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Vulnerability and inequalities in health and wellbeing: the role of social policy
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.ORCID-id: 0000-0002-0199-0435
2019 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The aim of this thesis is to investigate the moderating role of social policies for the association between vulnerable social positions and health and wellbeing. Vulnerable social positions are identified in relation to age-related transition points in to or out of the labour market. Specifically, the focal groups are young adults, on the route to establish themselves in the labour market, and older persons, having just left the labour market, and inequalities by labour market status, class, or gender within these age groups. The thesis moreover aims to contribute to the theoretical development of the comparative health literature, by developing and implementing a theoretical framework for analyzing the role of social policy for the health and wellbeing of vulnerable groups.

Data and methods: The aim is addressed through a cross-country comparative approach, by fitting multilevel regression models on harmonized individual level data from the European Social Survey. Specifically, cross-level interactions between social position and social policies are estimated, with self-reported general health and psychological wellbeing as outcomes. The focal social policies are pension systems and elderly care policies, as well as education policies.

Results and conclusions: Overall, the empirical results showed that public investment in, and public organization of, elderly care was associated with smaller health inequalities by both social class and gender, and that redistributive minimum pensions were associated with smaller inequalities by social class, while more status-maintaining standard pensions were associated with larger gender-based inequalities. Regarding the role of education policies, the analyses showed that inclusive policies – specifically low degree of tracking, generous second chance opportunities, low out-of-pocket costs for, and a larger supply of, education – were associated with smaller inequalities by both social background and employment status. The overall conclusion of the thesis is that redistributive social policies, which distribute essential resources to vulnerable groups, have the potential to reduce inequalities in health and wellbeing between vulnerable and more advantaged groups.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå universitet , 2019. , s. 101
Serie
Studier i socialt arbete vid Umeå universitet : avhandlings- och skriftserie, ISSN 0283-300X ; 94
Nyckelord [en]
Social policy, Welfare state, Vulnerability, Inequality, Social stratification, Health, Wellbeing
Nationell ämneskategori
Socialt arbete
Identifikatorer
URN: urn:nbn:se:umu:diva-162921ISBN: 978-91-7855-089-0 (tryckt)OAI: oai:DiVA.org:umu-162921DiVA, id: diva2:1347717
Disputation
2019-09-27, S Hörsal 205, Samhällsvetarhuset, Umeå, 10:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2019-09-06 Skapad: 2019-09-02 Senast uppdaterad: 2019-09-03Bibliografiskt granskad
Delarbeten
1. Ageing, health inequalities and the welfare state: a multilevel analysis
Öppna denna publikation i ny flik eller fönster >>Ageing, health inequalities and the welfare state: a multilevel analysis
2018 (Engelska)Ingår i: Journal of European Social Policy, ISSN 0958-9287, E-ISSN 1461-7269, Vol. 28, nr 4, s. 311-325Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Comparative studies of health inequalities have largely neglected age and ageing aspects, while ageing research has often paid little attention to questions of social inequalities. This article investigates cross-country differences in gradients in self-rated health and limiting long-standing illness (LLSI) in middle-aged and in older people (aged 50–64 and 65–80 years) linked to social class, and degrees to which the social health gradients are associated with minimum pension levels and expenditure on elderly care. For these purposes, data from the European Social Survey (2002–2010) are analysed using multilevel regression techniques. We find significant cross-level interaction effects between class and welfare policies: higher expenditure on elderly care and particularly more generous minimum pensions are associated with smaller health inequalities in the older age group (65–80 years). It is concluded that welfare policies moderate the association between social class and health, highlighting the importance of welfare state efforts for older persons, who are strongly reliant on the welfare state and welfare state arrangements such as pensions and care policies.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2018
Nyckelord
health equity, LLSI, social class, social gradient, subjective health
Nationell ämneskategori
Sociologi
Forskningsämne
sociologi
Identifikatorer
urn:nbn:se:umu:diva-143461 (URN)10.1177/0958928717739234 (DOI)000445639900001 ()2-s2.0-85053899303 (Scopus ID)
Forskningsfinansiär
Välfärd och livslopp
Tillgänglig från: 2018-01-01 Skapad: 2018-01-01 Senast uppdaterad: 2023-03-24Bibliografiskt granskad
2. Gender and health among older people: What is the role of social policies?
Öppna denna publikation i ny flik eller fönster >>Gender and health among older people: What is the role of social policies?
2018 (Engelska)Ingår i: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 27, nr 3, s. 236-247Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The study investigated how social policies moderate the association between gender and health among older people across European countries. The study is the first to take a comprehensive view on the role of social policies in connection with gender inequality in health among older Europeans. The association between gender and poor self-rated health and limiting long-standing illness was investigated in a multilevel framework. Cross-level interaction effects showed that more generous minimum pensions, higher spending on eldercare and a higher degree of eldercare formalisation are associated with relatively better health among women, while more generous standard pensions are associated with relatively better health among men. The conclusion is that policies directed towards older people are not gender neutral; rather they are likely to affect men and women differently. By shaping the distribution of resources as well as of unpaid work, social policies can contribute to either strengthening or weakening the link between gender and health.

