Educational inequalities in self-rated health across US states and European countries
Educational inequalities in self-rated health across US states and European countries
复制标题
DOI：
10.1007/s00038-017-0981-6
复制
发表时间：
2017-07-01
影响因子：
4.6
通讯作者：
Subramanian, S. V.
中科院分区：
文献类型：
--
作者：
Prag, Patrick;Subramanian, S. V.
与其他高收入国家相比，美国在健康方面表现出明显的劣势。减少这种不利条件的一个潜在手段是改善社会经济地位较低群体的健康状况。我们的目标是探索美国内部在健康不平等方面的巨大差异与其他西方国家的健康不平等相比如何。从第四次欧洲价值观研究（EVS）和2008年行为风险因素监测系统中获得了44个欧洲国家和美国联邦州的代表性调查数据。使用二元逻辑回归，我们分析了不同形式的教育不平等的自评健康（SRH），调整年龄和性别。在欧洲国家和美国各州，性健康和生殖健康教育不平等的程度差别很大；然而，由于美国各州总体上表现出更大的不平等，美国各州与欧洲国家之间的差异并不像人们通常认为的那样明显。美国在不同地理位置的两性健康教育不平等方面存在相当大的差异。为了理解美国健康劣势的原因，比较研究必须考虑到美国国内健康不平等的巨大差异。
The US shows a distinct health disadvantage when compared to other high-income nations. A potential lever to reduce this disadvantage is to improve the health situation of lower socioeconomic groups. Our objective is to explore how the considerable within-US variation in health inequalities compares to the health inequalities across other Western countries.Representative survey data from 44 European countries and the US federal states were obtained from the fourth wave of the European Values Study (EVS) and the 2008 wave of the Behavioral Risk Factor Surveillance System. Using binary logistic regression, we analyze different forms of educational inequalities in self-rated health (SRH), adjusted for age and sex.The extent of educational inequalities in SRH varies considerably over European countries and US states; with US states in general showing greater inequality, however, differences between US states and European countries are less clear than commonly assumed.The US has considerable differences in educational inequalities in SRH across geographic locations. To understand the reasons for the US health disadvantage, comparative research has to take into account the vast variation in health inequalities within the US.