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Changes in socioeconomic determinants of health: comparing the effect of social and economic indicators through European welfare state regimes

Authors

ÁLVAREZ GÁLVEZ, JAVIER, RODERO COSANO, MARÍA LUISA, GARCÍA ALONSO, CARLOS, Salvador-Carulla, Luis

External publication

No

Means

J. Public Health

Scope

Article

Nature

Científica

JCR Quartile

SJR Quartile

SJR Impact

0.291

Publication date

01/08/2014

ISI

000210784500002

Scopus Id

2-s2.0-84905756273

Abstract

Aim This study is aimed at comparing the effect of different measures of socioeconomic status on self-rated health throughout European welfare state regimes during the period 2002-2008, in order to study how diverse socioeconomic inequalities can vary our health over time. Subjects and methods This study uses the European Social Survey to compare the impact of three specific socioeconomic measures (income, education and occupational status) on self-rated health. Results The main finding to be highlighted is that the importance of education-related inequalities surpasses differences in income and occupational status, especially in southern and eastern countries. The relationship between income and selfrated health is stronger in liberal and social-democratic regimes, where labour market regulation is characterized by its flexibility and high liberalization. The impact of occupational status is moderate among liberal, social-democratic and conservative regimes, but lower in southern and eastern ones. Conclusion These findings support the existence of a contextual effect among welfare states that varies the impact of social and economic indicators in self-rated health over time.

Keywords

Self-rated health; Socioeconomic status; Welfare state regimes