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Cavelaars, A.E.* ; Kunst, A.E.* ; Geurts, J.J.* ; Crialesi, R.* ; Grötvedt, L.* ; Helmert, U.* ; Lahelma, E.* ; Lundberg, O.* ; Matheson, J.* ; Mielck, A. ; Mizrahi, A.* ; Rasmussen, N.K.* ; Regidor, E.* ; Spuhler, T.* ; Mackenbach, J.P.*

Differences in self reported morbidity by educational level: A comparison of 11 western European countries.

J. Epidemiol. Community Health 52, 219-227 (1998)
Verlagsversion Volltext PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
STUDY OBJECTIVE: To assess whether there are variations between 11 Western European countries with respect to the size of differences in self reported morbidity between people with high and low educational levels. DESIGN AND METHODS: National representative data on morbidity by educational level were obtained from health interview surveys, level of living surveys or other similar surveys carried out between 1985 and 1993. Four morbidity indicators were included and a considerable effort was made to maximise the comparability of these indicators. A standardised scheme of educational levels was applied to each survey. The study included men and women aged 25 to 69 years. The size of morbidity differences was measured by means of the regression based Relative Index of Inequality. MAIN RESULTS: The size of inequalities in health was found to vary between countries. In general, there was a tendency for inequalities to be relatively large in Sweden, Norway, and Denmark and to be relatively small in Spain, Switzerland, and West Germany. Intermediate positions were observed for Finland, Great Britain, France, and Italy. The position of the Netherlands strongly varied according to sex: relatively large inequalities were found for men whereas relatively small inequalities were found for women. The relative position of some countries, for example, West Germany, varied according to the morbidity indicator. CONCLUSIONS: Because of a number of unresolved problems with the precision and the international comparability of the data, the margins of uncertainty for the inequality estimates are somewhat wide. However, these problems are unlikely to explain the overall pattern. It is remarkable that health inequalities are not necessarily smaller in countries with more egalitarian policies such as the Netherlands and the Scandinavian countries. Possible explanations are discussed.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Korrespondenzautor
Schlagwörter INEQUALITIES; HEALTH; BRITAIN; FINLAND; SWEDEN
ISSN (print) / ISBN 0143-005X
e-ISSN 1470-2738
Zeitschrift Journal of Epidemiology and Community Health
Quellenangaben Band: 52, Heft: 4, Seiten: 219-227 Artikelnummer: , Supplement: ,
Verlag BMJ Publishing Group
Nichtpatentliteratur Publikationen
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Health Economics and Health Care Management (IGM)