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  • Hu, YannanErasmus University Medical Centre, Rotterdam, The Netherlands (author)

Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010

  • Article/chapterEnglish2016

Publisher, publication year, extent ...

  • 2016-01-19
  • BMJ,2016
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:sh-29263
  • https://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-29263URI
  • https://doi.org/10.1136/jech-2015-206780DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:133788497URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • BACKGROUND: Between the 1990s and 2000s, relative inequalities in all-cause mortality increased, whereas absolute inequalities decreased in many European countries. Whether similar trends can be observed for inequalities in other health outcomes is unknown. This paper aims to provide a comprehensive overview of trends in socioeconomic inequalities in self-assessed health (SAH) in Europe between 1990 and 2010.METHODS: Data were obtained from nationally representative surveys from 17 European countries for the various years between 1990 and 2010. The age-standardised prevalence of less-than-good SAH was analysed by education and occupation among men and women aged 30-79 years. Socioeconomic inequalities were measured by means of absolute rate differences and relative rate ratios. Meta-analysis with random-effects models was used to examine the trends of inequalities.RESULTS: We observed declining trends in the prevalence of less-than-good SAH in many countries, particularly in Southern and Eastern Europe and the Baltic states. In all countries, less-than-good SAH was more prevalent in lower educational and manual groups. For all countries together, absolute inequalities in SAH were mostly constant, whereas relative inequalities increased. Almost no country consistently experienced a significant decline in either absolute or relative inequalities.CONCLUSIONS: Trends in inequalities in SAH in Europe were generally less favourable than those found for inequalities in mortality, and there was generally no correspondence between the two when we compared the trends within countries. In order to develop policies or interventions that effectively reduce inequalities in SAH, a better understanding of the causes of these inequalities is needed.

Subject headings and genre

  • SAMHÄLLSVETENSKAP Sociologi hsv//swe
  • SOCIAL SCIENCES Sociology hsv//eng
  • polyadenylic acid
  • 3' non coding region
  • adult
  • article
  • controlled study
  • gene sequence
  • gene structure
  • gene switching
  • genetic variability
  • invertebrate
  • Ixodes ricinus
  • nonhuman
  • nucleotide sequence
  • nymph
  • phylogeny
  • Tick borne encephalitis flavivirus
  • vertebrate
  • virus genome
  • virus strain
  • virus virulence

Added entries (persons, corporate bodies, meetings, titles ...)

  • van Lenthe, Frank JErasmus University Medical Centre, Rotterdam, The Netherlands (author)
  • Borsboom, Gerard JKarolinska Institutet (author)
  • Looman, Caspar W NErasmus University Medical Centre, Rotterdam, The Netherlands (author)
  • Bopp, MatthiasUniversity of Zurich, Zurich, Switzerland (author)
  • Burström, BoKarolinska Institutet (author)
  • Dzúrová, DagmarCharles University in Prague, Prague, Czech Republic (author)
  • Ekholm, OlaUniversity of Southern Denmark, Copenhagen, Denmark (author)
  • Klumbiene, JurateLithuanian University of Health Sciences, Kaunas, Lithuania (author)
  • Lahelma, EeroUniversity of Helsinki, Helsinki, Finland (author)
  • Leinsalu, MallSödertörns högskola,Sociologi,SCOHOST (Stockholm Centre for Health and Social Change),National Institute for Health Development, Tallinn, Estonia(Swepub:sh)SH99MLLU (author)
  • Regidor, EnriqueUniversidad Complutense de Madrid, Madrid, Spain (author)
  • Santana, PaulaUniversidade de Coimbra, Coimbra, Portugal (author)
  • de Gelder, RianneErasmus University Medical Centre, Rotterdam, The Netherlands (author)
  • Mackenbach, Johan PErasmus University Medical Centre, Rotterdam, The Netherlands (author)
  • Karolinska InstitutetErasmus University Medical Centre, Rotterdam, The Netherlands (creator_code:org_t)

Related titles

  • In:Journal of Epidemiology and Community Health: BMJ70:7, s. 644-6520143-005X1470-2738

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