Abstract：
BACKGROUND:While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. METHOD:We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. RESULTS:Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. CONCLUSIONS:Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Axelsson Fisk S,Merlo Jdoi
10.1186/s12939-017-0566-2subject
Has Abstractpub_date
2017-05-04 00:00:00pages
70issue
1issn
1475-9276pii
10.1186/s12939-017-0566-2journal_volume
16pub_type
杂志文章abstract：:Connecting knowledge with action (KWA) for health equity involves interventions that can redistribute power and resources at local, national, and global levels. Although there is ample and compelling evidence on the nature, distribution, and impact of health inequities, advancing health equity is inhibited by policy a...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-019-1108-x
更新日期：2019-12-26 00:00:00
abstract：INTRODUCTION:Evidence to date indicates that patients from ethnic minority backgrounds may experience disparity in the quality and safety of health care they receive due to a range of socio-cultural factors. Although heightened risk of patient safety events is of key concern, there is a dearth of evidence regarding the...
journal_title：International journal for equity in health
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abstract：BACKGROUND:Our research group advanced a health insurance theory to explain Canada's cancer care advantages over America. The late Barbara Starfield theorized that Canada's greater primary care-orientation also plays a critically protective role. We tested the resultant Starfield-Gorey theory by examining the effects o...
journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2015-10-29 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0787-z
更新日期：2018-06-11 00:00:00
abstract：BACKGROUND:Studies from various countries have observed worse population health in geographical areas with more income inequality. The psychosocial interpretation of this association is that large income disparities are harmful to health because they generate relative deprivation and undermine social cohesion. An alter...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-10-7
更新日期：2011-02-03 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-1-1
更新日期：2002-04-22 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01237-w
更新日期：2020-10-26 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-11-54
更新日期：2012-09-18 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2020-12-03 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01175-7
更新日期：2020-05-19 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-0970-x
更新日期：2019-05-06 00:00:00
abstract：BACKGROUND:The allocation of health resources in primary health care institutions (PHCI) is crucial to health reform. China has recently implemented many reform measures emphasizing the provision of primary health care services, with equity as one of the major goals. The aim of this study was to analyze the quantity, q...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0896-8
更新日期：2018-12-04 00:00:00
abstract：:In the debate on 'Third options' for health care delivery in low- and middle-income countries it is proposed that self-help should play a larger role. Self-help is expected to contribute towards improving population health outcomes and reducing government health care expenditure. We review scope and limitations of sel...
journal_title：International journal for equity in health
pub_type： 社论
doi：10.1186/1475-9276-3-1
更新日期：2004-04-15 00:00:00
abstract：INTRODUCTION:The Brazilian Government created Participatory Health Councils (PHCs) to allow citizen participation in the public health policy process. PHCs are advisory bodies that operate at all levels of government and that bring together different societal groups to monitor Brazil's health system. Today they are pre...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-015-0151-5
更新日期：2015-02-19 00:00:00
abstract：BACKGROUND:In 2002 Afghanistan's Ministry of Public Health (MoPH) and its development partners initiated a new paradigm for the health sector by electing to Contract-Out (CO) the Basic Package of Health Services (BPHS) to non-state providers (NSPs). This model is generally regarded as successful, but literature is scar...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0847-4
更新日期：2018-10-05 00:00:00
abstract：BACKGROUND:Effective implementation can maximise the beneficial impacts of health services. It is therefore important to review implementation in the context of Indigenous populations, who suffer some of the greatest disadvantage within developed countries. This paper analyses Aboriginal and Torres Strait Islander (her...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-016-0337-5
更新日期：2016-03-10 00:00:00
abstract：BACKGROUND:The theory of fundamental causes explains why health disparities persist over time, even as risk factors, mechanisms, and diseases change. Using an intersectional framework, we evaluated multifactorial discrimination as a fundamental cause of mental health disparities. METHODS:Using baseline data from the P...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0532-z
