scholarly journals HEALTH INEQUALITIES: WHO IS THE MOST DISADVANTAGED AMONG THE UKRAINIAN WORKING-AGE POPULATION?

2019 ◽  
pp. 85-101
Author(s):  
Ірина Мажак
Keyword(s):  
Health Inequalities ◽  
Social Inequalities ◽  
Subjective Health ◽  
European Social Survey ◽  
Poor Health ◽  
Social Survey ◽  
Working Age ◽  
Reported Health ◽  
Working Age Population ◽  
Gender Groups

Despite inequalities in health, it is a very well developed topic, andtackling health inequalities is one of the main challenges of modern publichealth policies, these are not much explored in Ukraine.The European Social Survey data pooled together from 2004, 2006,2008, 2010, and 2012 including 6,820 Ukrainian respondents of working-age.Self-reported health was used as a dependent variable and four groups ofsocial determinants of health – as predictors. The multilevel binomial logisticregression analysis was conducted to investigate gender and social differencesin subjective health. Both genders were analyzed together and separately.Almost 60 % of the Ukrainian working-age population reported poor health.Multilevel binomial logistic regression analysis showed that respondents whowere female, married or had been divorced, and had children at home tendedto report poor health; the probability of poor health is increasing with age anddecreasing with the level of SES for both genders.Existence of between and within gender groups’ social inequalities inself-reported health as well as the most disadvantaged female subgroups arerevealed among the Ukrainian working-age population.

scholarly journals Using Agent-Based Modeling to Understand the Emergence and Reproduction of Social Inequalities in Health

Proceedings ◽  
2019 ◽  
Vol 44 (1) ◽  
pp. 2
Author(s):  
Javier Alvarez-Galvez ◽  
Victor Suarez-Lledo
Keyword(s):  
Health Outcomes ◽  
Health Inequalities ◽  
Social Inequalities ◽  
Agent Based Modeling ◽  
Poor Health ◽  
Social Inequalities In Health ◽  
Inequalities In Health ◽  
Agent Based ◽  
Individual Determinants ◽  
Combine Evidence

Studies on social inequalities in health present contradictory findings when they attempt to describe and identify the complex societal mechanisms that give rise to poor health outcomes and health inequalities. This work aims to study the mechanism of reproduction of health inequalities among different population groups using agent-based modeling. We combine evidence-based knowledge and survey data to set the simulation model. Our initial findings show that the combination of the most adverse contextual conditions (i.e., negative environmental exposure and the absence of health-care provision) combined with extreme social inequalities in health might increase mortality drastically. The model suggests that, although poor health outcomes may emerge through the action of individual determinants, social inequalities generally emerge and reproduce through non-linear associations and complex multivariate data structures.

scholarly journals Health inequalities in Europe: Does minimum income protection make a difference?

2019 ◽  
pp. 001139211989065
Author(s):  
Regina Jutz
Keyword(s):  
Health Inequalities ◽  
Multilevel Models ◽  
European Social Survey ◽  
Welfare States ◽  
Social Survey ◽  
Minimum Income ◽  
Income Groups ◽  
The People ◽  
Lower Health ◽  
Individual Self

Poverty, a risk factor for ill health, could be alleviated by generous welfare states. However, do generous social policies also reduce the health implications of socio-economic inequalities? This study investigates how minimum income protection is associated with socio-economic health inequalities. The author hypothesises that higher benefit levels are associated with lower health inequalities between income groups. Minimum income benefits support the people most in need, and therefore should improve the health of the lowest income groups, which in turn would reduce overall health inequalities. This hypothesis is tested with the European Social Survey (2002–2012) and the SaMip dataset using three-level multilevel models, covering 26 countries. The results show a robust relationship between benefit levels and individual self-rated health. However, the hypothesis of reduced health inequalities is not completely supported, since the findings for the cross-level interactions between income quintiles and benefit levels differ for each quintile.

