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首页> 外文期刊>Journal of Epidemiology & Community Health >Social class and preventive health behaviour: a British example
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Social class and preventive health behaviour: a British example

机译:社会阶层和预防健康行为:英国的例子

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Study objective - To test the relationship between social class and preventive health behaviour in a British national sample and identify which set of more specific socio-economic factors best "explained" any observed relationship (s). Design - Secondary analysis from a national cross sectional survey of the health attitudes and health behaviour of men and women aged 18 years and over living in private households in England, Scotland, and Wales. A selection of addresses was made randomly from the electoral register using a three stage design, and then one individual in each household was sampled. A total of 12 254 addresses yielded interviews with 9003 individuals, a response rate of 73.5%. Compared with the census population, the single and divorced/separated are slightly under-represented but otherwise sources of bias are small. Participants - The subset selected was 1671 women and 1026 men aged between 20—45 years with at least one child under 17 living at home. Main results - Social class was strongly associated with the health practices index (HPI, used as a measure of health behaviour) both for women and men (p<0.001). The set of factors identified for both sexes as having an impact on this relationship were education, tenure, residential overcrowding index, and salience of lifestyle. In addition, their partner's employment status and household income were relevant for women only. These groups of factors did not totally explain the observed relationship but the proportion of variance in HPI attributable to social class was considerably reduced. Conclusions - Descriptions of the association between social class and health behaviour(s) are of little use to those wishing to mount more effective interventions in health promotion. Multivariable analysis can indicate which specific factors account for much of the social class effect on health behaviour and thereby assist better understanding and targeting of resources.
机译:研究目标-在英国国家样本中测试社会阶层与预防性健康行为之间的关系,并确定哪一组更具体的社会经济因素最能“解释”任何观察到的关系。设计-来自英格兰,苏格兰和威尔士18岁及18岁以上私人家庭男女健康态度和健康行为的全国性横断面调查的二级分析。使用三阶段设计从选举登记册中随机选择地址,然后对每个家庭中的一个人进行抽样。共有12 254个地址进行了9003人的访谈,回复率为73.5%。与人口普查人口相比,单身和离婚/分居的人数略有不足,但其他方面的偏见也很少。参与者-选择的亚组为1671位女性和1026位男性,年龄在20-45岁之间,并且至少有一个17岁以下的孩子住在家里。主要结果-社会阶层与男女健康实践指数(HPI,用于衡量健康行为)密切相关(p <0.001)。男女双方都认为会影响这种关系的因素包括教育程度,任期,居住过度拥挤指数和生活方式的重要性。此外,其伴侣的就业状况和家庭收入仅与女性有关。这些因素组不能完全解释所观察到的关系,但是归因于社会阶层的HPI差异比例却大大降低了。结论-对于那些希望在健康促进中采取更有效干预措施的人来说,描述社会阶层与健康行为之间的关联几乎没有用。多变量分析可以表明哪些特定因素在很大程度上影响了社会阶层对健康行为的影响,从而有助于更好地理解和确定资源。

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