Social health inequalities among older Europeans: the contribution of social and family background

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
S Tubeuf, Florence Jusot

Abstract

This analysis aims to get a step further in the understanding of the determining factors of social health inequalities, and to explore particularly the role played by parents' social status and their vital status or age at death on the social health inequalities in adulthood among European older adults. The wealth-related health inequalities are measured using the popular concentration index. We then implement the decomposition method of the indices and evaluate the contribution of the various determinants of health introduced in interval regression models. Health is measured using self-assessed health and country-specific cut-points that correct observed differences in self-report due to cross-cultural differences in reporting styles. This paper uses data for ten European countries from the first wave of the 2004 SHARE. The study highlights significantly higher wealth-related health inequalities in the Netherlands, Denmark and Germany. These social inequalities of health in Europe are explained largely by individuals' current social conditions, particularly wealth. Nevertheless, our analysis attests the existence of a long-term influence of initial conditions in childhood on health in middle-aged and beyond, independently of c...Continue Reading

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Citations

Feb 19, 2016·BMC Public Health·Pavitra Paul, Hannu Valtonen
Dec 18, 2013·Social Science & Medicine·Sarah MissinnePiet Bracke
Jan 30, 2019·Journal of Aging and Health·Michał MyckMonika Oczkowska
Mar 27, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Joachim R Frick, Nicolas R Ziebarth
Feb 24, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Tim LohseChristian Thomann
Jun 21, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Marta Pascual-SáezCarla Blázquez-Fernández
Nov 2, 2019·BMJ Quality & Safety·Diane NaouriUNKNOWN French Society of Emergency Medicine
Jan 7, 2017·BMC Public Health·Jaime PinillaRosa M Urbanos-Garrido
Jan 29, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Sonja Spitzer

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