The contribution of housing and neighbourhood conditions to educational inequalities in non-communicable diseases in Europe: findings from the European Social Survey (2014) special module on the social determinants of health.

Background: Social gradients have been found across European populations, where less affluent groups are more often affected by poor housing and neighbourhood conditions. While poor housing and neighbourhood quality have been associated with a range of non-communicable diseases (NCDs), these conditi...

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Publicado en:European Journal of Public Health Vol. 27; pp. 102 - 107
Autores principales: McNamara, Courtney L., Balaj, Mirza, Thomson, Katie H., Eikemo, Terje A., 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/ckw224
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        atl: The contribution of housing and neighbourhood conditions to educational inequalities in 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.
          Bambra, Clare
        affil: Department of Sociology and Political Science, Norwegian University of Science and Technology, Trondheim, Norway
      sug:
        subj:
          Disease Epidemiology
          Housing
          Social Determinants of Health Europe
          Residence Characteristics
          Educational Status Europe
          Health Status Disparities
          Pain Epidemiology
          Depression Epidemiology
          Digestive System Diseases Epidemiology
          Europe
          Human
          Hypersensitivity Epidemiology
          Hypertension Epidemiology
          Obesity Epidemiology
          Home Environment
          Cardiovascular Diseases Epidemiology
          Respiration Disorders Epidemiology
          Skin Diseases Epidemiology
          Neoplasms Epidemiology
          Headache Epidemiology
          Diabetes Mellitus Epidemiology
          Male
          Female
          Adult
          Middle Age
          Aged
          Logistic Regression
          Descriptive Statistics
          Odds Ratio
          Center for Epidemiological Studies Depression Scale
          Scales
          Socioeconomic Factors
          Data Analysis Software
          Confidence Intervals
          Funding Source
          Surveys
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Social gradients have been found across European populations, where less affluent groups are more often affected by poor housing and neighbourhood conditions. While poor housing and neighbourhood quality have been associated with a range of non-communicable diseases (NCDs), these conditions have rarely been applied to the examination of socioeconomic differences in NCDs. This study therefore asks 'to what extent does adjusting for poor housing and neighbourhood conditions reduce inequalities in NCDs among men and women in Europe'? Methods: Our analysis used pooled-data from 20 European countries for women (n=12 794) and men (n=11 974), aged 25-75, from round 7 of the European Social Survey. Fourteen NCDs were investigated: 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. We used binary logistic regression models, stratified by gender, and adjusted rate ratios to examine whether educational inequalities in NCDs were reduced after controlling for poor housing and neighbourhood quality. Results: Overall, we find that adjusting for poor housing and neighbourhood quality reduces inequalities in NCDs. While reductions were relatively small for some NCDs-for high blood pressure, reductions were found in the range of 0-4.27% among women--for other conditions reductions were more considerable. Controlling for both housing and neighbourhood conditions for example, reduced inequalities by 16-24% for severe headaches and 14-30% for breathing problems. Conclusions: Social gradients in poor housing and neighbourhood quality could be an important contributor to educational inequalities in some NCDs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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