{"title":"慢性呼吸道疾病的社会经济差异:健康不平等的分解分析。","authors":"Hazal Swearinger, Gülizar Gülcan Şeremet","doi":"10.1080/19371918.2025.2558948","DOIUrl":null,"url":null,"abstract":"<p><p>This study investigates socioeconomic disparities in chronic respiratory diseases and the factors contributing to these inequalities, using data from the 2019 Turkish Health Survey. Multivariate logistic regression and Oaxaca-Blinder decomposition analyses reveal that 13.10% of adults aged 25 and older in Turkey suffer from chronic respiratory diseases, with a significantly higher prevalence among lower socioeconomic status (SES) individuals. Key risk factors include older age, being female, smoking, and an unhealthy diet, with age and gender being the dominant contributors to SES-related disparities, while smoking and diet play smaller roles. Fundamental cause theory highlights how SES influences health outcomes, demonstrating the need for addressing these mechanisms through the intersection of public health and social work. Social work implications include advocating for systemic change, expanding healthcare access, and developing community programs. Public health efforts should address structural determinants, reduce environmental hazards, and ensure culturally sensitive interventions for vulnerable populations.</p>","PeriodicalId":46944,"journal":{"name":"Social Work in Public Health","volume":" ","pages":"1-14"},"PeriodicalIF":1.4000,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Socioeconomic Disparities in Chronic Respiratory Diseases: A Decomposition Analysis of Health Inequalities.\",\"authors\":\"Hazal Swearinger, Gülizar Gülcan Şeremet\",\"doi\":\"10.1080/19371918.2025.2558948\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study investigates socioeconomic disparities in chronic respiratory diseases and the factors contributing to these inequalities, using data from the 2019 Turkish Health Survey. Multivariate logistic regression and Oaxaca-Blinder decomposition analyses reveal that 13.10% of adults aged 25 and older in Turkey suffer from chronic respiratory diseases, with a significantly higher prevalence among lower socioeconomic status (SES) individuals. Key risk factors include older age, being female, smoking, and an unhealthy diet, with age and gender being the dominant contributors to SES-related disparities, while smoking and diet play smaller roles. Fundamental cause theory highlights how SES influences health outcomes, demonstrating the need for addressing these mechanisms through the intersection of public health and social work. Social work implications include advocating for systemic change, expanding healthcare access, and developing community programs. Public health efforts should address structural determinants, reduce environmental hazards, and ensure culturally sensitive interventions for vulnerable populations.</p>\",\"PeriodicalId\":46944,\"journal\":{\"name\":\"Social Work in Public Health\",\"volume\":\" \",\"pages\":\"1-14\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Work in Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/19371918.2025.2558948\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Work in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/19371918.2025.2558948","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Socioeconomic Disparities in Chronic Respiratory Diseases: A Decomposition Analysis of Health Inequalities.
This study investigates socioeconomic disparities in chronic respiratory diseases and the factors contributing to these inequalities, using data from the 2019 Turkish Health Survey. Multivariate logistic regression and Oaxaca-Blinder decomposition analyses reveal that 13.10% of adults aged 25 and older in Turkey suffer from chronic respiratory diseases, with a significantly higher prevalence among lower socioeconomic status (SES) individuals. Key risk factors include older age, being female, smoking, and an unhealthy diet, with age and gender being the dominant contributors to SES-related disparities, while smoking and diet play smaller roles. Fundamental cause theory highlights how SES influences health outcomes, demonstrating the need for addressing these mechanisms through the intersection of public health and social work. Social work implications include advocating for systemic change, expanding healthcare access, and developing community programs. Public health efforts should address structural determinants, reduce environmental hazards, and ensure culturally sensitive interventions for vulnerable populations.
期刊介绍:
Social Work in Public Health (recently re-titled from the Journal of Health & Social Policy to better reflect its focus) provides a much-needed forum for social workers and those in health and health-related professions. This crucial journal focuses on all aspects of policy and social and health care considerations in policy-related matters, including its development, formulation, implementation, evaluation, review, and revision. By blending conceptual and practical considerations, Social Work in Public Health enables authors from many disciplines to examine health and social policy issues, concerns, and questions.