Abstract:
BACKGROUND:This study is the first to examine the relationship between gender and self-assessed health (SAH), and the extent to which this varies by socioeconomic position in different European welfare state regimes (Liberal, Corporatist, Social Democratic, Southern). METHODS:The EUROTHINE harmonised data set (based on representative cross-sectional national health surveys conducted between 1998 and 2004) was used to analyse SAH differences by gender and socioeconomic position (educational rank) in different welfare states. The sample sizes ranged from 7124 (Germany) to 118 245 (Italy) and concerned the adult population (aged >or=16 years). RESULTS:Logistic regression analysis (adjusting for age) identified significant gender differences in SAH in nine European welfare states. In the UK (OR 0.88; 95% CI 0.78 to 0.99) and Finland (OR 0.85; 95% CI 0.77 to 0.95), men were significantly more likely to report "bad" or "very bad" health. In Denmark, Sweden, Norway, Holland, Italy, Spain and Portugal, a significantly higher proportion of women than men reported that their health was "bad" or "very bad". The increased risk of poor SAH experienced by women from these countries ranged from a 23% increase in Denmark (OR 1.23; 95% CI 1.08 to 1.39) to more than a twofold increase in Portugal (OR 2.01; 95% CI 1.87 to 2.15). For some countries (Italy, Portugal, Sweden), women's relatively worse SAH tended to be most prominent in the group with the highest level of education. DISCUSSION:Women in the Social Democratic and Southern welfare states were more likely to report worse SAH than men. In the Corporatist countries, there were no gender differences in SAH. There was no consistent welfare state regime patterning for gender differences in SAH by socioeconomic position. These findings constitute a challenge to regime theory and comparative social epidemiology to engage more with issues of gender.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Bambra C,Pope D,Swami V,Stanistreet D,Roskam A,Kunst A,Scott-Samuel Adoi
10.1136/jech.2007.070292subject
Has Abstractpub_date
2009-01-01 00:00:00pages
38-44issue
1eissn
0143-005Xissn
1470-2738pii
jech.2007.070292journal_volume
63pub_type
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journal_title:Journal of epidemiology and community health
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pub_type: 杂志文章,评审
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
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更新日期:2009-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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abstract:STUDY OBJECTIVE:The aim was to test a large set of childhood leukaemia and lymphoma registrations for the presence of short radius spacial clusters. DESIGN:The study was a geographical cluster analysis. SETTING:England, Wales and Scotland. PATIENTS:All registrations for leukaemia and lymphoma between 1966 and 1983 i...
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pub_type: 杂志文章
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