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Can inequalities in political participation explain health inequalities?

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  • Reeves, Aaron
  • Mackenbach, Johan P.

Abstract

Inequalities in health are pervasive and durable, but they are not uniform. To date, however, the drivers of these between-country patters in health inequalities remain largely unknown. In this analysis, we draw on data from 17 European countries to explore whether inequalities in political participation, that is, inequalities in voting by educational attainment, are correlated with health inequalities. Over and above a range of relevant confounders, such as GDP, income inequality, health spending, social protection spending, poverty rates, and smoking, greater inequalities in political participation remain correlated with higher health inequalities. If ‘politicians and officials are under no compulsion to pay much heed to classes and groups of citizens that do not vote’ then political inequalities could indirectly affect health through its impact on policy choices that determine who has access to the resources necessary for a healthy life. Inequalities in political participation, then, may well be one of the ‘causes of the causes’ of ill-health.

Suggested Citation

  • Reeves, Aaron & Mackenbach, Johan P., 2019. "Can inequalities in political participation explain health inequalities?," Social Science & Medicine, Elsevier, vol. 234(C), pages 1-1.
    • Handle: RePEc:eee:socmed:v:234:y:2019:i:c:3
    DOI: 10.1016/j.socscimed.2019.112371
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    Cited by:

    1. Reeves, Aaron & Sochas, Laura, 2022. "When do democratic transitions reduce or increase child mortality? Exploring the role of non-violent resistance," Social Science & Medicine, Elsevier, vol. 314(C).
    2. Xinya Yang & Liuna Geng, 2022. "An Integrated Analysis of Social, Economic, and Environmental Indicators’ Effects on Public Health and Health Inequality Globally: From the Perspective of Vulnerability," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 162(3), pages 1261-1279, August.
    3. Nelson, Micah H., 2023. "Explaining socioeconomic disparities in electoral participation: The role of health in the SES-voting relationship," Social Science & Medicine, Elsevier, vol. 320(C).

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