scholarly journals Institutions, Incorporation, and Inequality: The Case of Minority Health Inequalities in Europe

2018 ◽  
Vol 59 (2) ◽  
pp. 248-267 ◽  
Author(s):  
Elyas Bakhtiari ◽  
Sigrun Olafsdottir ◽  
Jason Beckfield
Keyword(s):  
Welfare State ◽  
Health Inequalities ◽  
Minority Health ◽  
European Social Survey ◽  
Immigrant Incorporation ◽  
Social Survey ◽  
Life Chances ◽  
Survey Results ◽  
Two Measures ◽  
The Relationship

Scholars interested in the relationship between social context and health have recently turned attention further “upstream” to understand how political, social, and economic institutions shape the distribution of life chances across contexts. We compare minority health inequalities across 22 European countries ( N = 199,981) to investigate how two such arrangements—welfare state effort and immigrant incorporation policies—influence the distribution of health and health inequalities. We examine two measures of health from seven waves of the European Social Survey. Results from a series of multilevel mixed-effects models show that minority health inequalities vary across contexts and persist after accounting for socioeconomic differences. Cross-level interaction results show that welfare state effort is associated with better health for all groups but is unrelated to levels of inequality between groups. In contrast, policies aimed at protecting minorities from discrimination correlate with smaller relative health inequalities.

scholarly journals Do managers sleep well? The role of gender, gender empowerment and economic development

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247515
Author(s):  
Xiao Tan ◽  
Leah Ruppanner ◽  
David Maume ◽  
Belinda Hewitt
Keyword(s):  
Economic Development ◽  
European Social Survey ◽  
Social Survey ◽  
Country Level ◽  
Gender Empowerment ◽  
Working Age ◽  
Context Data ◽  
Gender Development Index ◽  
Status Theory

Work demands often disrupt sleep. The stress of higher status theory posits that workers with greater resources often experience greater stress. We extend this theory to sleep and ask: do managers report more disrupted sleep and does this vary by gender and country context? Data come from the 2012 European Social Survey Programme and our sample comprised those currently employed in their prime working age (n = 27,616; age 25–64) in 29 countries. We include country level measures of the Gender Development Index (GDI) and gross domestic product (GDP). We find that workers sleep better, regardless of gender, in countries where women are empowered. For managers, women sleep better as GDI increases and men as GDP increases. Our results suggest that men experience a sleep premium from economic development and women from gender empowerment.

scholarly journals The Educational Gradient in Self-Rated Health in Europe: Does the Doctor-Patient Relationship Make a Difference?

2017 ◽  
Author(s):  
Patrick Präg ◽  
Rafael Wittek ◽  
Melinda C. Mills
Keyword(s):  
Social Inequalities ◽  
European Social Survey ◽  
Patient Relationship ◽  
Negative Effects ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Positive Effects ◽  
Patient Relations ◽  
Reported Health ◽  
Doctor Patient Relations

Research suggests that doctor–patient relations have evolved from a doctor-centered, paternalistic approach towards a more patient-centered, egalitarian model of interactions between physicians and their patients. Given the long-running debate on the positive relationship between education and health, the question arises how this development in doctor–patient relations affects social inequalities in health. First, we test to what extent egalitarian (e.g. discussing treatment decisions with patients) doctor–patient relations are underlying the education–self-reported health association. Second, we test whether egalitarian and paternalistic (e.g. withholding some information from patients) doctor–patient relations show differential effects on self-reported health across educational groups. Analyses of the European Social Survey (ESS) 2004/2005 for 24 countries demonstrate that a more egalitarian doctor–patient relationship does not substantially reduce educational inequalities in self-reported health. However, some direct positive effects of egalitarian and direct negative effects of paternalistic doctor–patient relations on health ratings can be found. Finally, results show how the health status of the lower educated can improve with a more egalitarian and less paternalistic doctor–patient relationship.

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