Health related social exclusion in Europe: a multilevel study of the role of welfare generosity.

Health related social exclusion in Europe: a multilevel study of the role of welfare generosity.
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DOI:
10.1186/1475-9276-12-81
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发表时间:
2013-09-28
影响因子:
4.8
通讯作者:
van der Wel KA
van der Wel KA
中科院分区:
医学2区
文献类型:
--
作者:
Saltkjel T;Dahl E;van der Wel KA

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本文的目的是调查健康,社会地位,社会参与和福利国家之间的关系。扩展最近关于健康状况不佳的社会后果的研究,我们询问福利慷慨是否以及如何与健康状况不佳,教育程度低和经济活动不活跃相结合的社会排斥风险有关。我们的分析基于第三轮欧洲社会调查(2006/2007年)的数据,包括21个欧洲福利国家内21 205至21 397名年龄在25-59岁之间的人。分析采用STATA 12中的多水平logistic回归分析。结果表明,不参与社交网络的风险随着福利慷慨程度的增加而降低。社会排斥的风险,即弱势群体不参与社交网络的风险,很少与总体关联有什么不同,而且从绝对值来看,在更慷慨的福利国家背景下,这种风险总是较小。结果表明,没有迹象表明,在更慷慨的福利国家中,弱势群体的不参与程度更高。相反,福利国家提供的资源似乎对所有个人都很重要,因为总体上不参与的程度较低。因此,这些结果表明了将与健康有关的社会排斥与社会政策背景联系起来的重要性。
The aim of this paper was to investigate the association between health, social position, social participation and the welfare state. Extending recent research on the social consequences of poor health, we asked whether and how welfare generosity is related to the risk of social exclusion associated with combinations of poor health, low education and economic inactivity. Our analyses are based on data from the European Social Survey, round 3 (2006/7), comprising between 21,205 and 21,397 individuals, aged 25–59 years, within 21 European welfare states. The analyses were conducted by means of multilevel logistic regression analysis in STATA 12. The results demonstrated that the risk of non-participation in social networks decreased as welfare generosity increased. The risk of social exclusion, i.e. non-participation in social networks among disadvantaged groups, seldom differed from the overall association, and in absolute terms it was invariably smaller in more generous welfare state contexts. The results showed that there were no indications of higher levels of non-participation among disadvantaged groups in more generous welfare states. On the contrary, resources made available by the welfare state seemed to matter to all individuals in terms of overall lower levels of non-participation. As such, these results demonstrate the importance of linking health related social exclusion to the social policy context.
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