Health Inequalities of Different Socio-economic Status and Its Influencing Factors

本研究利用全国性数据集,借助多层回归模型,考察了不同社会经济地位群体在身体功能、抑郁症状以及自评健康上的不平等及其影响因素。结果显示,随着年龄的增加,不同社会经济地位群体在身体功能状况上的差异不断扩大,在抑郁症状上的差异没有显著变化,而在自评健康上的差异不能笼统地说扩大还是缩小。在较富裕的地区,不同社会经济地位群体在所有三个健康指标上的差异是缩小的,而在较贫困的地区则是扩大的。最后,本研究提出医疗卫生体制改革的重点要考虑生活在贫困地区并且处于较低社会经济地位的老年人。

Using a national data and multilevel models, this study examines the factors influencing the differences among SES groups in physical function, depressive symptoms, and self-rated health. The results show that with increasing age, the differences among SES groups in physical function continues to expand, but the difference in self-rated health and in depressive symptoms show no significant change. In addition, the results shows that health inequalities are also affected by the county income. If the income level in the county is high, the health differences between SES groups are shrinking; while in poorer counties, the health differences are expanding. Finally, this study proposes that health care reform should focus on the elderly from lower socio-economic status, especially those living in poor areas.

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