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
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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