Social inequalities in health and mental health in France. The results of a 2010 population-based survey in Paris Metropolitan Area.
Social inequalities in health and mental health in France. The results of a 2010 population-based survey in Paris Metropolitan Area.
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DOI：
10.1371/journal.pone.0203676
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Ibanez G
中科院分区：
文献类型：
--
作者：
Jacquet E;Robert S;Chauvin P;Menvielle G;Melchior M;Ibanez G
本研究旨在评估一般和精神健康、抑郁和物质使用障碍(日常烟草使用、有害酒精使用)方面的社会经济不平等。对2010年SIRS(法语健康、不平等和社会破裂的首字母缩写)研究的数据进行了分析，该研究被认为代表了居住在巴黎大都市区的讲法语的成年人人口。选择了不同的社会经济地位指标：教育、收入和感知的经济状况。使用健康不平等的绝对度量(斜率不平等指数(SII))和相对度量(优势比(OR)和相对不平等指数(RII))。OR、RII和SII根据年龄、家庭类型和移民特征进行了调整，所有分析都是分别针对男性和女性进行的。这项研究包括3006名成年人。结果显示，总体上存在显著的相对和绝对社会经济不平等、心理健康和抑郁，所有考虑的社会经济地位指标(教育、收入和感知的经济状况)。女性的绝对不平等程度比男性更大。最不平等的是人们对男性和女性的经济状况的看法。教育似乎在女性的不平等中发挥了更大的作用，而对男性来说，收入似乎发挥了更大的作用。在日常烟草使用中只发现了很少的社会经济不平等，而在危险酒精使用方面则观察到了相反的梯度。我们希望定期重新评估和比较这些结果，以便监测卫生方面的社会经济不平等。
The present study aimed to assess socioeconomic inequalities in general and mental health, depression and substance use disorders (daily tobacco use, hazardous alcohol use). Data from the 2010 SIRS (French acronym for Health, Inequalities, and Social Ruptures) study, which is deemed to be representative of the French-speaking adult population living in the Paris Metropolitan Area, were analysed. Different socioeconomic position indicators were selected: education, income and perceived financial status. Absolute measures (the slope index of inequality (SII)) and relative measures (the odds ratio (OR) and relative index of inequality (RII)) of health inequalities were used. The OR, RII and SII were adjusted for age, household type and migration characteristics and all analyses were performed separately for men and women. The study included 3,006 adults. The results showed significant relative and absolute socioeconomic inequalities in general, mental health and depression for all socioeconomic position indicators considered (education, income, and perceived financial status). The absolute inequalities were greater for women than for men. Strongest inequalities were observed by perceived financial status for men and women. Education seemed to play a stronger role in inequalities for women, whereas, for men, income seemed to play a stronger role. Only few socioeconomic inequalities were found in daily tobacco use, while a reversed gradient was observed for hazardous alcohol use. We hope that these results will be regularly re-evaluated and compared across time in order to monitor socioeconomic inequalities in health.
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