Examining social determinants of health: the role of education, household arrangements and country groups by gender

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• dc.contributor.author Gumà, Jordi
• dc.contributor.author Solé-Auró, Aïda
• dc.contributor.author Arpino, Bruno
• dc.date.accessioned 2022-11-15T08:35:29Z
• dc.date.available 2022-11-15T08:35:29Z
• dc.date.issued 2019
• dc.description.abstract The majority of empirical studies focus on a single Social Determinant of Health (SDH) when analysing health inequalities. We go beyond this by exploring how the combination of education (micro level) and household arrangements (mezzo level) is associated with self-perceived health. Methods. Our data source is the 2014 cross-sectional data from the European Survey of Living Conditions (EU-SILC). We calculate the predicted probabilities of poor self-perceived health for the middle-aged European population (30–59 years) as a function of the combination of the two SDHs. This is done separately for five European country groups (dual-earner; liberal; general family support; familistic; and post-socialist transition) and gender. Results. We observe a double health gradient in all the country groups: first, there is a common health gradient by education (the higher the education, the lower the probability of poor health); second, household arrangements define a health gradient within each educational level according to whether or not the individual lives with a partner (living with a partner is associated with a lower probability of poor health). We observe some specificity in this general pattern. Familistic and post-socialist transition countries display large differences in the predicted probabilities according to education and household arrangements when compared with the other three country groups. Familistic and post-socialist transition countries also show the largest gender differences. Conclusions. Health differences in European populations seem to be defined, first, by education and, second, by living or not living with a partner. Additionally, different social contexts (gender inequalities, educational profile, etc.) in European countries change the influences on health of both the SDHs for both women and men.
• dc.description.sponsorship JG has got financial support for this research from the Spanish Ministry of Economy and Competitiveness under the program “Juan de la Cierva” (FJCI-2015-25066). This manuscript is part of the project INTERSOC-HEALTH (RTI2018–099875-J-I00; PI: JG) founded by the Spanish Ministry of Science, Innovation and Universities. This manuscript is also part of the multi-country project CREW (PCIN-2016-005; PI: ASA) founded by the Spanish Ministry of Economy and Competitiveness within the second Joint Programming Initiative “More Years Better Lives”.
• dc.format.mimetype application/pdf
• dc.identifier.citation Gumà J, Solé-Auró A, Arpino B. Examining social determinants of health: the role of education, household arrangements and country groups by gender. BMC Public Health. 2019;19:699. DOI: 10.1186/s12889-019-7054-0
• dc.identifier.doi http://dx.doi.org/10.1186/s12889-019-7054-0
• dc.identifier.issn 1471-2458
• dc.identifier.uri http://hdl.handle.net/10230/54855
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BioMed Central Public Health. 2019;19:699
• dc.relation.projectID info:eu-repo/grantAgreement/ES/2PE/RTI2018-099875-J-I00
• dc.rights © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Social determinants of health
• dc.subject.keyword Education
• dc.subject.keyword Household arrangements
• dc.subject.keyword Gender differences
• dc.subject.keyword Europe
• dc.title Examining social determinants of health: the role of education, household arrangements and country groups by gender
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion