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

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11310%2F16%3A10330607" target="_blank" >RIV/00216208:11310/16:10330607 - isvavai.cz</a>

Výsledek na webu

<a href="http://dx.doi.org/10.1136/jech-2015-206780" target="_blank" >http://dx.doi.org/10.1136/jech-2015-206780</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1136/jech-2015-206780" target="_blank" >10.1136/jech-2015-206780</a>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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 randomeffects 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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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 randomeffects 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.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

DE - Zemský magnetismus, geodesie, geografie

OECD FORD obor

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Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2016

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Epidemiology and Community Health

ISSN

0143-005X

e-ISSN

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Svazek periodika

70

Číslo periodika v rámci svazku

7

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

9

Strana od-do

644-652

Kód UT WoS článku

000378061200003

EID výsledku v databázi Scopus

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