不同健康指标用于健康公平性评价的比较  

Study on the Application of Different Health Indicators in Health Inequities Evaluation

作　　者：雷鹏[1,2] 徐玲[3] 段成钢[1,2] 吴擢春[1,2] 

机构地区：[1]复旦大学公共卫生学院卫生统计与社会医学教研室,上海200032 [2]公共卫生安全教育部重点实验室,上海200032 [3]国家卫生部统计信息中心,北京100044

出　　处：《医学与社会》2010年第11期1-3,共3页Medicine and Society

基　　金：欧盟第6框架基金资助项目;项目编号为EC-THL-015396

摘　　要：目的:比较不同健康指标对与社会经济地位相联系的健康不公平程度的敏感性。方法:利用第四次国家卫生服务调查资料,对自感健康不良率、两周患病率、慢性病患病率进行年龄标准化处理,分别比较不同收入等级、文化程度、职业层次的15岁以上居民不同健康指标的差异,使用不同健康指标计算相应的集中指数并进行对比。结果:通过自感健康不良率计算得到的集中指数绝对值最大,依据不同收入等级、文化程度、职业层次进行人群分组的集中指数分别为-0.055,-0.077和-0.055。结论:用于评价与社会经济地位相联系的健康公平性评价时,自感健康不良率的敏感程度要强于目前国内常用的两周患病率和慢性病患病率,应在今后加强其应用。Objective：To evaluate the relative sensitivity of different health indicators to socioeconomic inequities.Methods：Data from the 4th National Household Health Interview Survey were used to calculate poor perceived health prevalence,two weeks prevalence and chronic illness prevalence of the respondents aged 15 and above.Age standardization was performed to compare the health status of different groups of respondents by income,education,and occupation respectively with concentration index（CI）.Results：The absolute values of CI were largest when poor perceived health prevalence was chosen as the health indicator,with the actual values of CI up to -0.055,-0.077 and -0.055 when the respondents was grouped by income,education,and occupation respectively.Conclusion：Poor perceived health prevalence was more sensitive to socioeconomic inequities in health than two weeks prevalence and chronic illness prevalence commonly used in China and should be given more attention in future studies.

关 键 词：健康指标 自感健康 社会经济地位 健康公平性 集中指数 

分 类 号：R197[医药卫生—卫生事业管理]