The new UK National Statistics Socio-Economic Classification (NS-SEC); investigating social class differences in self-reported health status
The new UK National Statistics Socio-Economic Classification (NS-SEC); investigating social class differences in self-reported health status
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DOI：
10.1093/pubmed/22.2.182
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发表时间：
2000-06-01
期刊：
影响因子：
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通讯作者：
Jenkinson, C
中科院分区：
文献类型：
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作者：
Chandola, T;Jenkinson, C
新的英国国家统计社会经济分类（NS-SEC）在理论上是基于就业关系和条件的差异。在英国，就业关系的差异可以解释在健康方面经常观察到的一些社会阶层差异。本研究调查了NSSEC与一项经过验证的健康结果测量- Short Farm健康调查（SF-36）之间的关系。方法分析牛津健康生活方式调查（OHLS III, n = 6454）的数据，该调查是一项横断面调查，随机从伯克郡、白金汉郡、北安普敦郡和牛津郡选取78-64岁的成年男女。在控制了年龄、生活方式、住房和邻里条件的一系列回归模型中，研究了NS-SEC与SF-36身心总结得分的关系。结果经年龄控制后，SF-36身心总结得分存在显著的社会阶层差异。当生活方式、住房和社区条件得到控制时，这些差异就变得不重要了。结论NS-SEC在健康方面存在显著的社会阶层差异，进一步证明了其结构效度。住房、邻里和生活方式因素方面的社会阶层差异似乎在理解健康方面的阶层差异方面发挥着重要作用。由于它是建立在理论基础上的，NS-SEC很可能被证明是解释社会不平等的一个有价值的工具。
Background The new UK National Statistics Socio-Economic Classification (NS-SEC) is theoretically based on differences in employment relations and conditions. Differences in employment relations could account for some of the often observed social class differences in health in the United Kingdom. This study investigates the associations of the NSSEC with a well-validated health outcome measure - the Short Farm health survey (SF-36).Methods Data from the Oxford Healthy Lifestyles Survey in (OHLS III, n = 6454), a cross-sectional survey of adult men and women aged 78-64 randomly selected from the counties of Berkshire, Buckinghamshire, Northamptonshire and Oxfordshire, were analysed. The associations of the NS-SEC with the SF-36 physical and mental summary scores are investigated in a series of regression models controlling for age, lifestyle factors, housing and neighbourhood conditions.Results There are significant social class differences in the SF-36 physical and mental summary scores after controlling for age. When lifestyle, housing and neighbourhood conditions are controlled for, these differences reduce to non-significance.Conclusion The NS-SEC shows significant social class differences in health, further evidence for its construct validity. Social class differences in housing, neighbourhood and lifestyle factors appear to have a large role in understanding class differences in health. As it is grounded in theory, the NS-SEC is likely to prove a valuable tool for explanations of inequalities in hearth.