更新日期：2017-03-04 00:00:00
abstract：BACKGROUND:'Caring for Country' is defined as Indigenous participation in interrelated activities with the objective of promoting ecological and human health. Ecological services on Indigenous-owned lands are belatedly attracting some institutional investment. However, the health outcomes associated with Indigenous par...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-7-26
更新日期：2008-12-18 00:00:00
abstract：INTRODUCTION:A key element of the global drive to universal health coverage is ensuring access to needed health services for everyone, and to pursue this goal in an equitable way. This requires concerted efforts to reduce disparities in access through understanding and acting on barriers facing communities with the low...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-015-0181-z
更新日期：2015-06-09 00:00:00
abstract：BACKGROUND:Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender, social class and reg...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01202-7
更新日期：2020-06-05 00:00:00
abstract：BACKGROUND:Implementation of known effective interventions would necessitate the reduction of malaria burden by half by the year 2010. Identifying geographical disparities of coverage of these interventions at small area level is useful to inform where greatest scaling-up efforts should be concentrated. They also provi...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-6-5
更新日期：2007-07-04 00:00:00
abstract：BACKGROUND:Social isolation among older adults raises major issues for equity in healthcare in the context of the COVID-19 pandemic. MAIN TEXT:This commentary describes current challenges in preventing social isolation among older adults and proposes pathways to develop inclusive approaches to intervention in this vul...
journal_title：International journal for equity in health
pub_type： 信件
doi：10.1186/s12939-020-01360-8
更新日期：2021-01-08 00:00:00
abstract：INTRODUCTION:Health care financing reforms in both China and Vietnam have resulted in greater financial difficulties in accessing health care, especially for the rural poor. Both countries have been developing rural health insurance for decades. This study aims to evaluate and compare equity in access to health care in...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-11-10
更新日期：2012-02-29 00:00:00
abstract：BACKGROUND:Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector decentralization continues to be promoted fo...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01284-3
更新日期：2020-09-21 00:00:00
abstract：BACKGROUND:Lack of access to health care is a persistent condition for most African indigents, to which the common technical approach of targeting initiatives is an insufficient antidote. To overcome the standstill, an integrated technical and political approach is needed. Such policy shift is dependent on political su...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/1475-9276-12-91
更新日期：2013-11-15 00:00:00
abstract：BACKGROUND:Due to lack of companionship of parents, compared with non left behind children, left behind children (LBC) suffer from more psychological problems compared with children live with their parents. The aim of this study was to explore the mental health status and the relationship among psychological problems a...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0639-2
更新日期：2017-09-02 00:00:00
abstract：BACKGROUND:Improving maternal and child health remains a public health priority in Ghana. Despite efforts made towards universal coverage, there are still challenges with access to and utilization of maternal health care. This study examined socioeconomic inequalities in maternal health care utilization related to preg...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-1043-x
更新日期：2019-09-05 00:00:00
abstract：BACKGROUND:Financial stress is a barrier to successful smoking cessation and a key predictor of relapse. Little is known about the financial situation of low-income Australian daily smokers. This study aims to describe and investigate associations between the financial functioning, tobacco use and quitting behaviours o...
journal_title：International journal for equity in health
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12939-017-0643-6
更新日期：2017-08-30 00:00:00
abstract：BACKGROUND:Income-related inequality measures such as the concentration index are often used to describe the unequal distribution of health, health care access, or expenditure in a single measure. This study demonstrates the use of such measures to evaluate the distributional impact of changes in health insurance cover...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-0955-9
更新日期：2019-04-16 00:00:00
abstract：BACKGROUND:This study aims at quantifying the level and changes over time of inequality in age-specific mortality and life expectancy between the 19 Norwegian counties from 1980 to 2014. METHODS:Data on population and mortality by county was obtained from Statistics Norway for 1980-2014. Life expectancy and age-specif...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0771-7
更新日期：2018-05-24 00:00:00
