Structural changes and social inequalities in health in Finland, 1986-1994.

BACKGROUND: This paper seeks to examine changes in health inequalities in Finland from the mid-1980s to the mid-1990s. To improve our understanding of the contribution of employment status changes to class and educational differences in health within the context of changing labour market conditions,...

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Publicado en:Scandinavian Journal of Public Health Vol. 29; no. s55; pp. 41 - 55
Autores principales: Manderbacka K, Lahelma E, Rahkonen O
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2001 Supplement 55
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Scandinavian Journal of Public Health
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      dt: 2001 Supplement 55
      vid: 29
      iid: s55
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Structural changes and social inequalities in health in Finland, 1986-1994.
      aug:
        au:
          Manderbacka K
          Lahelma E
          Rahkonen O
        affil: National Research and Development, Centre for Welfare and Health, Health Services Research, PO Box 220, FIN-00531 Helsinki, Finland; kristiina.manderbacka@stakes.fi
      sug:
        subj:
          Health Status Trends
          Public Health Trends
          Social Change Trends
          Epidemiological Research
          Surveys
          Odds Ratio
          Logistic Regression
          Trend Studies
          Interviews
          Descriptive Statistics
          Confidence Intervals
          Prevalence
          Multiple Logistic Regression
          Data Analysis Software
          Finland
          Educational Status
          Social Class
          Employment Status
          Socioeconomic Factors
          Chronic Disease Epidemiology
          Health Beliefs
          Chi Square Test
          Adult
          Middle Age
          Male
          Female
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND: This paper seeks to examine changes in health inequalities in Finland from the mid-1980s to the mid-1990s. To improve our understanding of the contribution of employment status changes to class and educational differences in health within the context of changing labour market conditions, we examined the differences in ill health among social classes, educational groups, and employment status groups. METHODS: The data was derived from nation-wide Finnish Surveys on Living Conditions from 1986 and 1994. Analyses included the age range 25-64 years. Health was measured using limiting long-standing illness and perceived health as below good. Results are presented as age-standardized prevalence percentages and odds ratios from logistic regression analyses. RESULTS: The pattern and size of relative social inequalities in ill health have remained generally stable during the eight-year study period in Finland. Differences between social classes have changed only slightly. Differences between educational groups have declined somewhat among men, but have remained stable among women. Compared with the employed, health among the unemployed, housewives, and pensioners has improved for both men and women. Analysing social class differences within both the employed and the non-employed showed only negligible changes. CONCLUSIONS: Changes in social inequalities in health as indicated by class and educational differentials among Finnish men and women have mostly been negligible. The observed changes are likely to have been affected by the 1990s' labour market crisis in Finland. The rapidly increasing mass unemployment is unlikely to have been very individually selective in the short run. However, in the longer run, to the extent that unemployment remains high, this trend can be expected to change as re-entry to paid employment is likely to be more individually selective.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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