Perceived social justice, long-term unemployment and health

Freidl, Wolfgang; Fazekas, Christian; Raml, R.; Pretis, Manfred; Feistritzer, Gert

doi:10.1007/s00127-007-0207-y

Cited by 22 publications

(19 citation statements)

References 21 publications

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“…social integration or emotional support) and internal health resources (e.g. health locus of control or sense of coherence) [14,15]. For CVD, not only the classical risk factors hypertension, dyslipidemia, diabetes mellitus, obesity, and smoking [16,17], or lifestyle associated risk factors like a calorie-rich diet with low intake of fruits and vegetables, and lack of exercise [7] have been identified as independent risk factors.…”

Section: Introductionmentioning

confidence: 99%

East-West gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?

2011

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BackgroundVarious studies show major regional differences in the prevalence of cardio-vascular disease morbidity and mortality, both in Europe and within European countries. In Austria, these differences are documented by an East-West gradient with declining morbidity and mortality rates when moving from the East to the West of the country. It was the aim of this study to analyse if, and to what extent, socio-demographic and socio-economic determinants, social resources and health behaviour can contribute to the clarification of this East-West gradient by conducting secondary analyses of an existing Austrian health dataset.ResultsThe data were analysed using bivariate analyses, as well as univariate and multivariate logistic regression models. These analyses revealed significant East-West gradients for various risk factors, as well as socio-demographic and socio-economic health determinants. There was a gradual decrease of hypertension, diabetes mellitus, obesity, and psycho-social discomfort in both sexes, with the highest prevalences in those Austrian regions with the highest cardio-vascular mortality and a stepwise decrease to the regions with the lowest cardio-vascular mortality. Controlling for educational level significantly raised the odds for diabetes, hypertension and obesity. In the results of the multivariate analyses, factors that significantly and independently predicted diabetes mellitus were geographic location, psycho-social discomfort, lack of physical exercise, and age in both sexes. For women these factors additionally included a low educational level, lack of social support, and being born abroad.ConclusionsOur study shows a clear gradual decline of cardio-vascular mortality and some of its risk factors from East to West in Austria. Concerning these risk factors, the geographic region and psycho-social discomfort showed the greatest association with diabetes mellitus, hypertension, and obesity. Hence, they contribute to the explanation of the variance in spatial cardio-vascular disease mortality. Yet, a large proportion of this variance remains unexplained. It would be of great importance to public health and preventive measures to take a closer look at spatial differences in cardio-vascular disease morbidity and mortality to better tailor programmes to the regional environments and settings. Our results also call for a greater importance of preventative measures for psycho-social discomfort and increase of social support.

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Section: Introductionmentioning

confidence: 99%

East-West gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?

2011

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“…The health related unemployed appear especially vulnerable to the negative effects of unemployment due to additional loss of life/social structure, personal purpose and work identity (Bennett, 1970;Grove, 2006). Length of time unemployed is associated with deteriorating psychological health (Freidl, Fazekas, Rami, Pretis & Feistritzer, 2007), physical de-conditioning (Waisak, Verma, Pransky & Webster, 2004) and ongoing financial strain (Price, Choi & Vinokur, 2002).…”

Section: Introductionmentioning

confidence: 99%

Predicting return to work from health related welfare following low intensity cognitive behaviour therapy

Kellett

Purdie

Bickerstaffe³

et al. 2013

Behaviour Research and Therapy

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“…Frequently migrants would refrain from consulting medical doctors because of their illegal status and for the fear of being criminalized [3][4][5][6][7]. Research has shown that in many countries migrants and marginal groups have poorer health than the local populations [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Healthcare for migrants and for marginalized individuals: The Marienambulanz in Graz, Austria

Muckenhuber

Freidl

Rásky

2011

Wien Klin Wochenschr

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The Marienambulanz in Graz, which was founded in 1999, is an outpatient clinic aiming to provide free medical services for marginalized groups. Medical and socioeconomic data of patients at the outpatient clinic have been collected electronically since 2003. The purpose of this study was to find out which persons were treated at the Marienambulanz in the last seven years (2003-2009) and to find out the most frequent reasons for attending the Marienambulanz. We analysed existing medical data descriptively in order to find out the four most frequent reasons for going to the outpatient clinic, the nationality of the patients and whether or not the patients had insurance coverage. Since 2003, 3,652 patients (2,342 men and 1,310 women) have been treated at the Marienambulanz. The majority of patients came either for an initial medical examination, for medication or for further thorough examinations including advice about general health and - if necessary - for childcare. Interestingly, more than 60% of the patients were insured. The Marienambulanz provides medical assistance for uninsured persons and for marginalized insured persons who do not make use of the regular health care system. It can be argued that the regular Austrian health care system fails to provide health care for marginalized groups. The Marienambulanz in Graz, as a low-threshold institution, serves the purpose of bridging the gap to the regular health care system for marginalized groups.

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Perceived social justice, long-term unemployment and health

Abstract: While this study does not allow to establish causal relationships, the associations we found suggest that also perceived social justice needs to be taken into account in interventions that are intended to foster equity in health among socially disadvantaged groups.

Cited by 22 publications

References 21 publications

East-West gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?

East-West gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?

Predicting return to work from health related welfare following low intensity cognitive behaviour therapy

Healthcare for migrants and for marginalized individuals: The Marienambulanz in Graz, Austria

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