Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators
Abstract Background Socioeconomic inequalities in health is a widely studied topic. However, epidemiological research tends to focus on one or a few outcomes conditioned on one indicator, overlooking the fact that health inequalities can vary depending on the outcome studied and the indicator used....
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ftdoajarticles:oai:doaj.org/article:9296e50be0b742d88546a7c81dd7a5d7 2023-05-15T17:44:23+02:00 Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators Kinza Degerlund Maldi Miguel San Sebastian Per E. Gustafsson Frida Jonsson 2019-12-01T00:00:00Z https://doi.org/10.1186/s12939-019-1100-5 https://doaj.org/article/9296e50be0b742d88546a7c81dd7a5d7 EN eng BMC https://doi.org/10.1186/s12939-019-1100-5 https://doaj.org/toc/1475-9276 doi:10.1186/s12939-019-1100-5 1475-9276 https://doaj.org/article/9296e50be0b742d88546a7c81dd7a5d7 International Journal for Equity in Health, Vol 18, Iss 1, Pp 1-12 (2019) Socioeconomic inequalities in health Outcome-wide approach Slope index of inequality Time trends Northern Sweden Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.1186/s12939-019-1100-5 2022-12-31T12:09:40Z Abstract Background Socioeconomic inequalities in health is a widely studied topic. However, epidemiological research tends to focus on one or a few outcomes conditioned on one indicator, overlooking the fact that health inequalities can vary depending on the outcome studied and the indicator used. To bridge this gap, this study aims to provide a comprehensive picture of the patterns of socioeconomic health inequalities in Northern Sweden over time, across a range of health outcomes, using an ‘outcome-wide’ epidemiological approach. Method Cross-sectional data from three waves of the ‘Health on Equal Terms’ survey, distributed in 2006, 2010 and 2014 were used. Firstly, socioeconomic inequalities by income and education for twelve outcomes (self-rated health, self-rated dental health, overweight, hypertension, diabetes, long-term illness, stress, depression, psychological distress, smoking, risky alcohol consumption, and physical inactivity) were examined by calculating the Slope Index of Inequality. Secondly, time trends for each outcome and socioeconomic indicator were estimated. Results Income inequalities increased for psychological distress and physical inactivity in men as well as for self-rated health, overweight, hypertension, long-term illness, and smoking among women. Educational inequalities increased for hypertension, long-term illness, and stress (the latter favouring lower education) in women. The only instance of decreasing income inequalities was seen for long-term illness in men, while education inequalities decreased for long-term illness in men and poor self-rated health, poor self-rated dental health, and smoking in women. Conclusion Patterns of absolute socioeconomic inequalities in health vary by health and socioeconomic indicator, as well as between men and women. Overall, trends appear more stagnant in men while they fluctuate in women. Income inequalities seem to be generally greater than educational inequalities when looking across several different health indicators, a message that can ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles International Journal for Equity in Health 18 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Socioeconomic inequalities in health Outcome-wide approach Slope index of inequality Time trends Northern Sweden Public aspects of medicine RA1-1270 |
spellingShingle |
Socioeconomic inequalities in health Outcome-wide approach Slope index of inequality Time trends Northern Sweden Public aspects of medicine RA1-1270 Kinza Degerlund Maldi Miguel San Sebastian Per E. Gustafsson Frida Jonsson Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators |
topic_facet |
Socioeconomic inequalities in health Outcome-wide approach Slope index of inequality Time trends Northern Sweden Public aspects of medicine RA1-1270 |
description |
Abstract Background Socioeconomic inequalities in health is a widely studied topic. However, epidemiological research tends to focus on one or a few outcomes conditioned on one indicator, overlooking the fact that health inequalities can vary depending on the outcome studied and the indicator used. To bridge this gap, this study aims to provide a comprehensive picture of the patterns of socioeconomic health inequalities in Northern Sweden over time, across a range of health outcomes, using an ‘outcome-wide’ epidemiological approach. Method Cross-sectional data from three waves of the ‘Health on Equal Terms’ survey, distributed in 2006, 2010 and 2014 were used. Firstly, socioeconomic inequalities by income and education for twelve outcomes (self-rated health, self-rated dental health, overweight, hypertension, diabetes, long-term illness, stress, depression, psychological distress, smoking, risky alcohol consumption, and physical inactivity) were examined by calculating the Slope Index of Inequality. Secondly, time trends for each outcome and socioeconomic indicator were estimated. Results Income inequalities increased for psychological distress and physical inactivity in men as well as for self-rated health, overweight, hypertension, long-term illness, and smoking among women. Educational inequalities increased for hypertension, long-term illness, and stress (the latter favouring lower education) in women. The only instance of decreasing income inequalities was seen for long-term illness in men, while education inequalities decreased for long-term illness in men and poor self-rated health, poor self-rated dental health, and smoking in women. Conclusion Patterns of absolute socioeconomic inequalities in health vary by health and socioeconomic indicator, as well as between men and women. Overall, trends appear more stagnant in men while they fluctuate in women. Income inequalities seem to be generally greater than educational inequalities when looking across several different health indicators, a message that can ... |
format |
Article in Journal/Newspaper |
author |
Kinza Degerlund Maldi Miguel San Sebastian Per E. Gustafsson Frida Jonsson |
author_facet |
Kinza Degerlund Maldi Miguel San Sebastian Per E. Gustafsson Frida Jonsson |
author_sort |
Kinza Degerlund Maldi |
title |
Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators |
title_short |
Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators |
title_full |
Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators |
title_fullStr |
Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators |
title_full_unstemmed |
Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators |
title_sort |
widespread and widely widening? examining absolute socioeconomic health inequalities in northern sweden across twelve health indicators |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12939-019-1100-5 https://doaj.org/article/9296e50be0b742d88546a7c81dd7a5d7 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
International Journal for Equity in Health, Vol 18, Iss 1, Pp 1-12 (2019) |
op_relation |
https://doi.org/10.1186/s12939-019-1100-5 https://doaj.org/toc/1475-9276 doi:10.1186/s12939-019-1100-5 1475-9276 https://doaj.org/article/9296e50be0b742d88546a7c81dd7a5d7 |
op_doi |
https://doi.org/10.1186/s12939-019-1100-5 |
container_title |
International Journal for Equity in Health |
container_volume |
18 |
container_issue |
1 |
_version_ |
1766146602361159680 |