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Socioeconomic gradients in self-rated health:a developing country case study of Enugu State, Nigeria

机译：自测健康的社会经济梯度：以尼日利亚恩古古州为例的发展中国家案例研究

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摘要

The use of self-rated health (SRH) as an indicator of health has generally been limited to the study of socioeconomic inequalities in industrialized societies. We evaluate the potential usefulness of this indicator in a developing country context using a data set generated from Enugu State, Nigeria, which includes information on SRH and health status index (HSI). We also evaluate the difference in the estimated socioeconomic inequality in health using two specifications of the concentration index: the standard specification and Erreygers (J Health Econ, 28:504-515, 2009a) specification. The results show that self rated health is a potentially useful indicator of health state for populations in developing countries. Our tentative results indicates that the Erreygers (J Health Econ 28:521-524, 2009b) specification of the concentration index detects larger levels of inequality than the standard specification, and thus raises questions for researchers who use results obtained from the instrument for policy advice. The simulation results also show that the level of social aversion to socio-economic differences among people would generally increase the perceived level of health inequality in a population.
机译：使用自评健康（SRH）作为健康指标通常仅限于研究工业化社会中的社会经济不平等。我们使用来自尼日利亚埃努古州的数据集评估了该指标在发展中国家的潜在用途，该数据集包括有关SRH和健康状况指数（HSI）的信息。我们还使用浓度指数的两个规范：标准规范和Erreygers（J Health Econ，28：504-515，2009a）规范来评估健康状况中估计的社会经济不平等的差异。结果表明，自我评估的健康状况可能是发展中国家人群健康状况的有用指标。我们的初步结果表明，浓度指数的Erreygers（J Health Econ 28：521-524，2009b）规范比标准规范检测到更大程度的不平等，因此，对于使用从该工具获得的结果作为政策建议的研究人员提出了疑问。 。模拟结果还表明，人们对社会经济差异的社会反感程度通常会增加人们对健康不平等的感知程度。

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