scholarly journals Educational Inequalities in Self-Rated Health in Europe and South Korea

2020 ◽  
Vol 17 (12) ◽  
pp. 4504
Author(s):  
Minhye Kim ◽  
Young-Ho Khang ◽  
Hee-Yeon Kang ◽  
Hwa-Kyung Lim
Keyword(s):  
Health Inequalities ◽  
Outcome Variable ◽  
The European Union ◽  
Relative Index ◽  
Highly Educated ◽  
Adult Men ◽  
Self Rated Health ◽  
Health And Nutrition ◽  
Index Of Inequality ◽  
High Level

While numerous comparative works on the magnitude of health inequalities in Europe have been conducted, there is a paucity of research that encompasses non-European nations such as Asian countries. This study was conducted to compare Europe and Korea in terms of educational health inequalities, with poor self-rated health (SRH) as the outcome variable. The European Union Statistics on Income and Living Conditions and the Korea National Health and Nutrition Examination Survey in 2017 were used (31 countries). Adult men and women aged 20+ years were included (207,245 men and 238,007 women). The age-standardized, sex-specific prevalence of poor SRH by educational level was computed. The slope index of inequality (SII) and relative index of inequality (RII) were calculated. The prevalence of poor SRH was higher in Korea than in other countries for both low/middle- and highly educated individuals. Among highly educated Koreans, the proportion of less healthy women was higher than that of less healthy men. Korea’s SII was the highest for men (15.7%) and the ninth-highest for women (10.4%). In contrast, Korea’s RII was the third-lowest for men (3.27), and the lowest among women (1.98). This high-SII–low-RII mix seems to have been generated by the high level of baseline poor SRH.

scholarly journals Monitoring inequalities in self-rated health over 36 years among Finnish women and men

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Lahelma ◽  
O Pietiläinen ◽  
O Pentala-Nikulainen ◽  
S Helakorpi ◽  
O Rahkonen
Keyword(s):  
Health Inequalities ◽  
Global Financial Crisis ◽  
Economic Recession ◽  
Continuous Variable ◽  
Educational Inequalities ◽  
Men And Women ◽  
Relative Index ◽  
Women Health ◽  
Self Rated Health ◽  
Index Of Inequality

Abstract Background Health inequalities across countries and populations are well established, but little is known about their long-term trends and even less about factors shaping the trends. We examined the magnitude of absolute and relative educational inequalities in self-rated health over 36 years among adult Finns, considering individual covariates and macro-economic fluctuations. Methods Data were derived from representative annual surveys in 1979-2014 among men and women and covered ages 25-64. Nine periods were used (n = 8870-14235). Our health outcome was less-than-good self-rated health and our socioeconomic indicator was completed years of education as a continuous variable. Nine time-variant sociodemographic and health-related covariates were included. Educational inequalities in self-rated health were examined by relative index of inequality (RII) and slope index of inequality (SII). Results Linear trends suggested stable overall development in both relative and absolute health equalities during 36 years. Period specific analyses showed that among men relative and absolute inequalities narrowed immediately after economic recession in Finland in 1993-94, and among women, inequalities narrowed during global financial crisis in 2008-09. Adjusting for covariates reduced the magnitude of inequalities throughout the nine periods, but affected little the period specific patterning of health inequalities. Conclusions Educational inequalities in self-rated health persisted during 36 years in Finland. While among men and women health inequalities narrowed during and after recessions, they widened soon back to the pre-recession level. The perseverance calls for powerful measures to tackle health inequalities, such as preventing unhealthy behaviours, obesity and unemployment in particular among the lower educated. Key messages Health inequalities have persisted in Finland over 36 years, with unhealthy behaviors and unemployment affecting their magnitude. Health inequalities narrowed during economic recessions, but widened soon back to pre-recession level.

