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Journal of Public Health

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01.08.2014 | Original Article

Changes in socioeconomic determinants of health: comparing the effect of social and economic indicators through European welfare state regimes

verfasst von: Javier Alvarez-Galvez, Maria Luisa Rodero-Cosano, Carlos García-Alonso, Luis Salvador-Carulla

Erschienen in: Journal of Public Health | Ausgabe 4/2014

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Abstract

Aim

This study is aimed at comparing the effect of different measures of socioeconomic status on self-rated health throughout European welfare state regimes during the period 2002–2008, in order to study how diverse socioeconomic inequalities can vary our health over time.

Subjects and methods

This study uses the European Social Survey to compare the impact of three specific socioeconomic measures (income, education and occupational status) on self-rated health.

Results

The main finding to be highlighted is that the importance of education-related inequalities surpasses differences in income and occupational status, especially in southern and eastern countries. The relationship between income and self-rated health is stronger in liberal and social-democratic regimes, where labour market regulation is characterized by its flexibility and high liberalization. The impact of occupational status is moderate among liberal, social-democratic and conservative regimes, but lower in southern and eastern ones.

Conclusion

These findings support the existence of a contextual effect among welfare states that varies the impact of social and economic indicators in self-rated health over time.

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Adams P, Hurd MD, McFadden D, Merrill A, Ribeiro T (2003) Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status. J Econom 112:3–56CrossRef

Alvarez-Galvez J, Rodero-Cosano ML, Motrico E, Salinas-Perez JA, García-Alonso CR, Salvador-Carulla L (2013) The impact of socio-economic status on self-rated health: study of 29 countries using European social surveys (2002–2008). Int J Environ Res Publ Health 10:747–761CrossRef

Angner E, Ray MN, Saag KG, Allison JJ (2009) Health and happiness among older adults: a community-based study. J Health Psychol 14:503–512PubMedCrossRef

Bambra C (2007) Going beyond the three worlds of welfare capitalism: regime theory and public health research. J Epidemiol Community Health 61:1098–1102PubMedCentralPubMedCrossRef

Bartley M, Sacker A, Clarke P (2004) Employment status, employment conditions, and limiting illness: prospective evidence from the British household panel survey 1991–2001. J Epidemiol Community Health 58:501–506PubMedCentralPubMedCrossRef

Blossfeld HP, Buchholz S, Hofacker D (eds) (2011) Globalized labour markets and social inequality in Europe. Palgrave Macmillan, New York

Castles FG, Obinger H (2008) Worlds, families, regimes: country clusters in European and OECD area public policy. West Eur Polit 31:321–344CrossRef

Costa-Font J, Hernández-Quevedo C (2012) Measuring inequalities in health: what do we know? what do we need to know? Health Policy 106:195–206PubMedCrossRef

Drever F, Doran T, Whitehead M (2004) Exploring the relation between class, gender, and self rated general health using the new socioeconomic classification: a study using data from the 2001 census. J Epidemiol Community Health 58:590–596PubMedCentralPubMedCrossRef

Ebbinghaus B (2012) Comparing welfare state regimes: are typologies an ideal or realistic strategy? Presented at the European Social Policy Analysis Network. University of Edinburg, Edinburg. Available at http://www.espanet2012.info/__data/assets/pdf_file/0005/89033/Ebbinghaus_-_Stream_2.pdf. Accessed 31 Jan 2014

Eikemo TA, Bambra C, Joyce K, Dahl E (2008a) Welfare state regimes and income-related health inequalities: a comparison of 23 European countries. Eur J Publ Health 18:593–599CrossRef

Eikemo TA, Bambra C, Judge K, Ringdal K (2008b) Welfare state regimes and differences in self-perceived health in Europe: a multilevel analysis. Soc Sci Med 66:2281–2295PubMedCrossRef

Eikemo TA, Huisman M, Bambra C, Kunst AE (2008c) Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries. Sociol Health Illn 30:565–582PubMedCrossRef

Esping-Andersen G (1990) The three worlds of welfare capitalism. Polity, Cambridge, UK

Esping-Andersen G (1999) Social foundations of postindustrial economies. Oxford University Press, OxfordCrossRef

European Social Survey (ESS) (2008) Round 1–4 data (2002–2008). Data file editions 6.3, 3.3, 3.4 and 4.1. Norwegian Social Science Data Services, Norway. Available at http://www.europeansocialsurvey.org/about/index.html. Accessed 31 Jan 2014

Frijters P, Haisken-DeNew JP, Shields MA (2005) The causal effect of income on health: evidence from German reunification. J Health Econ 24:997–1017PubMedCrossRef

Fritzell J, Nermo M, Lundberg O (2004) The impact of income: assessing the relationship between income and health in Sweden. Scand J Publ Health 32:6–16CrossRef

Ganzeboom HB, Treiman DJ (1996) Internationally comparable measures of occupational status for the 1988 International Standard Classification of Occupations. Soc Sci Res 25:201–239CrossRef

Hanibuchi T, Nakaya T, Murata C (2012) Socio-economic status and self-rated health in East Asia: a comparison of China, Japan, South Korea and Taiwan. Eur J Publ Health 22:47–52CrossRef

Hernández-Quevedo C, Jones AM, López-Nicolás A, Rice N (2006) Socioeconomic inequalities in health: a comparative longitudinal analysis using the European community household panel. Soc Sci Med 63:1246–1261PubMedCrossRef

Hernández-Quevedo C, Masseria C, Mossialos E (2010) Analyzing the socioeconomic determinants of health in Europe: new evidence from EU-SILC. Population and social conditions: methodologies and working papers. Publications Office of the European Union, Luxembourg

Kelleher CC, Friel S, Nic Gabhainn S, Tay JB (2003) Socio-demographic predictors of self-rated health in the Republic of Ireland: findings from the national survey on lifestyle, attitudes and nutrition, SLAN. Soc Sci Med 57:477–486PubMedCrossRef

Marmot MG (2010) Fair society, healthy lives: The Marmot review—strategic review of health inequalities in England post-2010. Marmot Review, London

Nummela OP, Sulander TT, Heinonen HS, Uutela AK (2007) Self-rated health and indicators of SES among the ageing in three types of communities. Scand J Publ Health 35:39–47CrossRef

Roelfs DJ, Shor E, Davidson KW, Schwartz JE (2011) Losing life and livelihood: a systematic review and meta-analysis of unemployment and all-cause mortality. Soc Sci Med 72:840–854PubMedCentralPubMedCrossRef

Smith JP (2004) Unraveling the SES: health connection. Popul Dev Rev 30:108–132CrossRef

Van Doorslaer E, Koolman X (2004) Explaining the differences in income-related health inequalities across European countries. Health Econ 13:609–628PubMedCrossRef

Wilkinson RG (1997) Socioeconomic determinants of health. Health inequalities: relative or absolute material standards? BMJ 314:591–595PubMedCentralPubMedCrossRef

Wilkinson RG, Marmot MG (2003) Social determinants of health: the solid facts. World Health Organization, Geneva

Titel: Changes in socioeconomic determinants of health: comparing the effect of social and economic indicators through European welfare state regimes
verfasst von: Javier Alvarez-Galvez
Maria Luisa Rodero-Cosano
Carlos García-Alonso
Luis Salvador-Carulla
Publikationsdatum: 01.08.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Public Health / Ausgabe 4/2014
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-014-0623-x

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Changes in socioeconomic determinants of health: comparing the effect of social and economic indicators through European welfare state regimes

Abstract

Aim

Subjects and methods

Results

Conclusion

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Aim

Subjects and methods

Results

Conclusion

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