青少年健康指标中的持续社会不平等 1991-2022:来自丹麦的趋势研究
Bjørn E Holstein1, Mogens Trab Damsgaard1, Trine Pagh Pedersen1
1National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
International journal of public health
|December 13, 2024
概括
社会经济不平等影响青少年健康,大多数指标显示30年来存在差异. 不幸的是,减少这些健康不平等的政治努力失败了,需要改进监测和政策.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 社会经济地位是健康结果的重要决定因素.
- 了解青少年健康不平等的趋势对于公共卫生干预至关重要.
研究的目的:
- 分析三十年来青少年健康的社会经济不平等趋势.
- 评估15个不同的健康指标,以发现差异.
- 评估旨在减少健康不平等的政策的有效性.
主要方法:
- 利用了来自丹麦 (1991-2022) 学校年龄儿童健康行为 (HBSC) 研究的数据.
- 包括9项调查中的35,423名年龄在11-15岁的青少年.
- 通过使用低社会经济和高社会经济群体之间的流行差异和赔率比率来衡量社会经济不平等.
主要成果:
- 在十五个青少年健康指标中的十三个中观察到社会经济不平等.
- 几率比率表明了显著的差异,例如,超重的流行率 (OR 2.22).
- 例外情况包括体重不足 (与社会经济背景无关) 和醉酒 (在较高的社会经济群体中更为普遍).
结论:
- 减少青少年社会经济健康不平等的政治举措似乎没有成功.
- 需要加强青少年健康监测系统.
- 改善政策对于有效解决青少年健康方面的社会经济差异至关重要.
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