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Self-rated health inequalities among the Spanish population in the intersection with gender and social class: Exploring the contributions of material and psychosocial factors
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Spain is a decentralised country where different socioeconomic and political settings are built. Along the country gender and social class inequalities are present leading to inequities in self-rated health (SRH). Understanding the underlying mechanisms of those inequalities is necessary in order to advocate for policies that foster equity in health.Purpose: This study aims to explore SRH inequalities between intersectional identities reflecting structural positions of gender, social class and regional settings and to detangle the contribution of intermediary material and psychosocial factors on those structural positions among Spanish adults.

Methods: Cross-sectional study using data from the Living Conditions Survey from 2015 (N=27,215; 77% rate response). Logistic regression models were used to calculate the odds of poor SRH for identity variables, intersectional identities and intersectional identities stratified by gender when adjusting for different intermediary determinants.

Results: Women “manual” from Autonomous Communities with a low Inequality-adjusted Development Index had the poorest SRH after adjusting for all factors (OR=1,70; 99,9%). Social class inequalities in SRH were explained by material factors, especially material scarcity and unsecure employment. Existing gender and regional inequalities were persistent in both social classes but more emphasised among “manual” classes. Psychosocial factors, mainly social participation, explained inequalities in SRH among the best-off social class (not statistically significant for men, but statistically significant for women).

Conclusion: The biggest contribution to inequality in SRH among the Spanish population is social class through material scarcity and unsecure employment. However those individuals accumulating disadvantageous structural positions of gender, social class, and regional setting suffer from the poorest SRH. Policies to facilitate access to decent employment for the worst-off groups in society are needed to improve population’s health status.

Place, publisher, year, edition, pages
2017. , p. 33
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:19
Keywords [en]
Gender inequalities; Inequity in health; Intersectionality; Self-rated health; Social class inequalities; Spain
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-135643OAI: oai:DiVA.org:umu-135643DiVA, id: diva2:1104656
External cooperation
Västerbottens läns landsting - Eva Eurenius
Educational program
Master's Programme in Public Health
Presentation
2017-05-22, Umeå University Hospital, Room C 9th floor, Norrlands Universitetssjukhus, Umeå, 11:00 (English)
Supervisors
Examiners
Available from: 2017-12-19 Created: 2017-06-01 Last updated: 2017-12-19Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • de-DE
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More languages
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  • html
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  • asciidoc
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