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Erschienen in: Journal of Community Health 4/2020

26.02.2020 | Original Paper

Socioeconomic Inequalities in Health Through Lifestyles: Analysing Gender and Age Differences in Andalusia, Spain

verfasst von: Diego Gomez-Baya, Jose A. Salinas-Perez, Maria Luisa Rodero-Cosano, Javier Alvarez-Galvez

Erschienen in: Journal of Community Health | Ausgabe 4/2020

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Abstract

This research aims to analyse the association between socioeconomic status (SES) and self-rated health (SRH) through its relationship with lifestyle factors, as well as examining these effects stratified by gender and age groups. A cross-sectional study was performed with a representative sample from Andalusia (Southern Spain) composed of 1200 adults. The study analysed several variables related to lifestyle (healthy diet, physical activity and tobacco and alcohol consumption) and SES (education and income), along with SRH. The joint effects of SRH and the set of variables were studied by using a hierarchical linear regression analysis. Later a path analysis was carried out to test the impact of gender and age group on these associations. The results show that a better SRH was reported by men with lower age, higher SES, more frequent physical activity, healthy diet, and lower alcohol use compared with their counterparts. Income was directly related to better SRH through more physical activity, a healthier diet and less alcohol consumption. SES had a greater positive relationship with women’s health than with men’s health. In addition, a greater explained variance in SRH was observed in older women based on SES and lifestyle factors. Our findings provide some cross-sectional evidence of the social inequalities in health mediated through lifestyle factors, with gender and age differences. Therefore, socioeconomic inequalities should be addressed by public and social policies considering the gender and age gaps.
Literatur
1.
Zurück zum Zitat Alvarez-Galvez, J., Rodero-Cosano, M. L. M. L., Motrico, E., Salinas-Perez, J. A., Garcia-Alonso, C., & Salvador-Carulla, L. (2013). The impact of socio-economic status on self-rated health: Study of 29 countries using European Social Surveys (2002–2008). International Journal of Environmental Research and Public Health,10(3), 747–761. https://doi.org/10.3390/ijerph10030747.CrossRefPubMedPubMedCentral Alvarez-Galvez, J., Rodero-Cosano, M. L. M. L., Motrico, E., Salinas-Perez, J. A., Garcia-Alonso, C., & Salvador-Carulla, L. (2013). The impact of socio-economic status on self-rated health: Study of 29 countries using European Social Surveys (2002–2008). International Journal of Environmental Research and Public Health,10(3), 747–761. https://​doi.​org/​10.​3390/​ijerph10030747.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Alvarez-Galvez, J., Rodero-Cosano, M. L., García-Alonso, C., & Salvador-Carulla, L. (2014). Changes in socioeconomic determinants of health: Comparing the effect of social and economic indicators through European welfare state regimes. Journal of Public Health,22(4), 305–311. https://doi.org/10.1007/s10389-014-0623-x.CrossRef Alvarez-Galvez, J., Rodero-Cosano, M. L., García-Alonso, C., & Salvador-Carulla, L. (2014). Changes in socioeconomic determinants of health: Comparing the effect of social and economic indicators through European welfare state regimes. Journal of Public Health,22(4), 305–311. https://​doi.​org/​10.​1007/​s10389-014-0623-x.CrossRef
3.
Zurück zum Zitat Bartley, M., Sacker, A., & Clarke, P. (2004). Employment status, employment conditions, and limiting illness: Prospective evidence from the British household panel survey 1991–2001. Journal of Epidemiology and Community Health,58(6), 501–506.CrossRef Bartley, M., Sacker, A., & Clarke, P. (2004). Employment status, employment conditions, and limiting illness: Prospective evidence from the British household panel survey 1991–2001. Journal of Epidemiology and Community Health,58(6), 501–506.CrossRef
4.
Zurück zum Zitat Wilkinson, R. G., & Marmot, M. (2003). Social determinants of health: The solid facts (2nd ed., Vol. 2017). Brussels: WHO/Europe Publications. Wilkinson, R. G., & Marmot, M. (2003). Social determinants of health: The solid facts (2nd ed., Vol. 2017). Brussels: WHO/Europe Publications.
