灾害是否加剧了老年人健康方面的社会经济不平等?
Shiho Kino1, Jun Aida1, Katsunori Kondo2,3
1Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
概括
2011年东日本大地震和海并没有加剧老年人的健康差异. 在抑郁症状和日常生活活动方面,先前存在的社会经济不平等在灾难后保持不变.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 灾难流行病学 灾难流行病学
背景情况:
- 自然灾害可能会加剧社会经济健康差异,因为不同的暴露和脆弱性.
- 现有研究表明,灾害不成比例地影响弱势群体,可能会扩大健康差距.
研究的目的:
- 调查2011年东日本大地震和海是否加剧了老年人之间的社会经济健康差异.
- 为了比较受灾区与未受灾区健康差异的变化.
主要方法:
- 利用了来自Iwanuma研究 (受灾害影响) 和JAGES社区老年人父母队列 (不受影响) 的数据.
- 评估抑郁症状 (GDS) 和日常生活工具活动 (IADL) 灾难前后 (2010-2019).
- 雇佣的倾斜率和相对的不平等指数,以及差异差异分析来研究社会经济差异.
主要成果:
- 在受灾和不受影响的地区,在GDS和IADL中观察到重大灾难前的社会经济不平等.
- 在灾难发生后,这些健康不平等的程度在绝对或相对尺度上没有显著变化.
- 与对照区域相比,在受灾地区没有发现加剧健康差异的证据.
结论:
- 2011年东日本大地震和海并没有扩大老年人中先前存在的社会经济健康不平等.
- 研究结果表明,虽然存在差异,但灾难事件本身并没有在这个特定的人口和环境中放大差异.
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