Social inequalities in self-rated health: A comparative cross-national study among 32,560 Nordic adolescents

2017 ◽  
Vol 46 (1) ◽  
pp. 150-156 ◽  
Author(s):  
Torbjørn Torsheim ◽  
Jens M. Nygren ◽  
Mette Rasmussen ◽  
Arsæll M. Arnarsson ◽  
Pernille Bendtsen ◽  
...  
Keyword(s):  
Young People ◽  
Social Inequalities ◽  
Poor Health ◽  
National Study ◽  
Family Affluence ◽  
Relative Index ◽  
Self Rated Health ◽  
Family Wealth ◽  
Index Of Inequality ◽  
Relative Index Of Inequality

Aims: We aimed to estimate the magnitude of socioeconomic inequality in self-rated health among Nordic adolescents (aged 11, 13 and 15 years) using the Family Affluence Scale (a composite measure of material assets) and perceived family wealth as indicators of socioeconomic status. Methods: Data were collected from the Health Behaviour in School-aged Children (HBSC) survey in 2013–2014. A sample of 32,560 adolescents from Denmark, Norway, Finland, Iceland, Greenland and Sweden was included in the study. Age-adjusted regression analyses were used to estimate associations between fair or poor self-rated health and the ridit scores for family affluence and perceived wealth. Results: The pooled relative index of inequality of 2.10 indicates that the risk of fair or poor health was about twice as high for young people with the lowest family affluence relative to those with the highest family affluence. The relative index of inequality for observed family affluence was highest in Denmark and lowest in Norway. For perceived family wealth, the pooled relative index of inequality of 3.99 indicates that the risk of fair or poor health was about four times as high for young people with the lowest perceived family wealth relative to those with the highest perceived family wealth. The relative index of inequality for perceived family wealth was highest in Iceland and lowest in Greenland. Conclusions: Social inequality in self-rated health among adolescents was found to be robust across subjective and objective indicators of family affluence in the Nordic welfare states.

scholarly journals Aircraft Requirements for Sustainable Regional Aviation

Aerospace ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 61
Author(s):  
Dominik Eisenhut ◽  
Nicolas Moebs ◽  
Evert Windels ◽  
Dominique Bergmann ◽  
Ingmar Geiß ◽  
...  
Keyword(s):  
Systems Engineering ◽  
System Level ◽  
Policy Initiative ◽  
The European Union ◽  
Calculation Methods ◽  
Figures Of Merit ◽  
Performance Requirements ◽  
High Level ◽  
Different Levels ◽  
The Eu

Recently, the new Green Deal policy initiative was presented by the European Union. The EU aims to achieve a sustainable future and be the first climate-neutral continent by 2050. It targets all of the continent’s industries, meaning aviation must contribute to these changes as well. By employing a systems engineering approach, this high-level task can be split into different levels to get from the vision to the relevant system or product itself. Part of this iterative process involves the aircraft requirements, which make the goals more achievable on the system level and allow validation of whether the designed systems fulfill these requirements. Within this work, the top-level aircraft requirements (TLARs) for a hybrid-electric regional aircraft for up to 50 passengers are presented. Apart from performance requirements, other requirements, like environmental ones, are also included. To check whether these requirements are fulfilled, different reference missions were defined which challenge various extremes within the requirements. Furthermore, figures of merit are established, providing a way of validating and comparing different aircraft designs. The modular structure of these aircraft designs ensures the possibility of evaluating different architectures and adapting these figures if necessary. Moreover, different criteria can be accounted for, or their calculation methods or weighting can be changed.

scholarly journals Domestic violence and abuse related emergency room visits in Ontario, Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sonica Singhal ◽  
Sarah Orr ◽  
Harkirat Singh ◽  
Menaka Shanmuganantha ◽  
Heather Manson
Keyword(s):  
Domestic Violence ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Relative Index ◽  
Efficient Management ◽  
Dissemination Area ◽  
Icd 10 ◽  
Index Of Inequality ◽  
Policies And Programs ◽  
Domestic Violence And Abuse

