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维持生计 - - 将财务困难的自我报告指标与健康状况联系起来
Kate Homer1, Jayne Taylor2, Alexander Miller3
1Wolfson Institute of Population Health, Queen Mary University of London, London E1 2AB, UK.
Journal of public health (Oxford, England)
|August 25, 2023
概括
自我报告的经济困难是健康状况的更好指标,而不是基于地区的贫困措施. 这一发现强调了个人经验对于理解健康差异的重要性.
科学领域:
- 公共卫生 公共卫生
- 健康的社会经济决定因素
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于地区的多重贫困指数 (IMD) 指标在评估财务困难时的特异性和敏感性有局限性.
- 现有的措施可能不能准确地反映个人的财务困境及其健康后果.
研究的目的:
- 为了比较自我报告的经济困难和健康状况与基于地区的贫困措施之间的关联.
- 为了确定个人财务经验是否比地理贫困更强烈地与健康结果相关.
主要方法:
- 一项涉及1024次访谈的研究在伦敦的一个区评估了财务困难和健康状况.
- 自我报告的困难 (总是/有时难以维持生计) 与2015年多重贫困指数 (IMD) 相比较.
- 多变量分析检查了与吸烟,一般健康状况下降和抑郁症的关联.
主要成果:
- 39%的参与者表示经历了经济困难.
- 与IMD相比,自我报告的困难与吸烟 (OR=5.4) 和健康损害 (OR=11.1) 有更强烈的关联.
- 抑郁症也与自我报告的困难 (OR=2.4) 和IMD (OR=2.7) 有显著的关系.
结论:
- 自我报告的经济困难与健康状况的关联比以地区为基础的贫困指标更强.
- 研究结果表明,个人财务经验对于理解健康至关重要.
- 需要进一步的研究来确定自我报告的困难在常规医疗保健环境中的有效性和实施.
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