Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries
Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries
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DOI：
10.1111/j.1467-9566.2007.01073.x
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发表时间：
2008-05-01
影响因子：
2.9
通讯作者：
Kunst, Anton E.
中科院分区：
文献类型：
--
作者：
Eikemo, Terje A.;Huisman, Martijn;Kunst, Anton E.
这项研究的目的是确定不同福利制度的欧洲国家之间的教育健康不平等程度是否有所不同。数据来源基于欧洲社会调查的第一波和第二波。第一个健康指标描述了人们的总体心理和身体健康，而第二个指标报告了任何限制性长期疾病的病例。健康方面的教育不平等是指平均受教育年限与受教育年限比全国平均水平低一个标准差的人之间的健康差异。此外，南欧福利制度的健康不平等最大，而俾斯麦福利制度的国家往往表现出最小的不平等。尽管其他福利制度的排名相对靠后，但斯堪的纳维亚的福利制度的地位不如盎格鲁-撒克逊和东欧。因此，这项研究根据欧洲福利制度的特点，显示了健康不平等程度的明显模式。虽然福利在斯堪的纳维亚国家内的更大分配可能会对这些国家的弱势城市产生保护作用，但其他因素，如相对剥夺和阶级模式的健康行为，可能正在扩大健康不平等。
The object of this study was to determine whether the magnitude of educational health inequalities varies between European countries with different welfare regimes. The data source is based on the first and second wave of the European Social Survey. The first health indicator describes people's mental and physical health in general, while the second reports cases of any limiting longstanding illness. Educational inequalities in health were measured as the difference in health between people with an average number of years of education and people whose educational years lay one standard deviation below the national average. Moreover, South European welfare regimes had the largest health inequalities, while countries with Bismarckian welfare regimes tended to demonstrate the smallest. Although the other welfare regimes ranked relatively close to each other, the Scandinavian welfare regimes were placed less favourably than the Anglo-Saxon and East European. Thus, this study shows an evident patterning of magnitudes of health inequalities according to features of European welfare regimes. Although the greater distribution of welfare benefits within the Scandinavian countries are likely to have a protective effect for disadvantaged cities in these countries, other factors such as relative deprivation and class-patterned health behaviours might be acting to widen health inequalities.