中国卫生政策研究
中國衛生政策研究
중국위생정책연구
CHINESE JOURNAL OF HEALTH POLICY
2014年
5期
63-67
,共5页
社会经济地位%慢性病%老年人%健康的社会决定因素
社會經濟地位%慢性病%老年人%健康的社會決定因素
사회경제지위%만성병%노년인%건강적사회결정인소
Socio-economic status%Chronic disease%Elderly%Social determinants of health
目的：研究北京市老年人慢性病在不同社会阶层人群中的患病差异。方法：利用北京大学公共卫生学院2013年对北京市老年人进行的入户调查数据库，获取1717名具有北京代表性的60岁及以上人口的入户调查信息。以收入、受教育程度、职业和户口等社会经济地位指标对社会阶层进行度量，采用Logistic回归模型，分析北京市老年人慢性病患病在不同社会阶层人群间的分布。结果：非农业户口人群、收入位于中间和最高人群、小学组和大专及以上组慢性病患病风险较低。退休前从事农林牧渔业水利业生产人员慢性病患病风险较高。收入次低20％组同时患3种以上慢性病风险较高。结论：慢性病防控策略的制定应充分考虑社会分层等健康社会决定因素，而不仅仅是针对慢性病的直接病因。北京市老年人的慢性病防控工作应当重点关注农业户口、低收入和受教育程度较低人群。
目的：研究北京市老年人慢性病在不同社會階層人群中的患病差異。方法：利用北京大學公共衛生學院2013年對北京市老年人進行的入戶調查數據庫，穫取1717名具有北京代錶性的60歲及以上人口的入戶調查信息。以收入、受教育程度、職業和戶口等社會經濟地位指標對社會階層進行度量，採用Logistic迴歸模型，分析北京市老年人慢性病患病在不同社會階層人群間的分佈。結果：非農業戶口人群、收入位于中間和最高人群、小學組和大專及以上組慢性病患病風險較低。退休前從事農林牧漁業水利業生產人員慢性病患病風險較高。收入次低20％組同時患3種以上慢性病風險較高。結論：慢性病防控策略的製定應充分攷慮社會分層等健康社會決定因素，而不僅僅是針對慢性病的直接病因。北京市老年人的慢性病防控工作應噹重點關註農業戶口、低收入和受教育程度較低人群。
목적：연구북경시노년인만성병재불동사회계층인군중적환병차이。방법：이용북경대학공공위생학원2013년대북경시노년인진행적입호조사수거고，획취1717명구유북경대표성적60세급이상인구적입호조사신식。이수입、수교육정도、직업화호구등사회경제지위지표대사회계층진행도량，채용Logistic회귀모형，분석북경시노년인만성병환병재불동사회계층인군간적분포。결과：비농업호구인군、수입위우중간화최고인군、소학조화대전급이상조만성병환병풍험교저。퇴휴전종사농림목어업수리업생산인원만성병환병풍험교고。수입차저20％조동시환3충이상만성병풍험교고。결론：만성병방공책략적제정응충분고필사회분층등건강사회결정인소，이불부부시침대만성병적직접병인。북경시노년인적만성병방공공작응당중점관주농업호구、저수입화수교육정도교저인군。
Objective:This paper investigates the difference of chronic disease in different social class of the elderly in Beijing .Method: Date of a representative sample included 1717 residents aged 60 and above are drawn from Beijing elderly household survey 2013 conducted by Peking university school of public health .With income , ed-ucation , occupation and residence household as indicators of social class , logistic regression model is used for analy-zing the difference of chronic disease prevalence among different socio-economic status .Result:The non-agricultural household group , middle and highest income group , the least and highest groups of education have a lower probability and the farming , forestry, animal husbandry and fishing water production personnel before retired have a higher risk of suffering from chronic disease .In terms of multiple chronic diseases , second lowest 20%income group tie to high-er risk of suffering three or more chronic conditions simultaneously .Conclusion: Strategies development of chronic disease prevention and control should take full account of social determinants of health such as the social stratifica -tion , not just for the direct cause of chronic diseases .Agricultural household , low-income and low-education group of people should be priorities in Beijing elderly chronic disease prevention and control .