Abstract Background Hospitals’ emergency rooms (ERs) are generally the first point of contact of domestic violence and abuse (DVA) victims to the health care system. For efficient management and resource allocation for ERs to manage DVA-related emergencies in Canada, it is important to quantify and assess the pattern of these visits. Methods Aggregate DVA-related ER visits data, using relevant ICD-10-CA codes, from 2012 to 2016 were retrieved from IntelliHealth Ontario. The 2011 ON-Marg (Ontario Marginalization) indices were linked at the Dissemination Area level to ER data. Descriptive analyses including total number and rate of visits per 100,000 people were calculated, stratified by age and sex. The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were also assessed. Results From 2012 to 2016, 10,935 (81.2% by females and 18.8% by males) DVA-related visits were made to ERs in Ontario. An annual average of 25.5 visits per 100,000 females and 6.1 visits per 100,000 males was observed. Residential instability and deprivation were significant predictors of DVA-related ER visits. No particular site of injury was indicated in 38.5% of visits, 24.7% presented with cranio-maxillofacial (CMF) trauma in isolation, 28.9% presented with non-CMF injuries, and 7.9% visits presented with both CMF and non-CMF injuries. Conclusion This study identified that the burden of DVA-related ER visits is large enough to warrant timely public health interventions, and observed that certain populations in Ontario experience more DVA and/or are more prone to its impact. Our findings have important implications for various stakeholders involved in planning and implementing relevant policies and programs.

Board demographic diversity, firm performance and strategic change

2014 ◽  
Vol 37 (12) ◽  
pp. 1110-1136 ◽  
Author(s):  
Daniel Kipkirong Tarus ◽  
Federico Aime
Keyword(s):  
Firm Performance ◽  
Fixed Effects ◽  
Strategic Change ◽  
Secondary Data ◽  
Developed Countries ◽  
Outcome Variable ◽  
Demographic Diversity ◽  
Content Type ◽  
Fixed Effects Regression ◽  
High Level

Purpose – The purpose of this study is to examine the effect of boards’ demographic diversity on firms’ strategic change and the interaction effect of firm performance. Design/methodology/approach – This paper used secondary data derived from publicly listed firms in Kenya during 2002-2010 and analyzed the data using fixed effects regression model to test the effect of board demographic and strategic change, while moderated regression analysis was used to test the moderating effect of firm performance. Findings – The results partially supported board demographic diversity–strategic change hypothesis. In particular, results indicate that age diversity produces less strategic change, while functional diversity is associated with greater levels of strategic change. The moderated regression results do not support our general logic that high firm performance enhances board demographic diversity–strategic change relationship. In effect, the results reveal that at high level of firm performance, board demographic diversity produces less strategic change. Originality/value – Despite few studies that have examined board demographic diversity and firm performance, this paper introduces strategic change as an outcome variable. This paper also explores the moderating role of firm performance in board demographic diversity–strategic change relationship, and finally, the study uses Kenyan dataset which in itself is unique because most governance and strategy research uses data from developed countries.

Towards an Extensive Statutory Protection of Consumers in Timeshare Agreements: A Comparative Perspective

2021 ◽  
Vol 29 (1) ◽  
pp. 117-137
Author(s):  
Yeukai Mupangavanhu
Keyword(s):  
South Africa ◽  
Consumer Protection ◽  
The European Union ◽  
Time Sharing ◽  
Related Services ◽  
Consumer Protection Act ◽  
Statutory Protection ◽  
Unfair Terms ◽  
High Level

Timeshare property interest has become a major business worldwide. The protection of consumers in various timeshare-related contracts has been characterised by challenges due to outdated laws, lack of appropriate legislation as new products are introduced on the market as well as the inclusion of unfair terms. The European Union (EU) adopted the Timeshare Directive 2008/122/EC which governs a broad range of timeshare-related contracts, namely: timeshare, long-term holiday products, and resale and exchange contracts. In comparison, South Africa and Kenya do not have consolidated legislation that govern timeshare-related contracts. In South Africa, timeshare agreements fall under the Consumer Protection Act 68 of 2008, the Property Time-sharing Control Act 75 of 1993 as well as under common law. In Kenya, the Consumer Protection Act 46 of 2012, which was revised in 2016, governs specific consumer agreements including timeshare contracts. The article compares the position of consumers who enter into timeshare-related services in South Africa, Kenya and the EU. It is argued that the problems faced by consumers who enter into timeshare-related contracts in South Africa and Kenya necessitate legislative protection which should consist of a consolidated statute that specifically regulates such contracts for the attainment of a high level consumer protection.

scholarly journals Is Loneliness an Undervalued Pathway between Socio-Economic Disadvantage and Health?

