2001 至 2018 年澳大利亚健康与贫困不平等情况

D. Jun, Matt Sutton
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摘要

虽然已有的衡量标准可以衡量生活各方面的贫困状况,但在澳大利亚,仍然没有一个明确的健康贫困衡量标准。本研究探讨了健康贫困的趋势,确定了改善整体人口健康的干预重点。我们将健康贫困定义为在任何关键健康方面低于特定最低阈值的状态,包括身体功能、角色功能、社会功能、疼痛、心理健康和活力。此外,死亡率(即 1 年内死亡)也被纳入健康贫困衡量标准。2001 年,健康贫困人口占成年总人口的比例为 42%,2009 年降至 37%,2018 年上升至 43%。女性、老年群体和原住民的健康贫困程度分别高于男性、年轻群体或非原住民。通过细致监测健康贫困在各个层面的趋势,本研究揭示了易受健康贫困影响的社会人口群体,并量化了其对整体人口福祉的影响。调查强调,角色功能低下和活力不足是造成健康贫困的关键因素。
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Health‐Poverty Inequality in Australia from 2001 to 2018
While established measures gauge poverty across diverse aspects of life, a definitive metric for health poverty in Australia remains absent. This study examines health poverty trends, identifying priorities for interventions to improve overall population health. We define health poverty as the state of falling below a specified minimum threshold in any critical health aspect, encompassing physical function, role function, social function, pain, mental health and vitality. Additionally, mortality (i.e., dying within 1 year) is integrated into the health poverty measure. The percentage of the overall adult population grappling with health poverty was 42 percent in 2001, falling to 37 percent in 2009 before ascending to 43 percent in 2018. The level of health poverty was more prevalent among women, older age groups and Indigenous individuals than in men, younger age groups or non‐Indigenous people, respectively. By meticulously monitoring health poverty trends across various dimensions, this study unveils the sociodemographic group susceptible to health poverty and quantifies its impact on overall population well‐being. The investigation highlights poor role functioning and vitality deficiency as pivotal components contributing to health poverty.
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