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Welfare state regimes and differences in self-perceived health in Europe: A multilevel analysis

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  • Eikemo, Terje Andreas
  • Bambra, Clare
  • Judge, Ken
  • Ringdal, Kristen

Abstract

The aim of this study was to determine the degree to which welfare state regime characteristics explained the proportional variation of self-perceived health between European countries, when individual and regional variation was accounted for, by undertaking a multilevel analysis of the European Social Survey (2002 and 2004). A total of 65,065 individuals, from 218 regions and 21 countries, aged 25 years and above were included in the analysis. The health outcomes related to people's own mental and physical health, in general. The study showed that almost 90% of the variation in health was attributable to the individual-level, while approximately 10% was associated with national welfare state characteristics. The variation across regions within countries was not significant. Type of welfare state regime appeared to account for approximately half of the national-level variation of health inequalities between European countries. People in countries with Scandinavian and Anglo-Saxon welfare regimes were observed to have better self-perceived general health in comparison to Southern and East European welfare regimes.

Suggested Citation

  • Eikemo, Terje Andreas & Bambra, Clare & Judge, Ken & Ringdal, Kristen, 2008. "Welfare state regimes and differences in self-perceived health in Europe: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(11), pages 2281-2295, June.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:11:p:2281-2295
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    1. Harvey Goldstein & Jon Rasbash, 1996. "Improved Approximations for Multilevel Models with Binary Responses," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 159(3), pages 505-513, May.
    2. Dahl, Espen & Ivar Elstad, Jon & Hofoss, Dag & Martin-Mollard, Melissa, 2006. "For whom is income inequality most harmful? A multi-level analysis of income inequality and mortality in Norway," Social Science & Medicine, Elsevier, vol. 63(10), pages 2562-2574, November.
    3. Chung, Haejoo & Muntaner, Carles, 2007. "Welfare state matters: A typological multilevel analysis of wealthy countries," Health Policy, Elsevier, vol. 80(2), pages 328-339, February.
    4. Esping-Andersen, Gosta, 1999. "Social Foundations of Postindustrial Economies," OUP Catalogue, Oxford University Press, number 9780198742005.
    5. Navarro, Vicente & Shi, Leiyu, 2001. "The political context of social inequalities and health," Social Science & Medicine, Elsevier, vol. 52(3), pages 481-491, February.
    6. von dem Knesebeck, Olaf & Verde, Pablo E. & Dragano, Nico, 2006. "Education and health in 22 European countries," Social Science & Medicine, Elsevier, vol. 63(5), pages 1344-1351, September.
    7. Bobak, Martin & Pikhart, Hynek & Rose, Richard & Hertzman, Clyde & Marmot, Michael, 2000. "Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries," Social Science & Medicine, Elsevier, vol. 51(9), pages 1343-1350, November.
    8. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    9. Coburn, David, 2004. "Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities," Social Science & Medicine, Elsevier, vol. 58(1), pages 41-56, January.
    10. Torsheim, Torbjørn & Ravens-Sieberer, Ulrike & Hetland, Jorn & Välimaa, Raili & Danielson, Mia & Overpeck, Mary, 2006. "Cross-national variation of gender differences in adolescent subjective health in Europe and North America," Social Science & Medicine, Elsevier, vol. 62(4), pages 815-827, February.
    11. Carlson, Per, 1998. "Self-perceived health in East and West Europe: another European health divide," Social Science & Medicine, Elsevier, vol. 46(10), pages 1355-1366, March.
    12. Olsen, Karen M. & Dahl, Svenn-Åge, 2007. "Health differences between European countries," Social Science & Medicine, Elsevier, vol. 64(8), pages 1665-1678, April.
    13. Walter Korpi, 2000. "Faces of Inequality: Gender, Class and Patterns of Inequalities in Different Types of Welfare States," LIS Working papers 224, LIS Cross-National Data Center in Luxembourg.
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