Education and health in 22 European countries
Education and health in 22 European countries
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DOI：
10.1016/j.socscimed.2006.03.043
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发表时间：
2006-09-01
影响因子：
5.4
通讯作者：
Dragano, Nico
中科院分区：
文献类型：
--
作者：
Knesebeck, Olaf von dem;Verde, Pablo E.;Dragano, Nico
这项研究调查了22个欧洲国家的教育健康不平等。此外，还分析了教育与健康之间关系的年龄和性别差异。这项研究使用了2003年欧洲社会调查的数据。在所有国家对所有15岁及以上的私人居民进行了概率抽样。欧洲社会调查包括42 359个案例。25岁以下的人被排除在外，以尽量减少未完成教育的受访者人数。教育根据国际标准教育分类进行编码。自我评定的健康和功能限制被用作健康指标。多元逻辑回归分析的结果表明，教育程度低（初中或以下）的人自我评估健康状况不佳和功能受限的风险较高。奥地利、挪威、瑞典和联合王国的不平等程度相对较小，匈牙利、波兰和葡萄牙的不平等程度较大。对年龄差异的分析表明，教育对25-55岁年龄组的健康影响大于较高年龄组。然而，教育-健康关联方面的年龄差异因国家、性别和健康指标而异。总之，我们的研究结果证实，教育不平等的健康是一个普遍的，但不是不变的现象。国家、性别和健康指标之间的差异可能是其他关于社会经济地位与健康之间关系的年龄差异的研究结果不一致的原因之一。(c)2006爱思唯尔有限公司保留所有权利。
This study investigates educational health inequalities in 22 European countries. Moreover, age and gender differences in the association between education and health are analysed. The study uses data from the European Social Survey 2003. Probability sampling from all private residents aged 15 years and older was applied in all countries. The European Social Survey includes 42,359 cases. Persons under age 25 were excluded to minimise the number of respondents whose education was not complete. Education was coded according to the International Standard Classification of Education. Self-rated health and functional limitations were used as health indicators. Results of multiple logistic regression analyses show that people with low education (lower secondary or less) have elevated risks of poor self-rated health and functional limitations. Inequalities are relatively small in Austria, Norway, Sweden, and the United Kingdom, large inequalities were found for Hungary, Poland, and Portugal. Analyses of age differences reveal that health effects of education are stronger at ages 25-55 than in the higher age groups. However, age differences in the education-health association vary between countries, sexes, and health indicators. In conclusion, our results confirm that educational inequalities in health are a generalised though not invariant phenomenon. Variations between countries, sexes and health indicators might be one explanation for the inconsistent results of other studies on age differences in the association between socioeconomic position and health. (c) 2006 Elsevier Ltd. All rights reserved.