Socioeconomic inequalities in disability in Europe: contribution of behavioral, work-related and living conditions.

Background Previous studies have shown the existence of social inequalities in disability in many European countries. However, it is not clear what factors are associated with these inequalities. The aim of this study was to assess the contribution of behavioral factors, work-related factors and liv...

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Published in:European Journal of Public Health Vol. 29; no. 4; pp. 640 - 648
Main Authors: Pérez-Hernández, Bibiana, Rubio-Valverde, Jose R, Nusselder, Wilma J, Mackenbach, Johan P
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Aug2019
Online Access:View this record in EBSCOhost
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      dt: Aug2019
      vid: 29
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      pub: Oxford University Press / USA
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        atl: Socioeconomic inequalities in disability in Europe: contribution of behavioral, work-related and living conditions.
      aug:
        au:
          Pérez-Hernández, Bibiana
          Rubio-Valverde, Jose R
          Nusselder, Wilma J
          Mackenbach, Johan P
        affil: Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands
      sug:
        subj:
          Socioeconomic Factors
          Employment Status Europe
          Educational Status Europe
          Human
          Europe
          Surveys
          Self Report
          Multivariate Analysis
          Multiple Logistic Regression
          Adult
          Middle Age
          Aged
          Male
          Female
          Public Health
          Social Determinants of Health
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background Previous studies have shown the existence of social inequalities in disability in many European countries. However, it is not clear what factors are associated with these inequalities. The aim of this study was to assess the contribution of behavioral factors, work-related factors and living conditions to educational inequalities in disability. Methods We pooled data from the seventh wave of the European Social Survey (2014) which included self-reported disability measured with the Global Activity Limitations Indicator for 19 European countries. We used multivariate logistic regression to determine the contributions of behavioral factors, work-related and living conditions to educational inequalities in disability among respondents aged 30–79. Results We found that adjusting simultaneously for three groups of determinants (behavioral, work-related and living conditions) reduces the greatest proportion of inequalities in disability in both men and women, in a range >70%. Each group of determinants contributes substantially to explain inequalities in disability. Conclusions Inequalities in disability are a major challenge for public health in most European countries. Our findings suggest that these inequalities can be reduced by diminishing inequalities in exposure to well-known health determinants.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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