[Inequalities in health according to social class in Catalonia, 1994].

Abstract:

OBJECTIVE:To study social inequalities in health in Catalonia. DESIGN:Cross-sectional survey of a representative sample of the population of Catalonia, Spain (Catalan Health Interview Survey, 1994). PARTICIPANTS:Responses from 5641 males and 6604 women aged 15 years or over were included for analysis. MEASUREMENTS AND MAIN RESULTS:We analysed the information about self-perceived health, restriction of activity, and presence of chronic conditions according to social class by means of logistic regression models. The proportion of subjects that rated their health as fair or poor was higher in social classes IV-V than in classes I-II (men: 25.0% vs. 14.5%; OR, 1.8, 95% CI, 1.5-2.3; women: 34.4% vs. 21.5%; OR, 1.7, 95% CI, 1.4-2.1). There were differences by social class in respect to restriction of activity and presence of chronic conditions. CONCLUSIONS:Despite the decrease of social inequalities in accesibility and use of health services due to the universalisation of health coverage, differences by social class remain in the perception of health status. These inequalities should be addressed by the health system within the framework of broad public and social policies.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Fernández E,Schiaffino A,Rajmil L,Borrell C,García M,Segura A

doi

10.1016/s0212-6567(00)78568-4

subject

Has Abstract

pub_date

2000-05-15 00:00:00

pages

560-2

issue

8

eissn

0212-6567

issn

1578-1275

pii

S0212-6567(00)78568-4

journal_volume

25

pub_type

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