The socioeconomic distribution of non-communicable diseases in Europe: findings from the European Social Survey (2014) special module on the social determinants of health.

Background: A range of non-communicable diseases (NCDs) has been found to follow a social pattern whereby socioeconomic status predicts either a higher or lower risk of disease. Comprehensive evidence on the socioeconomic distribution of NCDs across Europe, however, has been limited. Methods: Using...

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Publicado en:European Journal of Public Health Vol. 27; pp. 22 - 27
Autores principales: McNamara, Courtney L., Balaj, Mirza, Thomson, Katie H., Eikemo, Terje A., Solheim, Erling F., Bambra, Clare
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA 2017 Supplement
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2017 Supplement
      vid: 27
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      pub: Oxford University Press / USA
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        10.1093/eurpub/ckw222
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        atl: The socioeconomic distribution of non-communicable diseases in Europe: findings from the European Social Survey (2014) special module on the social determinants of health.
      aug:
        au:
          McNamara, Courtney L.
          Balaj, Mirza
          Thomson, Katie H.
          Eikemo, Terje A.
          Solheim, Erling F.
          Bambra, Clare
        affil: Department of Sociology and Political Science, Norwegian University of Science and Technology, Trondheim, Norway
      sug:
        subj:
          Disease Epidemiology
          Social Determinants of Health
          Socioeconomic Factors
          Disease Risk Factors
          Health Status Disparities
          Pain Epidemiology
          Cross Sectional Studies
          Depression Epidemiology
          Europe
          Human
          Hypersensitivity Epidemiology
          Hypertension Epidemiology
          Obesity Epidemiology
          Surveys
          Cardiovascular Diseases Epidemiology
          Headache Epidemiology
          Gastrointestinal Diseases Epidemiology
          Diabetes Mellitus Epidemiology
          Skin Diseases Epidemiology
          Neoplasms Epidemiology
          Educational Status
          Odds Ratio
          Descriptive Statistics
          Male
          Female
          Sex Factors
          Logistic Regression
          Confidence Intervals
          Data Analysis Software
          Adult
          Middle Age
          Aged
          Social Class
          Prevalence
          Funding Source
          Respiration Disorders Epidemiology
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: A range of non-communicable diseases (NCDs) has been found to follow a social pattern whereby socioeconomic status predicts either a higher or lower risk of disease. Comprehensive evidence on the socioeconomic distribution of NCDs across Europe, however, has been limited. Methods: Using cross-sectional 2014 European Social Survey data from 20 countries, this paper examines socioeconomic inequalities in 14 self-reported NCDs separately for women and men: heart/circulatory problems, high blood pressure, back pain, arm/ hand pain, foot/leg pain, allergies, breathing problems, stomach/digestion problems, skin conditions, diabetes, severe headaches, cancer, obesity and depression. Using education to measure socioeconomic status, age-controlled adjusted risk ratios were calculated and separately compared a lower and medium education group with a high education group. Results: At the pooled European level, a social gradient in health was observed for 10 NCDs: depression, diabetes, obesity, heart/circulation problems, hand/arm pain, high blood pressure, breathing problems, severe headaches, foot/leg pain and cancer. An inverse social gradient was observed for allergies. Social gradients were observed among both genders, but a greater number of inequalities were observed among women. Country-specific analyses show that inequalities in NCDs are present everywhere across Europe and that inequalities exist to different extents for each of the conditions. Conclusion: This study provides the most up-to-date overview of socioeconomic inequalities for a large number of NCDs across 20 European countries for both women and men. Future investigations should further consider the diseases, and their associated determinants, for which socioeconomic differences are the greatest.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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