Trends in health inequalities by educational level in a Norwegian total population study

被引:64
作者
Krokstad, S
Kunst, AE
Westin, S
机构
[1] Erasmus Univ, Dept Publ Hlth, Rotterdam, Netherlands
[2] Norwegian Univ Sci & Technol, Dept Community Med & Gen Practice, N-7034 Trondheim, Norway
关键词
D O I
10.1136/jech.56.5.375
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To describe levels of inequality and trends in self reported morbidity by educational level in a total Norwegian county population in the mid-1980s and mid-1990s. Design: Two cross sectional health surveys at an interval of 10 years in the Nord-Trondelag Health Study, HUNT I (1984-86) and HUNT II (1995-97). Setting: Primary health care, total county population study. Participants: Men and women, 25-69 years. Main results: There was a consistent pattern of increasing self reported health problems with decreasing educational level for three health variables: perceived health, any longstanding health problem, and having a chronic condition. A stable or slight decrease in inequalities over time was found. The prevalence odds ratio for perceived health less than good were 2.71 for men (95% confidence intervals (CI): 2.39 to 3.09) and 2.13 for women (95% CI: 1.85 to 2.46) in the first survey, 2.51 for men (95% CI: 2.27 to 2.78) and 2.06 for women (95% CI: 1.88 to 2.26) 10 years later. Conclusions: The magnitude of the socioeconomic gradients in health in this population seemed somewhat lower than in Norway as a whole and close to the average in studies from other European countries. There was a slight trend towards smaller differences despite rapid structural changes in working life, turbulence in economy, and more people experiencing unemployment.
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收藏
页码:375 / 380
页数:6
相关论文
共 39 条
[21]   COMPARISONS OF INEQUALITIES IN HEALTH - EVIDENCE FROM NATIONAL SURVEYS IN FINLAND, NORWAY AND SWEDEN [J].
LAHELMA, E ;
MANDERBACKA, K ;
RAHKONEN, O ;
KARISTO, A .
SOCIAL SCIENCE & MEDICINE, 1994, 38 (04) :517-524
[22]   Changes in the social patterning of health? The case of Finland 1986-1994 [J].
Lahelma, E ;
Rahkonen, O ;
Huuhka, M .
SOCIAL SCIENCE & MEDICINE, 1997, 44 (06) :789-799
[23]  
Lahelma E, 2001, SCAND J PUBLIC HEALT, P1
[24]  
Lynch J, 2000, SOCIAL EPIDEMIOLOGY, P13
[25]   Socioeconomic inequalities in morbidity and mortality in western Europe [J].
Mackenbach, JP ;
Kunst, AE ;
Cavelaars, AEJM ;
Groenhof, F ;
Geurts, JJM ;
Andersen, O ;
Bonte, JTP ;
Borgan, JK ;
Crialesi, R ;
Desplanques, G ;
Filakti, H ;
Harding, S ;
Grotvedt, L ;
Helmert, U ;
Junker, C ;
Lahelma, E ;
Lundberg, O ;
Martikainen, P ;
Matheson, J ;
Mielck, A ;
Minder, CE ;
Mizrahi, A ;
Mizrahi, A ;
Pagnanelli, F ;
Rasmussen, N ;
Regidor, E ;
Spuhler, T ;
Valkonen, T .
LANCET, 1997, 349 (9066) :1655-1659
[26]   Psychosocial and material pathways in the relation between income and health: a response to Lynch et al [J].
Marmot, M ;
Wilkinson, RG .
BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7296) :1233-1236
[27]  
*OECD, 1993, ED OECD COUNTR 1988
[28]   HEALTH AND SOCIAL-INEQUALITY IN EUROPE [J].
POWER, C .
BRITISH MEDICAL JOURNAL, 1994, 308 (6937) :1153-1156
[29]   Inequalities in self-rated health: explanations from different stages of life [J].
Power, C ;
Matthews, S ;
Manor, O .
LANCET, 1998, 351 (9108) :1009-1014
[30]  
Roos E, 2001, Lakartidningen, V98, P2576