Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries

PloS One
Teresa LeãoJulian Perelman

Abstract

Although socioeconomic inequalities in health have long been observed in Europe, few studies have analysed their recent patterning. In this paper, we examined how educational inequalities in self-reported health have evolved in different European countries and welfare state regimes over the last decade, which was troubled by the Great Recession. We used cross-sectional data from the EU-SILC survey for adults from 26 European countries, from 2005 to 2014 (n = 3,030,595). We first calculated education-related absolute (SII) and relative (RII) inequalities in poor self-reported health by country-year, adjusting for age, sex, and EU-SILC survey weights. We then regressed the year- and country-specific RII and SII on a yearly time trend, globally and by welfare regime, adjusting for country fixed effects. We further adjusted the analysis for the economic cycle using GDP growth, unemployment, and income inequality. Overall, absolute inequalities persisted and relative inequalities slightly widened (betaRII = 0.0313, p<0.05). There were substantial differences by welfare regime: Anglo-Saxon countries experienced the largest increase in absolute inequalities (betaSII = 0.0032, p<0.05), followed by Bismarkian countries (betaSII = 0.0024...Continue Reading

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Citations

Dec 20, 2018·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Gintare MazeikaiteDenisa M Sologon
Jun 27, 2020·International Journal of Environmental Research and Public Health·Minhye KimHwa-Kyung Lim
Oct 7, 2020·International Journal of Health Services : Planning, Administration, Evaluation·Luis RoxoJulian Perelman
Jan 21, 2021·BMC Public Health·Silvia Simone KlokgietersAlmar Andreas Leonardus Kok
Mar 7, 2021·Journal of Epidemiology and Community Health·Jose R Rubio ValverdeWilma J Nusselder
Nov 27, 2021·Expert Review of Pharmacoeconomics & Outcomes Research·Jalal DahhamIngrid Kremer

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