2021 ◽  
Vol 18 (19) ◽  
pp. 10177
Author(s):  
Rachelle Meisters ◽  
Polina Putrik ◽  
Daan Westra ◽  
Hans Bosma ◽  
Dirk Ruwaard ◽  
...  
Keyword(s):  
Public Health ◽  
Young Adults ◽  
Health Inequalities ◽  
National Sample ◽  
Social Determinant ◽  
Poor Health ◽  
Public Health Issue ◽  
Economic Disadvantage ◽  
Self Rated Health ◽  
Socioeconomic Health Inequalities

Loneliness is a growing public health issue. It is more common in disadvantaged groups and has been associated with a range of poor health outcomes. Loneliness may also form an independent pathway between socio-economic disadvantage and poor health. Therefore, the aim of this study was to explore the contribution of loneliness to socio-economic health inequalities. These contributions were studied in a Dutch national sample (n = 445,748 adults (≥19 y.o.)) in Poisson and logistic regression models, controlling for age, gender, marital status, migration background, BMI, alcohol consumption, smoking, and physical activity. Loneliness explained 21% of socioeconomic health inequalities between the lowest and highest socio-economic groups in self-reported chronic disease prevalence, 27% in poorer self-rated health, and 51% in psychological distress. Subgroup analyses revealed that for young adults, loneliness had a larger contribution to socioeconomic gaps in self-rated health (37%) than in 80+-year-olds (16%). Our findings suggest that loneliness may be a social determinant of health, contributing to the socioeconomic health gap independently of well-documented factors such as lifestyles and demographics, in particular for young adults. Public health policies targeting socioeconomic health inequalities could benefit from integrating loneliness into their policies, especially for young adults.

scholarly journals Demographic transformation in the agglomerations of Dnipropetrovsk region

2019 ◽  
Vol 28 (1) ◽  
pp. 3-10
Author(s):  
V. V. Bezugly ◽  
Z. V. Boyko ◽  
О. V. Tsvietaieva
Keyword(s):  
Reproductive Age ◽  
Low Fertility ◽  
The European Union ◽  
Negative Consequences ◽  
Continuous Change ◽  
Urban Agglomerations ◽  
Active Population ◽  
Labour Potential ◽  
Negative Balance ◽  
High Level

This article examines the demographic situation in Dnipropetrovsk region and identifies the main demographic problems of the region , among which the most important are low fertility, reduced family size, high divorce rates and unregistered marriages, contimuing aging of the population, increased gender disproportion among the population, intra-regional and especially modern external migrations of the population, etc. The Dnipropetrovsk settlement system includes four industrial agglomerations: Dniprovsky-Kamianske, Kryvyi Rih, Nikopol and Pavlohrad, where more than 83.5% of the region’s population lives , indicating a high level of urbanization of the territory. It was found that the dynamics of the population of the urban agglomerations of the Dnipropetrovsk region over the past 20 years has a tendency to progressive reduction: if in 1997 the size of the existing population amounted to 3,888.8 thousand people, in 2017it amounted to 3,227.5 thousand people. It is stated that the natural replenishment of the population provides a continuous change of generations, creating the quantitative boundaries of labour resources of urban agglomerations of Dnipropetrovsk region. The current state of migration processes in the agglomerations of Dnipropetrovsk region is caused by socio-economic and political problems. This has led to an increase in labour out-migration, which now has already become catastrophic, not only in the Dnipropetrovsk region, but throughout Ukraine. Negative consequences of this are the depopulation of cities and areas of agglomerations, the outflow of high quality labour potential (and in particular qualified labour), the collapse of families, rise in crime and corruption, etc. In general, it is established that the demographic aspect, due to natural and mechanical movements, has become a determining factor inthe formation of the labour resource situation and affects not only the process of replenishmnent itself, but also the structure of the economically active population. We present the general demographic features of the population's reproduction, in the urban agglomerations of Dnipropetrovsk region from 1997 to 2017; a decrease in the total population, a negative natural population growth (mortality rates will prevail over birth rates), aging of the population, which is reflected in an increase in the number of people aged 70, disproportion in the sexual structure of the population (prevalence of women), negative balance of migration and continuous outflow of inhabitants of reproductive age, especially to the countries of the European Union.

Sign in / Sign up

Export Citation Format

Share Document