Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors
| Autor: | Per E. Gustafsson, Núria Pedrós Barnils, Eva Eurenius |
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| Přispěvatelé: | Universitat Politècnica de Catalunya. Departament de Física |
| Rok vydání: | 2020 |
| Předmět: |
Male
inequality Ungleichheit Sociology & anthropology regression analysis 0302 clinical medicine Residence Characteristics Medical Sociology gender Psychology 2015 annual national cross-sectional Living Conditions Survey 'Encuesta de Condiciones de Vida' European Union Statistics on Income and Living Conditions (EU-SILC) 030212 general & internal medicine Self-rated health Social policy Aged 80 and over Querschnittuntersuchung adult lcsh:Public aspects of medicine 030503 health policy & services Health Policy Health services research regional factors Public Health Global Health Social Medicine and Epidemiology health Salut -- Aspectes socials Middle Aged self-assessment Female Intersektionalität ddc:301 0305 other medical science Psychosocial Adult medicine.medical_specialty Context (language use) Social class Erwachsener Diagnostic Self Evaluation Young Adult 03 medical and health sciences Ciències de la salut::Aspectes socials [Àrees temàtiques de la UPC] Sex Factors medicine cross-sectional study Humans psychosocial factors Health policy Spanien Aged regionale Entwicklung Research Public health Gesundheit Geschlecht Public Health Environmental and Occupational Health Selbsteinschätzung lcsh:RA1-1270 regional development Health Status Disparities regional difference Folkhälsovetenskap global hälsa socialmedicin och epidemiologi regionaler Unterschied Gender mainstreaming Regressionsanalyse Cross-Sectional Studies Social Class Socioeconomic Factors Soziologie Anthropologie Spain regionale Faktoren Demographic economics soziale Klasse Inequalities social class psychosoziale Faktoren intersectionality Medizinsoziologie |
| Zdroj: | International Journal for Equity in Health International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-14 (2020) UPCommons. Portal del coneixement obert de la UPC Universitat Politècnica de Catalunya (UPC) |
| ISSN: | 1475-9276 |
| Popis: | Background Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender, social class and region, and the contribution of material and psychosocial factors to these inequalities. Methods Participants were drawn from the cross-sectional 2015 National Living Conditions Survey of Spanish residents aged 19–88 years (N = 27,215; 77% response rate). Eight intersectional positions were formed by combining dichotomous variables of gender, social class and regional development. Poisson regression was used to estimate intersectional inequalities in SRH as prevalence ratios, and the contributions of material and psychosocial factors. Results Results showed both cumulative and heterogeneous inequalities within and across intersectional positions. Inequalities in the intersection of social class and regional development were best explained by the joint contributions of material and psychosocial factors, while gender inequalities within non-manual social class were better explained by material factors alone. Conclusions The results illustrate the complexity of interacting inequalities in health and their underpinnings in Spain. Local and national policies taking this complexity into account are needed to broadly improve equity in health in Spain. |
| Databáze: | OpenAIRE |
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