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目的:测量与收入相关的自评健康不平等程度,并分析各因素的贡献。方法:利用家庭健康询问调查数据,采用集中指数法测量居民基于收入的自评健康不平等程度及各因素对自评健康不平等的贡献。结果:不同收入人群的自评健康有差异,集中指数为0.034,仍存在亲富人的健康不平等;各因素对自评健康不平等的贡献中,收入贡献率为46.30%,地区为22.00%,性别-年龄为13.80%,城乡类型为10.10%,文化程度为7.20%。结论:收入和地区因素对自评健康不平等贡献较大;改善收入分配、缩小地区间发展差距、加快城乡一体化建设、推进教育公平等有利于降低健康不平等。
Purpose: To measure the level of self-rated health inequality associated with income and to analyze the contribution of each factor. METHODS: Family health survey data were used to measure the residents’ self-rated health inequality based on income and the contribution of each factor to self-rated health inequality. Results: The self-rated health of different income groups was different. The concentration index was 0.034. There was still the health inequality of the pro-rich. Among the contribution of each factor to self-rated health inequality, the contribution rate of income was 46.30% and the area was 22.00% , Sex - age 13.80%, urban and rural types 10.10%, educational level 7.20%. Conclusions: Income and regional factors contribute more to self-rated health inequality; improving income distribution, narrowing the development gap between regions, speeding up the integration of urban and rural areas, and promoting education equity will help reduce inequalities in health.