and were successfully contacted (89%) in 1991.Main outcome measures Depressive symptoms (Center for Epidemiologic Studies depression score >15) and self rated healthResults 19% of women reported depressive symptoms, and 7.5% reported fair or poor health. Compared with women in the highest fifth of distribution of household income, women in the lowest fifth were more likely to report depressive symptoms (33% v 9% P
