Educational differences in self-rated health during the Russian transition. Evidence from Taganrog 1993-1994
Educational differences in self-rated health during the Russian transition. Evidence from Taganrog 1993-1994
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DOI：
10.1016/s0277-9536(00)00102-7
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发表时间：
2000-11-01
影响因子：
5.4
通讯作者：
Carlson, P
中科院分区：
文献类型：
--
作者：
Carlson, P
1992年初，为了一劳永逸地消除旧共产主义制度的废墟，俄罗斯实行了激进的经济改革--“休克疗法”。然而，在俄罗斯从共产主义向市场经济和民主的过渡中，有赢家也有输家。本研究的目的是调查1993-94年塔甘罗格公民在自测健康方面是否存在教育差异。如果确实存在差异，第二个目的是调查这些差异是否可以用具体的社会、经济和心理情况的变化来解释，这些变化已知受到俄罗斯目前社会和经济变革的影响，分析调查是1993年底和1994年初在俄罗斯一个中等城市塔甘罗格进行的。调查是通过面对面的访谈进行的，抽样框架包括从官方登记册中选出的住房，并按类型和规模分层。分析的样本包括1414个家庭的2372名受访者，年龄在25-54岁之间。以自测健康为二分结果变量，对数据进行逻辑回归分析，结果显示，受教育程度低于义务教育的人报告健康状况不佳的频率是受教育程度最高的人的两倍。物质繁荣和家庭内部关系对自我评估的健康状况很重要，并在一定程度上解释了教育健康状况的差异，教育程度较低的群体现在的生活条件往往以经济困难、家庭冲突等为特征，因此健康状况也不佳。(C)2000爱思唯尔科技有限公司版权所有。
In the beginning of 1992, in order to do away with the ruins of the old communist system once and for all, radical economic reforms - 'shock therapy' - were introduced in Russia. However, there are winners and losers in the Russian transition from communism to market economy and democracy.The aim of the study is to investigate whether there are educational differences in self-rated health among the citizens of Taganrog in 1993-94. If there are indeed differences, the second aim is to investigate whether they can be explained by variations in specific social, economic and psychological circumstances, which are known to be affected by the present social and economic transformation in Russia.The analysed survey was carried out in a middle-sized Russian city, Taganrog, in late 1993 and early 1994. It was conducted by means of face-to-face interviews, with a sampling frame consisting of dwellings selected from an official register and stratified by type and size. The analysed sample consists of 2372 respondents, aged 25-54 years, in 1414 households. Data were analysed in logistic regressions with self-rated health as a dichotomised outcome variable.The results show that those with less than compulsory education reported poor health twice as often as the highest-educated group. Material prosperity and relations within the family were important for self-rated health and explained to a certain degree the educational health differences.Lower educational groups now live under conditions often characterised by economic hardship, family conflicts, etc., and consequently also poor health. (C) 2000 Elsevier Science Ltd. All rights reserved.