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社区社会经济环境可能是人群健康状况和疾病的最重要的影响因素,但直到近10年来才成为研究热点。本文对有关社会经济环境因素对健康结局影响的研究结果进行了综述,并对研究中所涉及的几个问题进行了评述。结果表明,尽管存在研究设计的异质性、地区测量代替社区测量和测量误差等问题,社区社会经济环境对健康结局有较小的影响。社区社会经济环境应该受到重视,社区水平的干预措施应该建立。
The socio-economic environment of the community may be the most important influencing factor for the health condition and disease of the population, but it has not been a research hotspot until nearly 10 years ago. This paper summarizes the research results on the impact of socio-economic environmental factors on the health outcomes and comments on several issues involved in the study. The results show that, despite the heterogeneity of research design, regional surveys replace community measurement and measurement errors, community socio-economic conditions have less impact on health outcomes. Community socio-economic environment should be taken seriously, and community-level interventions should be established.