Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012).
Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012).
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在大衰退之前和期间，整体和社会经济地位的健康和健康行为使用西班牙重复的横断面健康调查的数据（2001- 2012年）。
DOI：
10.1186/s12889-015-2204-5
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发表时间：
2015-09-07
影响因子：
4.5
通讯作者：
Suhrcke M
中科院分区：
文献类型：
--
作者：
Bartoll X;Toffolutti V;Malmusi D;Palència L;Borrell C;Suhrcke M
这项研究的目的是估计西班牙在2011/12年期间大衰退期间健康状况和某些健康行为随时间的变化，既包括总体变化，也包括社会经济地位和性别变化。我们对四个版本的西班牙国家健康调查数据进行了前后估计：2001年，2003/04年，2006/07年和2011/12年。这涉及采用线性概率回归模型，考虑到时间趋势和稳健的标准误差，使用自我报告的健康和健康行为作为结果，并将2011/12年调查版的虚拟“大衰退”作为主要解释变量。所有的计算都是按性别分开进行的。最终样本包括47，156名年龄在25至64岁之间的人，在采访时从事经济活动。我们还评估了社会经济群体之间的影响不平等。与长期趋势相比，2011/12年度，妇女（男子）自我报告健康状况良好的概率增加了9.6%（7.6%）。除了受教育程度最低的人之外，所有教育水平的变化都很大。一些健康的行为也得到了改善，但结果差异很大。然而，在失业的男性（尽管不是女性）中确实发生了不利的饮食变化（例如，声称每天吃水果的概率变化了-12.1%），在教育程度最低的男性（-21.8%）和女性（-15.1%）中也是如此。2011/12年期间，健康和健康行为方面的社会经济不平等现象至少在某些方面有所加剧，特别是在饮食方面。虽然自我报告的平均健康状况和一些健康行为在经济衰退期间有所改善，但在2011/12年度，这种改善在不同社会经济群体之间并不平等。本文的在线版本（doi：10.1186/s12889-015-2204-5）包含补充材料，可供授权用户使用。
The objective of this study was to estimate changes over time in health status and selected health behaviours during the Great Recession, in the period 2011/12, in Spain, both overall, and according to socioeconomic position and gender. We applied a before-after estimation on data from four editions of the Spanish National Health Survey: 2001, 2003/04, 2006/07 and 2011/12. This involved applying linear probability regression models accounting for time-trends and with robust standard errors, using as outcomes self-reported health and health behaviours, and as the main explanatory variable a dummy “Great Recession” for the 2011/12 survey edition. All the computations were run separately by gender. The final sample consisted of 47,156 individuals aged between 25 and 64 years, economically active at the time of the interview. We also assessed the inequality of the effects across socio-economic groups. The probability of good self-reported health increased for women (men) by 9.6 % (7.6 %) in 2011/12, compared to the long term trend. The changes are significant for all educational levels, except for the least educated. Some healthy behaviours also improved but results were rather variable. Adverse dietary changes did, however, occur among men (though not women) who were unemployed (e.g., the probability of declaring eating fruit daily changed by −12.1 %), and among both men (−21.8 %) and women with the lowest educational level (−15.1 %). Socioeconomic inequalities in health and health behaviour have intensified, in the period 2011/12, in at least some respects, especially regarding diet. While average self-reported health status and some health behaviours improved during the economic recession, in 2011/12, this improvement was unequal across different socioeconomic groups. The online version of this article (doi:10.1186/s12889-015-2204-5) contains supplementary material, which is available to authorized users.