Addressing Social Inequality in Aging by the Danish Occupational Social Class Measurement
Addressing Social Inequality in Aging by the Danish Occupational Social Class Measurement
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DOI：
10.1177/0898264314522894
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发表时间：
2014-02-01
影响因子：
2.8
通讯作者：
Lund, Rikke
中科院分区：
文献类型：
--
作者：
Christensen, Ulla;Krolner, Rikke;Lund, Rikke
目的：介绍丹麦职业社会阶层(DOSC)测量方法，作为一种适用于中年后期人群的社会经济地位(SEP)测量方法，并分析该测量方法与经教育调整后的三种与中年老龄化相关的结果的相关性。方法：对7,084名来自哥本哈根老龄化与中年生物库(CAMB)调查的参与者进行DOSC测量的系统编码。我们在Logistic回归分析中检验了SEP的这一指标与慢性病、自评健康和流动性的关系，并最终根据学校教育进行了调整。结果：在慢性病患病率、自评健康状况差和行动受限方面，SEP的测量显示出沿社会阶层的强烈社会梯度。适应学校教育的调整只在很小程度上削弱了这种联系。讨论：DOSC测量与丹麦中年人群的老龄化相关，因此非常适合未来关于健康和老龄化方面的社会不平等的流行病学研究。
Objective: To present the Danish Occupational Social Class (DOSC) measurement as a measure of socioeconomic position (SEP) applicable in a late midlife population, and to analyze associations of this measure with three aging-related outcomes in midlife, adjusting for education. Method: Systematic coding procedures of the DOSC measurement were applied to 7,084 participants from the Copenhagen Aging and Midlife Biobank (CAMB) survey. We examined the association of this measure of SEP with chronic conditions, self-rated health, and mobility in logistic regression analyses, adjusting for school education in the final analysis. Results: The measure of SEP showed a strong social gradient along the social classes in terms of prevalence of chronic conditions, poor self-rated health, and mobility limitations. Adjusting for school education attenuated the association only to a minor degree. Discussion: The DOSC measure was associated with aging-related outcomes in a midlife Danish population, and is, thus, well suited for future epidemiological research on social inequalities in health and aging.