6.
Zurück zum Zitat Marmot, M., & Allen, J. J. (2014). Social determinants of health equity (Vol. 104 Suppl). Marmot, M., & Allen, J. J. (2014). Social determinants of health equity (Vol. 104 Suppl).
8.
Zurück zum Zitat Wilkinson, R. G. (1997). Socioeconomic determinants of health. Health inequalities: Relative or absolute material standards? BMJ (Clinical Research Ed.),314(7080), 591–595.CrossRef Wilkinson, R. G. (1997). Socioeconomic determinants of health. Health inequalities: Relative or absolute material standards? BMJ (Clinical Research Ed.),314(7080), 591–595.CrossRef
13.
18.
Zurück zum Zitat Molarius, A., Berglund, K., Eriksson, C., Lambe, M., Nordstrom, E., Eriksson, H. G., et al. (2007). Socioeconomic conditions, lifestyle factors, and self-rated health among men and women in Sweden. The European Journal of Public Health,17(2), 125–133.CrossRef Molarius, A., Berglund, K., Eriksson, C., Lambe, M., Nordstrom, E., Eriksson, H. G., et al. (2007). Socioeconomic conditions, lifestyle factors, and self-rated health among men and women in Sweden. The European Journal of Public Health,17(2), 125–133.CrossRef
19.
Zurück zum Zitat Lietz, F., Piumatti, G., Marinkovic, J., & Bjegovic-Mikanovic, V. (2017). Correlates of self-rated health in Southern Europe: Evidences from national representative samples in Italy and Serbia. Journal of Public Health,39(4), 745–753.CrossRef Lietz, F., Piumatti, G., Marinkovic, J., & Bjegovic-Mikanovic, V. (2017). Correlates of self-rated health in Southern Europe: Evidences from national representative samples in Italy and Serbia. Journal of Public Health,39(4), 745–753.CrossRef
20.
Zurück zum Zitat Balaj, M., McNamara, C. L., Eikemo, T. A., & Bambra, C. (2017). The social determinants of inequalities in self-reported health in Europe: Findings from the European social survey (2014) special module on the social determinants of health. European Journal of Public Health,27(suppl_1), 107–114.CrossRef Balaj, M., McNamara, C. L., Eikemo, T. A., & Bambra, C. (2017). The social determinants of inequalities in self-reported health in Europe: Findings from the European social survey (2014) special module on the social determinants of health. European Journal of Public Health,27(suppl_1), 107–114.CrossRef
25.
Zurück zum Zitat Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. Journal of Clinical Epidemiology,51(11), 1171–1178.CrossRef Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. Journal of Clinical Epidemiology,51(11), 1171–1178.CrossRef
26.
Zurück zum Zitat Álvarez Gálvez, J., Gómez Baya, D., González Portillo, A., Martínez Cousinou, G., Rodero Cosano, M. L., Salinas Pérez, J. A., et al. (2017). Social determinants of health in Andalusia. Sevilla: Fundación Pública Andaluza Centro de Estudios Andaluces. Álvarez Gálvez, J., Gómez Baya, D., González Portillo, A., Martínez Cousinou, G., Rodero Cosano, M. L., Salinas Pérez, J. A., et al. (2017). Social determinants of health in Andalusia. Sevilla: Fundación Pública Andaluza Centro de Estudios Andaluces.
27.
Zurück zum Zitat Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2006). Multivariate data analysis (6th ed.). New Jersey: Pearson Prentice Hall. Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2006). Multivariate data analysis (6th ed.). New Jersey: Pearson Prentice Hall.
31.
Zurück zum Zitat Jöreskog, K. G. (1993). Testing structural equation models. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (p. 320). London: Sage Publications. Jöreskog, K. G. (1993). Testing structural equation models. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (p. 320). London: Sage Publications.
Metadaten
Titel
Socioeconomic Inequalities in Health Through Lifestyles: Analysing Gender and Age Differences in Andalusia, Spain
verfasst von
Diego Gomez-Baya
Jose A. Salinas-Perez
Maria Luisa Rodero-Cosano
Javier Alvarez-Galvez
Publikationsdatum
26.02.2020
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 4/2020
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-020-00800-4

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