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Educational health inequalities in former Yugoslavia: evidence from the South-East European Social Survey Project.

机译:前南斯拉夫的教育健康不平等:东南欧社会调查项目的证据。

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BACKGROUND: An important gap in our knowledge of social inequalities in health is the former Yugoslavia, a region of culturally and historically diverse countries, with recent conflict. The aim of the present paper is to investigate relative and absolute inequalities in self-assessed health in former Yugoslavia (Bosnia-Herzegovina, Croatia, Kosovo, Macedonia, Montenegro, Slovenia and Serbia) by sex and education. METHODS: The data source is the South-East European Social Survey Project fielded in December 2003 to Winter 2004, covering the former Yugoslavia with a total sample of 18 481 respondents. Data from Slovenia were obtained from the 2004-wave of the European Social Survey. The health outcome variables were self-reported general health (SRH) and limiting longstanding illness (LLI). RESULTS: Both absolute and relative educational health inequalities were present throughout the former Yugoslavia to a larger or lesser extent, although odds ratios (ORs) for LLI and SRH were not significant for Montenegrin women [LLI OR = 1.12, 95% confidence interval (CI): 0.92-1.37; SRH OR = 1.16, 95% CI: 0.96-1.40] and with respect to the reporting of LLI among Slovenian men (OR = 1.16, 95% CI: 0.96-1.44). Overall, Montenegro held the best position. CONCLUSIONS: The prevalence of poor health and the degree of relative inequality in self-assessed health in the former Yugoslavian countries were similar in order to one another, and to other East European countries during the same period. Influences on subjective health require further elucidation. Further research should study a wider range of health outcomes using larger survey samples and a wider range of cultural and other predictor variables.
机译:背景:前南斯拉夫是我们在健康方面的社会不平等知识的重要缺口,前南斯拉夫是一个文化和历史悠久的国家,最近发生冲突。本文的目的是通过性别和教育调查前南斯拉夫(波斯尼亚-黑塞哥维那,克罗地亚,科索沃,马其顿,黑山,斯洛文尼亚和塞尔维亚)自我评估健康的相对和绝对不平等。方法:数据来源是2003年12月至2004年冬季实施的“东南欧社会调查项目”,涵盖前南斯拉夫,共有18481名被调查者。斯洛文尼亚的数据来自2004年欧洲社会调查的浪潮。健康结果变量是自我报告的总体健康(SRH)和限制长期疾病(LLI)。结果:尽管前南斯拉夫妇女的LLI和SRH的优势比(OR)并不显着[LLI OR = 1.12,95%置信区间(CI),但在整个前南斯拉夫都存在或多或少的绝对和相对教育健康不平等现象。 ):0.92-1.37; SRH OR = 1.16,95%CI:0.96-1.40],并且就斯洛文尼亚男性中的LLI的报告而言(OR = 1.16,95%CI:0.96-1.44)。总体而言,黑山保持最佳位置。结论:在前南斯拉夫国家中,健康状况差的普遍程度和自我评估的健康状况中的相对不平等程度彼此相似,并且在同一时期与其他东欧国家相似。对主观健康的影响需要进一步阐明。进一步的研究应该使用更大的调查样本以及更广泛的文化和其他预测变量来研究更广泛的健康结果。

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