Decomposing socio-economic inequalities in leisure-time physical inactivity: the case of Spanish children.
Decomposing socio-economic inequalities in leisure-time physical inactivity: the case of Spanish children.
复制标题
在休闲时间无活动中分解社会经济不平等：西班牙儿童的情况。
DOI：
10.1186/s12939-016-0394-9
复制
发表时间：
2016-07-12
影响因子：
4.8
通讯作者：
Urbanos-Garrido RM
中科院分区：
文献类型：
--
作者：
Gonzalo-Almorox E;Urbanos-Garrido RM
缺乏身体活动与全因死亡风险增加有关，并给卫生系统带来巨大的经济负担。此外，对年轻人生活方式不平等的分析可能有助于减少成年期的健康不平等。本文探讨了收入相关的不平等，闲暇时间的身体活动在西班牙儿童。在这项基于2011- 2012年西班牙国家健康调查的横断面研究中，估计了集中指数，以衡量休闲时间身体活动的社会经济不平等。进行分解分析，以确定解释与收入有关的不平等的因素。在西班牙儿童中，有一个明显的社会经济梯度，有利于富裕者，这与闲暇时间缺乏体育活动有关，这在女孩中更为明显。收入对总体不平等的影响最大，其次是户主的教育。几个因素（教育、居住地、年龄）的作用因性别而有很大差异。在闲暇时间缺乏身体活动的分布方面存在着严重的不公平现象。旨在促进儿童体育活动的公共政策应优先考虑对人口中处境最不利的亚群体采取行动。由于健康方式的决定因素的影响因性别而存在显著差异，本研究指出有必要从性别视角解决与收入相关的健康习惯不平等问题。
Physical inactivity is associated with an increased risk of all-cause mortality and entails a substantial economic burden for health systems. Also, the analysis of inequality in lifestyles for young populations may contribute to reduce health inequalities during adulthood. This paper examines the income-related inequality regarding leisure-time physical inactivity in Spanish children. In this cross-sectional study based on the Spanish National Health Survey for 2011-12, concentration indices are estimated to measure socioeconomic inequalities in leisure-time physical inactivity. A decomposition analysis is performed to determine the factors that explain income-related inequalities. There is a significant socioeconomic gradient favouring the better-off associated with leisure-time physical inactivity amongst Spanish children, which is more pronounced in the case of girls. Income shows the highest contribution to total inequality, followed by education of the head of the household. The contribution of several factors (education, place of residence, age) significantly differs by gender. There is an important inequity in the distribution of leisure-time physical inactivity. Public policies aimed at promoting physical activity for children should prioritize the action into the most disadvantaged subgroups of the population. As the influence of determinants of health styles significantly differ by gender, this study points out the need of addressing the research on income-related inequalities in health habits from a gender perspective.