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Self-Rated Health: Inequalities and Potential Determinants

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  • Evangelos C. Alexopoulos

    (Department of Public Health, Medical School, University of Patras, 26500 Rio Patras, Greece)

  • Mary Geitona

    (Department of Economics, University of Thessaly, 38221 Volos, Greece)

Abstract

Understanding social inequalities in health is of great importance; it provides the conceptual frame for investigating the social factors that affect health, together with empirical evidence for improving population health. Individual and socioeconomic data, disease related conditions and self rated health (SRH) ratings were collected from a representative sample of 1,000 participants in order to study health inequalities in Greece. 20.8% of men and 37.2% of women reported poor health status. Significant inequalities in SRH were observed. Strong associations of poor SRH with gender, age, insurance coverage and chronic diseases were identified. Social insurance scheme captured partly the effects of educational level, income and residence area in SRH in multivariate analysis. Respondents under chronic treatment and those suffering from cardiovascular, musculoskeletal and neurological/psychiatric disorders exhibited the highest risk of reporting poor SRH. Our findings provide decision-makers with insights into how to manage health inequalities by prioritizing preventive measures and consequently, progress towards the fair distribution of healthcare resources.

Suggested Citation

  • Evangelos C. Alexopoulos & Mary Geitona, 2009. "Self-Rated Health: Inequalities and Potential Determinants," IJERPH, MDPI, vol. 6(9), pages 1-14, September.
  • Handle: RePEc:gam:jijerp:v:6:y:2009:i:9:p:2456-2469:d:5761
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    References listed on IDEAS

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    1. Shadbolt, B., 1997. "Some correlates of self-rated health for australian women," American Journal of Public Health, American Public Health Association, vol. 87(6), pages 951-956.
    2. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    3. Bobak, Martin & Pikhart, Hynek & Hertzman, Clyde & Rose, Richard & Marmot, Michael, 1998. "Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey," Social Science & Medicine, Elsevier, vol. 47(2), pages 269-279, July.
    4. Elias Mossialos & Sara Allin & Konstantina Davaki, 2005. "Analysing the Greek health system: a tale of fragmentation and inertia," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 151-168, September.
    5. Manderbacka, Kristiina & Lundberg, Olle & Martikainen, Pekka, 1999. "Do risk factors and health behaviours contribute to self-ratings of health?," Social Science & Medicine, Elsevier, vol. 48(12), pages 1713-1720, June.
    6. Segovia, Jorge & Bartlett, Roy F. & Edwards, Alison C., 1989. "An empirical analysis of the dimensions of health status measures," Social Science & Medicine, Elsevier, vol. 29(6), pages 761-768, January.
    7. Nolte, Ellen & McKee, Martin, 2004. "Changing health inequalities in east and west Germany since unification," Social Science & Medicine, Elsevier, vol. 58(1), pages 119-136, January.
    8. Martikainen, Pekka & Aromaa, Arpo & Heliövaara, Markku & Klaukka, Timo & Knekt, Paul & Maatela, Jouni & Lahelma, Eero, 1999. "Reliability of perceived health by sex and age," Social Science & Medicine, Elsevier, vol. 48(8), pages 1117-1122, April.
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    Cited by:

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    4. Christina Darviri & Georgia Fouka & Charalambos Gnardellis & Artemios K. Artemiadis & Xanthi Tigani & Evangelos C. Alexopoulos, 2012. "Determinants of Self-Rated Health in a Representative Sample of a Rural Population: A Cross-Sectional Study in Greece," IJERPH, MDPI, vol. 9(3), pages 1-12, March.
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    6. Ainhoa Flecha, 2013. "Healthier Lives for European Minority Groups: School and Health Care, Lessons from the Roma," IJERPH, MDPI, vol. 10(8), pages 1-23, July.

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