OBJECTIVE: To compare inequalities in self-perceived health in the population older than 50 years, in 2004, using Wright's social class dimensions, in nine European countries grouped in three political traditions (Social democracy, Christian democracy and Late democracies). METHODS: Cross-sectional design, including data of the Survey of Health, Ageing and Retirement in Europe (Sweden, Denmark, Austria, France, Germany, The Netherlands, Spain, Italy and Greece). The population aged from 50 to 74 years was included. Absolute and relative social class dimension inequalities in poor self-reported health and long-term illness were determined for each sex and political tradition. Relative inequalities were assessed by fitting Poisson regression models with robust variance estimators. RESULTS: Absolute and relative health inequalities by social class dimensions are found in the three political traditions, but these differences are more marked in Late democracies and mainly among women. For example the prevalence ratio of poor self-perceived health comparing poorly educated women with highly educated women, was 1.75 (95% CI: 1.39-2.21) in Late democracies and 1.36 (95% CI: 1.21-1.52) in Social democracies. The prevalence differences were 24.2 and 13.7%, respectively. CONCLUSION: This study is one of the first to show the impact of different political traditions on social class inequalities in health. These results emphasize the need to evaluate the impact of the implementation of public policies.
OBJECTIVE: To compare inequalities in self-perceived health in the population older than 50 years, in 2004, using Wright's social class dimensions, in nine European countries grouped in three political traditions (Social democracy, Christian democracy and Late democracies). METHODS: Cross-sectional design, including data of the Survey of Health, Ageing and Retirement in Europe (Sweden, Denmark, Austria, France, Germany, The Netherlands, Spain, Italy and Greece). The population aged from 50 to 74 years was included. Absolute and relative social class dimension inequalities in poor self-reported health and long-term illness were determined for each sex and political tradition. Relative inequalities were assessed by fitting Poisson regression models with robust variance estimators. RESULTS: Absolute and relative health inequalities by social class dimensions are found in the three political traditions, but these differences are more marked in Late democracies and mainly among women. For example the prevalence ratio of poor self-perceived health comparing poorly educated women with highly educated women, was 1.75 (95% CI: 1.39-2.21) in Late democracies and 1.36 (95% CI: 1.21-1.52) in Social democracies. The prevalence differences were 24.2 and 13.7%, respectively. CONCLUSION: This study is one of the first to show the impact of different political traditions on social class inequalities in health. These results emphasize the need to evaluate the impact of the implementation of public policies.
Authors: Belén Sanz-Barbero; Consuelo Corradi; Laura Otero-García; Alba Ayala; Carmen Vives-Cases Journal: Int J Public Health Date: 2018-08-04 Impact factor: 3.380
Authors: Stefan Sieber; Boris Cheval; Dan Orsholits; Bernadette W Van der Linden; Idris Guessous; Rainer Gabriel; Matthias Kliegel; Marja J Aartsen; Matthieu P Boisgontier; Delphine Courvoisier; Claudine Burton-Jeangros; Stéphane Cullati Journal: Int J Epidemiol Date: 2019-08-01 Impact factor: 7.196
Authors: Maria Teresa Sanchez-Santos; Maria Victoria Zunzunegui; Angel Otero-Puime; Ramiro Cañas; Alfonso Jaime Casado-Collado Journal: Eur J Ageing Date: 2011-08-17
Authors: Benedetto Manuti; Paolo Rizza; Claudia Pileggi; Aida Bianco; Maria Pavia Journal: Health Qual Life Outcomes Date: 2013-06-10 Impact factor: 3.186