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首页> 外文期刊>Global public health >Socioeconomic inequalities in self-reported chronic non-communicable diseases in urban Hanoi, Vietnam
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Socioeconomic inequalities in self-reported chronic non-communicable diseases in urban Hanoi, Vietnam

机译：越南河内城市自我报告的慢性非传染性疾病的社会经济不平等

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摘要

This study measures and decomposes socioeconomic inequalities in the prevalence of self-reported chronic non-communicable diseases (NCDs) in urban Hanoi, Vietnam. A cross-sectional survey of 1211 selected households was carried out in four urban districts in both slum and non-slum areas of Hanoi city in 2013. The respondents were asked if a doctor or health worker had diagnosed any household members with an NCD, such as cardiovascular diseases, chronic respiratory, diabetes or cancer, during last 12 months. Information from 3736 individuals, aged 15 years and over, was used for the analysis. The concentration index (CI) was used to measure inequalities in self-reported NCD prevalence, and it was also decomposed into contributing factors. The prevalence of chronic NCDs in the slum and non-slum areas was 7.9% and 11.6%, respectively. The CIs show gradients disadvantageous to both the slum (CI=-0.103) and non-slum (CI=-0.165) areas. Lower socioeconomic status and aging significantly contributed to inequalities in the self-reported NCDs, particularly for those living in the slum areas. The findings confirm the existence of substantial socioeconomic inequalities linked to NCDs in urban Vietnam. Future policies should target these vulnerable areas.
机译：这项研究测量并分解了越南河内市区自我报告的慢性非传染性疾病（NCD）患病率中的社会经济不平等现象。 2013年，在河内市贫民窟和非贫民窟地区的四个市区对1211个选定住户进行了横断面调查。受访者被问及是否有医生或卫生工作者诊断出任何患有非传染性疾病的家庭成员，例如在过去的12个月内发生心血管疾病，慢性呼吸道疾病，糖尿病或癌症。分析使用了来自3736名15岁以上的个体的信息。浓度指数（CI）用于衡量自我报告的NCD患病率中的不平等，并且也分解为影响因素。贫民区和非贫民区的慢性非传染性疾病患病率分别为7.9％和11.6％。 CI显示出对贫民窟（CI = -0.103）和非贫民窟（CI = -0.165）区域均不利的梯度。较低的社会经济地位和老龄化严重加剧了自我报告的非传染性疾病的不平等现象，特别是对于那些居住在贫民窟地区的非传染性疾病。这些发现证实了越南城市中与非传染性疾病有关的重大社会经济不平等现象。未来的政策应针对这些脆弱地区。

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  • 来源
    《Global public health》 |2017年第12期|1522-1537|共16页
  • 作者

    Vu Duy Kien; Hoang Van Minh; Giang Kim Bao; Dao Amy; Weinehall Lars; Eriksson Malin; Ng Nawi;

  • 作者单位

    Hanoi Sch Publ Hlth, Ctr Populat Hlth Sci, Hanoi, Vietnam|Hanoi Med Univ, Ctr Hlth Syst Res, Hanoi, Vietnam|Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, Umea, Sweden;

    Hanoi Sch Publ Hlth, Ctr Populat Hlth Sci, Hanoi, Vietnam|Hanoi Med Univ, Ctr Hlth Syst Res, Hanoi, Vietnam;

    Hanoi Med Univ, Ctr Hlth Syst Res, Hanoi, Vietnam|Hanoi Med Univ, Inst Prevent Med & Publ Hlth, Hanoi, Vietnam;

    Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, New York, NY USA;

    Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, Umea, Sweden;

    Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, Umea, Sweden;

    Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, Umea, Sweden;

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  • 正文语种 eng
  • 中图分类
  • 关键词

    Inequality; non-communicable diseases; decomposition; urban; Vietnam;

    机译：不平等;非传染性疾病;分解;城市;越南;

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