Income and health behaviours.: Evidence from monitoring surveys among Finnish adults
Income and health behaviours.: Evidence from monitoring surveys among Finnish adults
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DOI：
10.1136/jech.57.9.711
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发表时间：
2003-09-01
影响因子：
6.3
通讯作者：
Lahelma, E
中科院分区：
文献类型：
--
作者：
Laaksonen, M;Prättälä, R;Lahelma, E
研究目的：研究个人和家庭收入与各种健康行为的关系，在调整教育程度和职业社会阶层之前和之后。设计和设置：1993 - 1999年全国健康行为调查的19982名受访者的数据（答复率70%）与人口登记册的社会经济信息相联系。衡量收入的指标是应纳税的个人总收入和家庭每月可支配收入。健康行为包括吸烟，饮酒，休闲时间的身体活动，使用蔬菜，使用饱和脂肪的面包，和being overweight.Main results：在男性中，吸烟和不经常使用蔬菜的个人和家庭收入较低的人群中更为常见。然而，调整教育和职业类别消除了大部分差异。在调整前后，面包中饱和脂肪的使用随着个人收入的减少而增加。在女性中，吸烟，不经常使用蔬菜和超重在低收入人群中更为常见，但这两种收入措施的差异在很大程度上被调整所消除。收入较高的妇女往往也是高酒精的用户，有较少的身体活动，特别是当收入是衡量受访者的个人income.Conclusions：调整教育和职业在很大程度上消除了收入差异的健康行为，但对于某些行为仍然有一些独立的影响。结果表明，收入不仅反映了可用的物质资源，而且作为一个一般的社会经济指标，与其他社会经济指标一样，与健康行为有关。
Study objective: To examine the associations of individual and household income with various health behaviours, before and after adjusting for educational attainment and occupational social class.Design and Setting: Data from 19 982 respondents to nationwide health behaviour surveys from 1993 to 1999 (response rate 70%) were linked with socioeconomic information from population registers.Measurements: The income measures were total individual income liable to taxation and household's monthly disposable income. Health behaviours included smoking, alcohol use, leisure time physical activity, use of vegetables, use of saturated fat on bread, and being overweight.Main results: In men, smoking and infrequent vegetable use were more common among those with lower individual and household income. However, adjusting for education and occupational class removed most of the differences. Use of saturated fat on bread increased with decreasing individual income, before and after the adjustments. In women, smoking, infrequent vegetable use and being overweight were more common among those with lower income, but the differences by both income measures were largely removed by the adjustments. Women with higher income more often also were high alcohol users and had less physical activity, in particular when income was measured by the respondents' individual income.Conclusions: Adjusting for education and occupation largely removed income differences in health behaviours, but for some behaviours some independent effect remained. The results suggest that income does not only reflect the available material resources, but works as a general socioeconomic indicator that is associated with health behaviours in much the same way as other socioeconomic indicators.