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Public awareness of poverty as a determinant of health: survey results from 23 countries

Author

Listed:
  • Olaf von dem Knesebeck

    (University Medical Center Hamburg-Eppendorf)

  • Nico Vonneilich

    (University Medical Center Hamburg-Eppendorf)

  • Tae Jun Kim

    (University Medical Center Hamburg-Eppendorf)

Abstract

Objectives We aim to examine (1) variations in the public awareness of poverty as a determinant of health and (2) associations of individual and macro level factors with awareness. Methods Analyses are based on the International Social Survey Programme. Data stem from 23 countries (N = 37,228) that were assigned to six welfare states. Sociodemographic, socio-economic, and health-related factors were considered as individual level characteristics. Gross domestic product, relative poverty rate, Gini coefficient, and magnitude of health inequalities were additionally introduced as macro level factors. Results About 47% of the respondents in all countries agreed with the statement that people suffer from severe health problems because they are poor (range 30–77%). Multilevel analyses reveal that awareness was least pronounced in Liberal, East European, and East Asian welfare regimes. Moreover, women, older adults, respondents with low education and income, as well as poor health were more likely to show awareness. Conclusions There is a need to raise public awareness of the adverse health effects of poverty as the public opinion can be an important driver of political will on health and social issues.

Suggested Citation

  • Olaf von dem Knesebeck & Nico Vonneilich & Tae Jun Kim, 2018. "Public awareness of poverty as a determinant of health: survey results from 23 countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 165-172, March.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:2:d:10.1007_s00038-017-1035-9
    DOI: 10.1007/s00038-017-1035-9
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    References listed on IDEAS

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    1. Robert, S.A. & Booske, B.C., 2011. "US opinions on health determinants and social policy as health policy," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1655-1663.
    2. Marmot, M. & Allen, J.J., 2014. "Social determinants of health equity," American Journal of Public Health, American Public Health Association, vol. 104(S4), pages 517-519.
    3. Gollust, S.E. & Lantz, P.M. & Ubel, P.A., 2009. "The polarizing effect of news media messages about the social determinants of health," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2160-2167.
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    2. Mirela Cristea & