摘要
目的 了解广东省男性居民健康相关行为的城乡不公平性,为促进健康公平提供基础数据.方法 利用2007年广东省行为危险因素监测资料,以不同经济发展水平地区分类作为区分调查对象阶层的客观变量,以吸烟、饮酒、不吃早餐、体力活动不足、血压测量、血糖检测和体重测量作为评价健康相关行为公平性的指标,采用集中曲线和集中指数（C）研究广东省男性居民健康相关行为的公平性,用非条件logistic回归方法分析影响健康相关行为城乡不公平性的因素.结果 广东省男性居民健康筛查行为：血压检测（C=0.106,P=0.000）、血糖检测（C=0.114,P=0.000）和体重检测（C=0.107,P=0.000）向经济发达的城市集中 健康危险行为中的吸烟（C=-0.075,P=0.000）和饮酒行为（C=-0.023,P=0.002）向经济不发达的农村集中,而体力活动不足向经济发达的城市集中（C=0.044,P=0.000）.各项健康相关行为中,血糖检测行为的公平性最差.总体上,健康筛查行为偏离公平的程度均比健康危险行为大,即广东省男性居民健康筛查行为的不公平程度比健康危险行为大.logistic回归分析显示这种不公平性可解释为男性居民社会经济状况（地区间文化程度、职业和平均月收入）的差异.结论 应从政策上改善决定城乡居民健康不公平的社会决定因素,加强对弱势人群的健康促进,改善城乡健康相关行为的不公平性.
Objective To compare the magnitude of inequities in health-related behaviors among males in Guangdong province, and to investigate the extent of the disparities. Methods Data sets available from the Guangdong Chronic Diseases and Risk Factors Survey 2007 are used.Concentration index （C） and concentration curve are employed to measure the differential of males＇health-related behaviors across urban and rural areas in Guangdong. Odds ratios of 6 health-related behaviors among different areas are derived from 4 logistic models, after adjusting for age, married state, educational status, occupation and income. Results Results from Cs reveal that the inequality gradients disadvantageous to men in rural areas are： smoking（C=-0.075, P=0.000）, alcohol intake （C=-0.023, P=0.002）, blood pressure （C=0.106, P=0.000）, blood sugar（C=0.114, P=0.000）and weight （C= 0.107, P= 0.000 ）, while lack of physical activity （C= 0.044, P= 0.000） concentrates in the more affluent areas. The magnitudes of these inequalities appear to be higher on health-seeking behaviors than on health-risk behaviors. After adjusting for age and marital status, there is still strong evidence showing the rural-urban differences in the health related behaviors among males in Guangdong province. When educational status, occupation and income are added to the logistic model as control factors, the results have led to a loss of statistical significance on such rural-urban inequalities, indicating that socioeconomic factors play an important role on these health-related behaviors which leads to the inequalities among males in Guangdong province. Conclusion To reduce the gaps in health-related behaviors seen in the rural and urban areas, effective policies should be developed to change the social determinants of rural-urban differences in health and to strengthen the implementation of health-related programs on those vulnerable groups.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2010年第12期1363-1367,共5页
Chinese Journal of Epidemiology
关键词
健康相关行为
城乡不公平性
集中指数
Health related behaviors Rural-urban differentials Concentration index
