Desigualdades en la salud autopercibida de la población española mayor de 65 años

Cebolla, Victoria Morcillo; Ascanio, Antonio de Lorenzo-Cáceres; León, Paloma Domínguez Ruiz de; Barrientos, Ricardo Rodríguez; Castillo, María José Torijano

doi:10.1016/j.gaceta.2014.05.008

Cited by 23 publications

(14 citation statements)

References 46 publications

(64 reference statements)

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“…The dependent variable was self-perceived health, as recorded in the SLC under “General health status”. Self-perceived health provides a multidimensional approach to health [ 50 – 52 ]; and is a good predictor of mortality [ 53 , 54 ], morbidity [ 55 ], disability, and use of health services [ 56 – 58 ]. For the purposes of our research, self-perceived health was collapsed as a dichotomous variable: good self-perceived health (very good or good) and bad self-perceived health (fair, bad, or very bad).…”

Section: Methodsmentioning

confidence: 99%

Long term unemployment, income, poverty, and social public expenditure, and their relationship with self-perceived health in Spain (2007–2011)

2018

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BackgroundThere is scant research that simultaneously analyzes the joint effects of long-term unemployment, poverty and public expenditure policies on poorer self-perceived health during the financial crisis. The aim of the study is to analyze the joint relationship between long-term unemployment, social deprivation, and regional social public expenditure on one side, and self-perceived health in Spain (2007–2011) on the other.MethodsLongitudinal data were extracted from the Survey on Living Conditions, 2007–2010 and 2008–2011 (9105 individuals and 36,420 observations), which were then used to estimate several random group effects in the constant multilevel logistic longitudinal models (level 1: year; level 2: individual; level 3: region). The dependent variable was self-perceived health. Individual independent interest variables were long and very long term unemployment, available income, severe material deprivation and regional variables were per capita expenditure on essential public services and per capita health care expenditure.ResultsAll of the estimated models show a robust association between bad perceived health and the variables of interest. When compared to employed individuals, long term unemployment increases the odds of reporting bad health by 22% to 67%; very long-term unemployment (24 to 48 months) increases the odds by 54% to 132%. Family income reduces the odds of reporting bad health by 16% to 28% for each additional percentage point in income. Being a member of a household with severe material deprivation increases the odds of perceiving one’s health as bad by between 70% and 140%. Regionally, per capita expenditure on essential public services increases the odds of reporting good health, although the effect of this association was limited.ConclusionsLong and very long term unemployment, available income and poverty were associated to self-perceived bad health in Spain during the financial crisis. Regional expenditure on fundamental public services is also associated to poor self-perceived health, although in a more limited fashion. Results suggest the positive role in health of active employment and redistributing income policies.

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Section: Methodsmentioning

confidence: 99%

Long term unemployment, income, poverty, and social public expenditure, and their relationship with self-perceived health in Spain (2007–2011)

2018

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“…In some studies, no association was found between SRH and health factors such as hospital morbidity, occupational accidents and consumption of medicines among the Spanish general population [27]. However, more recent studies in the general Spanish population have demonstrated the relationship between objective health and SRH [28, 29], physical disability [30], functional performance, physical and social activity [31] or mental health [32]. Since the relationship between SRH and mortality has been demonstrated [33], its use in national and international surveys has increased and SRH has been recommended as a useful and convenient tool in national surveys over recent decades [34].…”

Section: Introductionmentioning

confidence: 99%

Homelessness and self-rated health: evidence from a national survey of homeless people in Spain

et al. 2019

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Background Internationally, acute homelessness is commonly associated with complex health and social care needs. While homelessness can be understood as an outcome of structural housing exclusion requiring housing led solutions, the health care issues faced by homeless people equally require attention. A substantive evidence base on the health needs of homeless people exists, but relatively little is known about what influences the self-rated health of homeless people. This article presents new evidence on whether drug use (alcohol consumption, ever having used drugs), health variables (visiting a hospital once in the last year, visiting the doctor in the last month, having a health card, sleeping difficulties, and having a disabling impairment) and sociodemographic characteristics are significantly associated with Self-Rated Health (SRH) among Spanish homeless people. Method The approach applies secondary analysis to cross-sectional data from a sample of 2437 homeless adults in Spain (83.8% were male). Multinomial logistic regression modelling was used to analyse the relationships between drug use, other health variables and SRH. Results Being male, an abstainer, having a health card and being in the youngest age groups were significant factors associated with perceived good health. On the other hand, ever having used drugs, having been a night in hospital, having gone to the doctor in the last month, having sleeping difficulties, having a disabling impairment and being in the older age group were all significant risk factors associated with perceived poor health. Conclusions These results help to improve understanding of the key factors that influence the SRH among homeless people. The findings can contribute to development and delivery of preventive policies, suggesting that interventions to reduce drug consumption and ensure access to a health card/health services, as well as enhancing services for older, female and disabled homeless people are all measures which could improve health and well-being for those who face homelessness. Effective housing interventions (e.g. Housing First or Permanent Supported Housing programmes) are equally important to underpin the effectiveness of measures to improve the self-rated health of homeless people.

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“…La autopercepción de salud es una medida determinada por múltiples factores. Si bien en la literatura científica se encuentran estudios que muestran su relación con indicadores como morbilidad, mortalidad, consumo de medicamentos, accidentabilidad laboral, utilización de servicios sanitarios, salud mental o capacidad funcional, entre otros6, 7, 8, es de especial interés la relación que encuentran algunos autores entre la salud percibida y los estilos de vida9, 10, 11, 12, 13, 14, 15, 16, incluyendo los hábitos alimentarios, ya que se ha comprobado que, en general, los estilos de vida repercuten favorablemente en el estado de bienestar.…”

Section: Introductionunclassified

Alimentación saludable y autopercepción de salud

et al. 2016

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Desigualdades en la salud autopercibida de la población española mayor de 65 años

Cited by 23 publications

References 46 publications

Long term unemployment, income, poverty, and social public expenditure, and their relationship with self-perceived health in Spain (2007–2011)

Long term unemployment, income, poverty, and social public expenditure, and their relationship with self-perceived health in Spain (2007–2011)

Homelessness and self-rated health: evidence from a national survey of homeless people in Spain

Alimentación saludable y autopercepción de salud

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