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Trends in socioeconomic inequalities in self-assessed health in 10 European countries.
Int J Epidemiol. 2005 Apr; 34(2):295-305.IJ

Abstract

BACKGROUND

Changes over time in inequalities in self-reported health are studied for increasingly more countries, but a comprehensive overview encompassing several countries is still lacking. The general aim of this article is to determine whether inequalities in self-assessed health in 10 European countries showed a general tendency either to increase or to decrease between the 1980s and the 1990s and whether trends varied among countries.

METHODS

Data were obtained from nationally representative interview surveys held in Finland, Sweden, Norway, Denmark, England, The Netherlands, West Germany, Austria, Italy, and Spain. The proportion of respondents with self-assessed health less than 'good' was measured in relation to educational level and income level. Inequalities were measured by means of age-standardized prevalence rates and odds ratios (ORs).

RESULTS

Socioeconomic inequalities in self-assessed health showed a high degree of stability in European countries. For all countries together, the ORs comparing low with high educational levels remained stable for men (2.61 in the 1980s and 2.54 in the 1990s) but increased slightly for women (from 2.48 to 2.70). The ORs comparing extreme income quintiles increased from 3.13 to 3.37 for men and from 2.43 to 2.86 for women. Increases could be demonstrated most clearly for Italian and Spanish men and women, and for Dutch women, whereas inequalities in health in the Nordic countries showed no tendency to increase.

CONCLUSIONS

The results underscore the persistent nature of socioeconomic inequalities in health in modern societies. The relatively favourable trends in the Nordic countries suggest that these countries' welfare states were able to buffer many of the adverse effects of economic crises on the health of disadvantaged groups.

Authors+Show Affiliations

Department of Public Health, Erasmus MC, 3000 DR Rotterdam, The Netherlands. a.kunst@easmusmc.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15563586

Citation

Kunst, Anton E., et al. "Trends in Socioeconomic Inequalities in Self-assessed Health in 10 European Countries." International Journal of Epidemiology, vol. 34, no. 2, 2005, pp. 295-305.
Kunst AE, Bos V, Lahelma E, et al. Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol. 2005;34(2):295-305.
Kunst, A. E., Bos, V., Lahelma, E., Bartley, M., Lissau, I., Regidor, E., Mielck, A., Cardano, M., Dalstra, J. A., Geurts, J. J., Helmert, U., Lennartsson, C., Ramm, J., Spadea, T., Stronegger, W. J., & Mackenbach, J. P. (2005). Trends in socioeconomic inequalities in self-assessed health in 10 European countries. International Journal of Epidemiology, 34(2), 295-305.
Kunst AE, et al. Trends in Socioeconomic Inequalities in Self-assessed Health in 10 European Countries. Int J Epidemiol. 2005;34(2):295-305. PubMed PMID: 15563586.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trends in socioeconomic inequalities in self-assessed health in 10 European countries. AU - Kunst,Anton E, AU - Bos,Vivian, AU - Lahelma,Eero, AU - Bartley,Mel, AU - Lissau,Inge, AU - Regidor,Enrique, AU - Mielck,Andreas, AU - Cardano,Mario, AU - Dalstra,Jetty A A, AU - Geurts,José J M, AU - Helmert,Uwe, AU - Lennartsson,Carin, AU - Ramm,Jorun, AU - Spadea,Teresa, AU - Stronegger,Willibald J, AU - Mackenbach,Johan P, Y1 - 2004/11/24/ PY - 2004/11/26/pubmed PY - 2005/8/23/medline PY - 2004/11/26/entrez SP - 295 EP - 305 JF - International journal of epidemiology JO - Int J Epidemiol VL - 34 IS - 2 N2 - BACKGROUND: Changes over time in inequalities in self-reported health are studied for increasingly more countries, but a comprehensive overview encompassing several countries is still lacking. The general aim of this article is to determine whether inequalities in self-assessed health in 10 European countries showed a general tendency either to increase or to decrease between the 1980s and the 1990s and whether trends varied among countries. METHODS: Data were obtained from nationally representative interview surveys held in Finland, Sweden, Norway, Denmark, England, The Netherlands, West Germany, Austria, Italy, and Spain. The proportion of respondents with self-assessed health less than 'good' was measured in relation to educational level and income level. Inequalities were measured by means of age-standardized prevalence rates and odds ratios (ORs). RESULTS: Socioeconomic inequalities in self-assessed health showed a high degree of stability in European countries. For all countries together, the ORs comparing low with high educational levels remained stable for men (2.61 in the 1980s and 2.54 in the 1990s) but increased slightly for women (from 2.48 to 2.70). The ORs comparing extreme income quintiles increased from 3.13 to 3.37 for men and from 2.43 to 2.86 for women. Increases could be demonstrated most clearly for Italian and Spanish men and women, and for Dutch women, whereas inequalities in health in the Nordic countries showed no tendency to increase. CONCLUSIONS: The results underscore the persistent nature of socioeconomic inequalities in health in modern societies. The relatively favourable trends in the Nordic countries suggest that these countries' welfare states were able to buffer many of the adverse effects of economic crises on the health of disadvantaged groups. SN - 0300-5771 UR - https://www.unboundmedicine.com/medline/citation/15563586/Trends_in_socioeconomic_inequalities_in_self_assessed_health_in_10_European_countries_ L2 - https://academic.oup.com/ije/article-lookup/doi/10.1093/ije/dyh342 DB - PRIME DP - Unbound Medicine ER -