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Regional inequalities in self-rated health in Russia: What is the role of social and economic capital?

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  • Lyytikäinen, Laura
  • Kemppainen, Teemu

Abstract

Using the data from the European Social Survey (round 6, 2012), this article studies regional inequalities in self-rated health in Russia and examines the role that socio-demographic factors and economic and social capital play in these differences. Also, the regional variation in the determinants of self-rated health is analysed. The article argues that there are considerable and statistically significant unadjusted differences in self-rated health across Russian Federal Districts. We elaborated these differences by regression adjustments, with the result that some of the differences were explained by our predictors and some were amplified. The odds for good self-rated health were lower in the Volga than in Central Russia due to age and socio-economic composition. In contrast, the regression adjustments amplified the differences of the Northwest and the South in comparison to the Central District. The odds for good self-rated health were considerably lower in the Far Eastern part of the country than in the Central District, independently of the adjustments. While social and economic capital predicted good self-rated health at the individual level, they did not explain regional differences. Interaction analyses revealed regional variation in some of the determinants of self-rated health. Most notably, the effects of age, trade union membership and volunteering depended on the regional context. This article argues that the healthcare reforms that transfer funding responsibilities to regional administration may be dangerous for the already less affluent and less healthy rural regions. Thus, regional governance has a growing importance in preventing increases in health inequalities.

Suggested Citation

  • Lyytikäinen, Laura & Kemppainen, Teemu, 2016. "Regional inequalities in self-rated health in Russia: What is the role of social and economic capital?," Social Science & Medicine, Elsevier, vol. 161(C), pages 92-99.
  • Handle: RePEc:eee:socmed:v:161:y:2016:i:c:p:92-99
    DOI: 10.1016/j.socscimed.2016.05.037
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    References listed on IDEAS

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    2. Valerii Baidin & Christopher J. Gerry & Maria Kaneva, 2021. "How Self-Rated is Self-Rated Health? Exploring the Role of Individual and Institutional Factors in Reporting Heterogeneity in Russia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 155(2), pages 675-696, June.
    3. Kaneva, Maria & Baidin, Valerii, 2018. "Heterogeneity in reporting self-assessed health of the Russians," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 51, pages 102-125.
    4. M. A. Kaneva, 2021. "Health Capital Estimates for Russian Regions in 2004–2018," Regional Research of Russia, Springer, vol. 11(4), pages 524-532, October.
    5. Teemu Kemppainen & Marko Elovainio & Matti Kortteinen & Mari Vaattovaara, 2020. "Involuntary staying and self-rated health: A multilevel study on housing, health and neighbourhood effects," Urban Studies, Urban Studies Journal Limited, vol. 57(5), pages 1049-1067, April.
    6. Rodgers, Justin & Valuev, Anna V. & Hswen, Yulin & Subramanian, S.V., 2019. "Social capital and physical health: An updated review of the literature for 2007–2018," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    7. Quintal, Carlota & Ramos, Luís Moura & Torres, Pedro, 2023. "Disentangling the complexities of modelling when high social capital contributes to indicating good health," Social Science & Medicine, Elsevier, vol. 320(C).

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