Inequalities in health by social class dimensions in European countries of different political traditions

Espelt, Albert; Borrell, Carme; Rodríguez-Sanz, Maica; Muntañer, Carles; Pasarín, M. Isabel; Benach, Joan; Schaap, Maartje M.; Kunst, Anton E.; Navarro, Vicente

doi:10.1093/ije/dyn051

Cited by 102 publications

(90 citation statements)

References 32 publications

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“…In this respect, our findings are in keeping with the broader literature, as the Bismarckian and Southern regimes fairly consistently exhibited smaller educational inequalities in health across most age groups and among both men and women. Various studies of self-rated health and mortality have come to the same conclusion (10)(11)(12)14). Our results, therefore, like those in earlier studies, are very challenging in terms of theorizing the relationship between welfare state inputs and health inequalities outputs.…”

Section: Discussionsupporting

confidence: 62%

Welfare State Regime Life Courses: The Development of Western European Welfare State Regimes and Age-Related Patterns of Educational Inequalities in Self-Reported Health

Bambra¹

2014

The Financial and Economic Crises and Their Impact on Health and Social Well-Being

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Section: Discussionsupporting

confidence: 62%

Welfare State Regime Life Courses: The Development of Western European Welfare State Regimes and Age-Related Patterns of Educational Inequalities in Self-Reported Health

Bambra¹

2014

The Financial and Economic Crises and Their Impact on Health and Social Well-Being

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“…Research using the European Social Survey found no difference in the likelihood of reporting poor self-reported health across conservative, social democratic, and liberal welfare regimes (7,26,68). Relative health inequalities related to SES were not smaller in social democratic regimes nor consistently larger in liberal regimes (7,8,25,27,29,87). Income-and education-related health inequalities were smallest in conservative regimes and highest in social democratic regimes for education (27) and in liberal regimes for income (25,87) and unemployment (7).…”

Section: Welfare-state Regimes and Healthmentioning

confidence: 94%

How Society Shapes the Health Gradient: Work-Related Health Inequalities in a Comparative Perspective

McLeod

Hall

Siddiqi

et al. 2012

Annu. Rev. Public Health

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Analyses in comparative political economy have the potential to contribute to understanding health inequalities within and between societies. This article uses a varieties of capitalism approach that groups high-income countries into coordinated market economies (CME) and liberal market economies (LME) with different labor market institutions and degrees of employment and unemployment protection that may give rise to or mediate work-related health inequalities. We illustrate this approach by presenting two longitudinal comparative studies of unemployment and health in Germany and the United States, an archetypical CME and LME. We find large differences in the relationship between unemployment and health across labor-market and institutional contexts, and these also vary by educational status. Unemployed Americans, especially of low education or not in receipt of unemployment benefits, have the poorest health outcomes. We argue for the development of a broader comparative research agenda on work-related health inequalities that incorporates life course perspectives.

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“…We further hypothesize that the social gradient will be more pronounced in Spain compared with Denmark. This second hypothesis is, among other things, motivated by the fact that Denmark has much lower organizational power distance than Spain [20] and that research has shown wider health inequalities in late democracies (such as Spain) compared to countries with a long tradition of social democracy (such as Denmark) [21].…”

mentioning

confidence: 99%

Psychosocial work environment and its association with socioeconomic status. A comparison of Spain and Denmark

Moncada

Pejtersen

Navarro

et al. 2009

Scand J Public Health

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Aims: The purpose of this study was to describe psychosocial work environment inequalities among wage earners in Spain and Denmark. Methods: Data came from the Spanish COPSOQ (ISTAS 21) and the Danish COPSOQ II surveys both performed in 2004-05 and based on national representative samples of employees with a 60% response rate. Study population was 3,359 Danish and 6,685 Spanish women and men. Only identical items from both surveys were included to construct 18 psychosocial scales. Socioeconomic status was categorized according to the European Socioeconomic Classification System. Analysis included ordinal logistic regression and multiple correspondence analysis after categorizing all scales. Results: A relationship between socioeconomic status and psychosocial work environment in both Denmark and Spain was observed, with wider social inequalities in Spain for many scales, describing a strong interaction effect between socioeconomic status and country. Conclusions: Socioeconomic status is related to psychosocial work environment and some adverse psychosocial conditions tend to cluster in lower socioeconomic status groups in both Spain and Denmark. This effect could be modified by a country's characteristics, such as economic and labour market structures, normative regulations and industrial relations including work organization. Hence, preventive strategies to reduce social inequalities in working conditions should consider the combination of actions at the macro and micro levels.

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Inequalities in health by social class dimensions in European countries of different political traditions

Abstract: This study is one of the first to show the impact of different political traditions on social class inequalities in health. These results emphasize the need to evaluate the impact of the implementation of public policies.

Cited by 102 publications

References 32 publications

Welfare State Regime Life Courses: The Development of Western European Welfare State Regimes and Age-Related Patterns of Educational Inequalities in Self-Reported Health

Welfare State Regime Life Courses: The Development of Western European Welfare State Regimes and Age-Related Patterns of Educational Inequalities in Self-Reported Health

How Society Shapes the Health Gradient: Work-Related Health Inequalities in a Comparative Perspective

Psychosocial work environment and its association with socioeconomic status. A comparison of Spain and Denmark

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