scholarly journals Examining Health Inequalities in Latvia: A Decade of Association between Socioeconomic Position and Perceived Health Status

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Anželika Berķe-Berga ◽  
Pavitra Paul ◽  
Hannu Valtonen
Keyword(s):  
Health Status ◽  
Health Inequalities ◽  
Socioeconomic Position ◽  
Principal Component ◽  
Household Survey ◽  
Perceived Health ◽  
Perceived Health Status ◽  
Proportional Contribution ◽  
Socioeconomic Strata ◽  
The Relationship

The relationship between socioeconomic position (SEP) and population health is contextual. This study identifies the determinants of SEP producing health inequalities in the Latvian population. We also estimate the proportional contribution of different socioeconomic strata- (SES-) related determinants in Latvian health inequalities and measure the changes in the relative contributions of such determinants over the period 2005–2015. Using the household survey data (2005–2015), we construct a principal component analysis based SES index. A regression-based concentration index (CI) is our measure of health inequality to examine the distribution of perceived health status. Finally, we identify and estimate the contribution of predictors of health inequalities by decomposing CI with Oaxaca-Blinder decomposition. SES-related health inequalities have declined from 2005 (CI: 0.201) to 2015 (CI: 0.137) in Latvia—better-off Latvians enjoyed better perceived health during that period. The proportional contributions of education and working status have increased in 2015 compared to 2005. Although we have generated the first evidence to suggest policy relevant measures in addressing Latvian health inequalities, our decomposition method explains the extent of variation in perceived health instead of covariance between health and SEP.

Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses

2018 ◽  
Vol 27 (2) ◽  
pp. 381-387 ◽  
Author(s):  
Shun-Yi Cheng ◽  
Pi-Chu Lin ◽  
Yu-Kai Chang ◽  
Yen-Kuang Lin ◽  
Pi-Hsia Lee ◽  
...  
Keyword(s):  
Health Status ◽  
Sleep Quality ◽  
Perceived Health ◽  
The Self ◽  
Hospital Nurses ◽  
Perceived Health Status ◽  
Family Conflicts ◽  
Work Family ◽  
The Relationship

scholarly journals Belgian population norms for the EQ-5D-5L, 2013 and 2018

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Van Wilder ◽  
D De Smedt ◽  
P Beutels ◽  
I Cleemput ◽  
J Bilcke ◽  
...  
Keyword(s):  
Health Status ◽  
Educational Attainment ◽  
Health Inequalities ◽  
Perceived Health ◽  
Perceived Health Status ◽  
Population Norms ◽  
Belgian Population ◽  
Nationally Representative ◽  
Index Value ◽  
Anxiety Depression

Abstract Background Health-related quality of life outcomes are increasingly used to monitor population health and health inequalities, and to assess the (cost-)effectiveness of health interventions. The EQ-5D-5L has been included in the Belgian Health Interview Survey (BHIS), providing a new source of population-based self-perceived health status information. The aim of this study is to estimate Belgian population norms for the EQ-5D-5L by sex, age, and region, and to analyse its association with educational attainment. Methods The BHIS 2013 and 2018 provided EQ-5D-5L data for a nationally representative sample of the Belgian population. The dimension scores and index values were analysed using logistic regression and linear regression, respectively, taking into account the survey design. Results The majority of respondents reported problems of pain/discomfort, while over a quarter reported problems of anxiety/depression in both surveys. The average index value was 0.81 in 2013 and decreased significantly to 0.79 in 2018. Women reported more problems on the dimensions, but particularly on anxiety/depression and pain/discomfort, resulting in significantly lower index values. Problems with mobility, self-care, and usual activities showed a sharp increase after the age of 80 years. Consequently, index values decreased significantly by age. Lower education was associated with a higher prevalence of problems for all dimensions except pain/discomfort in 2013 and anxiety/depression in 2018, and with a significantly lower index value. Conclusions This paper presents the first nationally representative Belgian population norms using the EQ-5D-5L. Inclusion of the EQ-5D in future surveys will allow monitoring over time of self-reported health, disease burden, and health inequalities. Key messages This study is the first to provide Belgian population norms for the EQ-5D-5L and consequently increases the evidence base regarding country-specific population norms. Our results help policy makers in understanding and monitoring the self-perceived health status of the Belgian population according to age, gender, and educational attainment.

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