Comparing measures of health inequality
Comparing measures of health inequality
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DOI：
10.1016/s0277-9536(96)00412-1
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发表时间：
1997-09-01
影响因子：
5.4
通讯作者：
Power, C
中科院分区：
文献类型：
--
作者：
Manor, O;Matthews, S;Power, C
有几种方法可以衡量健康方面的社会不平等。本文讨论了不同方法的优点和缺点，特别是比值比，斜率和α。这些方法说明了使用1958年英国出生队列的受试者的数据。使用23岁和33岁的健康状况比较不平等措施。六个健康指标进行了检查，包括自我评估的健康，限制长期疾病，心理健康，呼吸道症状，哮喘和肥胖。两个社会指标，即出生时的阶级和教育资格进行了比较。使用这三种方法衡量不平等的结论没有实质性差异。然而，社会地位的衡量标准之间的差异始终很明显，教育资格方面的不平等更明显。因此，社会指标的选择似乎是衡量健康不平等的首要因素。(C)1997 Elsevier Science Ltd.
Several methods are available to measure social inequalities in health. This paper discusses the advantages and disadvantages of different approaches, in particular the odds ratio, the slope and alpha. These methods are illustrated using data from subjects in the 1958 British birth cohort. The inequality measures are compared using health status at ages 23 and 33. Six health indicators are examined, including self-rated health, limiting long-standing illness, psychological health, respiratory symptoms, asthma and obesity. Two social indicators are compared, namely class at birth and educational qualifications. Conclusions do not differ substantially using the three methods for measuring inequality. However, consistent differences were evident between the measures of social position, with greater inequalities apparent for educational qualifications. Choice of social indicator therefore appears to be of primary importance in measuring health inequality. (C) 1997 Elsevier Science Ltd.