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Educational inequalities in health in European welfare states: A social expenditure approach

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  • Dahl, Espen
  • van der Wel, Kjetil A.

Abstract

A puzzle in comparative health inequality research is the finding that egalitarian welfare states do not necessarily demonstrate narrow health inequalities. This paper interrogates into this puzzle by moving beyond welfare regimes to examine how welfare spending affect inequalities in self-rated across Europe. We operationalise welfare spending in four different ways and compare both absolute and relative health inequalities, as well as the level of poor self-rated health in the low education group across varying levels of social spending.

Suggested Citation

  • Dahl, Espen & van der Wel, Kjetil A., 2013. "Educational inequalities in health in European welfare states: A social expenditure approach," Social Science & Medicine, Elsevier, vol. 81(C), pages 60-69.
    • Handle: RePEc:eee:socmed:v:81:y:2013:i:c:p:60-69
    DOI: 10.1016/j.socscimed.2012.12.010
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    References listed on IDEAS

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    1. Castles, Francis G., 2004. "The Future of the Welfare State: Crisis Myths and Crisis Realities," OUP Catalogue, Oxford University Press, number 9780199273928.
    2. McFadden, E. & Luben, R. & Bingham, S. & Wareham, N. & Kinmonth, A.-L. & Khaw, K.-T., 2009. "Does the association between self-rated health and mortality vary by social class?," Social Science & Medicine, Elsevier, vol. 68(2), pages 275-280, January.
    3. Esping-Andersen, Gosta, 1999. "Social Foundations of Postindustrial Economies," OUP Catalogue, Oxford University Press, number 9780198742005.
    4. Willem Adema & Maxime Ladaique, 2009. "How Expensive is the Welfare State?: Gross and Net Indicators in the OECD Social Expenditure Database (SOCX)," OECD Social, Employment and Migration Working Papers 92, OECD Publishing.
    5. Piet Ouweneel, 2002. "Social Security and Well-Being of the Unemployed in 42 Nations," Journal of Happiness Studies, Springer, vol. 3(2), pages 167-192, June.
    6. 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.
    7. repec:dau:papers:123456789/10510 is not listed on IDEAS
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