地區社經因素、個人社經地位與自評健康

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地區社經因素、個人社經地位與自評健康

Community- and Individual-level Socioeconomic Status, and Self-rated Health

陳冠雄 , Masters　　Advisor：江東亮　　

繁體中文

自評健康；多層次分析；交互作用；地區社經因素； self-rated health ； multi-level analysis ； interaction ； community-level

Abstract │ Reference (86) │ Times Cited (2) │ Altmetrics

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Objective: The purpose of this study is to examine the association of community- and individual-level socioeconomic status, and self-rated health in Taiwan.
Design and Participants: Data for the study came from the 2002 National Survey of Taiwan on Knowledge, Attitude, and Practice of Health Promotion, consisting representative sample of 24120 people aged 20 and over in 23 cities and countries. Individual-level socioeconomic characteristic was measured by educational attainment, occupation, and income per month. The socioeconomic characteristic of community was measured using a mixed index.
Results: 14.0% of adults reported poor health in Taiwan. In multi-level model, community- and individual-level socioeconomic status were both associated with self-rated health. The ICC indicator was 11.05%, meaning there were 11.05% of variances can be explained by community-level differences. We also found community-level effects on self-rated health even after adjusting for individual-level socioeconomic status. For example, the odds ratio for poor self-rated health was 1.26 who living in the lowest community compared with people living in the highest community. 
Conclusion: Although both level factors were associated with health, individual-level socioeconomic status was more powerful than community-level socioeconomic status. However, community-level socioeconomic status will medicate the effect of individual-level socioeconomic status on self-rated health.

Reference ( 86 ) 〈TOP〉

李禹陞：臺灣地區鄰里型態與個人社會經濟地位對個人健康之影響。臺北醫學大學公共衛生學系碩士論文，2006。
連結：
邱皓政：脈絡變數的多層次潛在變數模式分析：口試評分者效應的多層次結構方程模式應用。中華心理學刊，4，383-405，2007。
連結：
劉介修：經濟成長、所得不平等與人口健康：跨國研究1980-2000。國立臺灣大學衛生政策與管理研究所碩士論文，2008。
連結：
蕭文萱：母親國籍與嬰幼兒健康。國立臺灣大學衛生政策與管理研究所碩士論文，2006。
連結：
蘇珮榕：社區剝奪、個人社經地位與非致命事故傷害。國立臺灣大學衛生政策與
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