Nyckelord
gender equality, health inequality, ageing, pension policies, eldercare
Nationell ämneskategori
Socialt arbete
Identifikatorer
urn:nbn:se:umu:diva-150370 (URN)10.1111/ijsw.12309 (DOI)000438343500004 ()2-s2.0-85041022506 (Scopus ID)
Tillgänglig från: 2018-08-08 Skapad: 2018-08-08 Senast uppdaterad: 2019-09-02Bibliografiskt granskad
3. Educational policies and social inequality in well-being among young adults
Öppna denna publikation i ny flik eller fönster >>Educational policies and social inequality in well-being among young adults
2019 (Engelska)Ingår i: British Journal of Sociology of Education, ISSN 0142-5692, E-ISSN 1465-3346, Vol. 40, nr 5, s. 664-681Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Inequalities in health and well-being are important contemporary public health issues. This article is the first to investigate the institutional causes of inequality in well-being among youth in a comparative perspective. Data from the European Social Survey are used to analyse how educational policies moderate the association between social background and well-being. Multilevel techniques are used to investigate cross-level interactions between social background and educational policies on life satisfaction. Four indicators of inclusive educational policies are analysed: age of tracking, costs of education, enrolment rates, and second-chance opportunities in the educational system. The results show that educational policies indeed moderate the association between social background and well-being: inequalities as measured by the father’s social class are smaller in countries where educational policies are more inclusive. Moreover, the analysis shows that the moderating impact of education policies is mediated by individual-level education, activity status, and income.

Ort, förlag, år, upplaga, sidor
Routledge, 2019
Nyckelord
Educational policies, well-being, social inequality, inclusive education, youth
Nationell ämneskategori
Socialt arbete Sociologi (exklusive socialt arbete, socialpsykologi och socialantropologi) Folkhälsovetenskap, global hälsa och socialmedicin
Identifikatorer
urn:nbn:se:umu:diva-154121 (URN)10.1080/01425692.2019.1576119 (DOI)000463948700001 ()2-s2.0-85063793112 (Scopus ID)
Tillgänglig från: 2018-12-12 Skapad: 2018-12-12 Senast uppdaterad: 2025-02-21Bibliografiskt granskad
4. Unemployment, well-being, and the moderating role of education policies: A multilevel study
Öppna denna publikation i ny flik eller fönster >>Unemployment, well-being, and the moderating role of education policies: A multilevel study
2019 (Engelska)Ingår i: International Journal of Comparative Sociology, ISSN 0020-7152, E-ISSN 1745-2554, Vol. 60, nr 4, s. 269-291Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

This article aims to investigate if education policies moderate the association between unemployment and well-being among young adults. Based on the capability approach, we argue that education policies mitigate the negative effects of unemployment by providing opportunities for education and thus ways to exit unemployment. Education policies can strengthen capabilities, enhance the control that individuals have over their situation, and thereby reduce the stress associated with unemployment. We estimated cross-level interactions between education policies and unemployment status using multilevel methods and data from the European Social Survey. Results showed that policies that increase educational opportunities—such as generous second chance opportunities—were associated with smaller negative effects of unemployment on well-being and that this moderating impact was stronger for young adults with low education. Further analyses show that education policies are also associated with perceived capabilities among unemployed, supporting the proposed mechanism.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2019
Nyckelord
Capabilities, education policies, spillover effects, unemployment, well-being, young adults
Nationell ämneskategori
Sociologi Sociologi (exklusive socialt arbete, socialpsykologi och socialantropologi)
Identifikatorer
urn:nbn:se:umu:diva-162919 (URN)10.1177/0020715219874386 (DOI)000492484500003 ()2-s2.0-85073596863 (Scopus ID)
Tillgänglig från: 2019-09-02 Skapad: 2019-09-02 Senast uppdaterad: 2023-03-24Bibliografiskt granskad

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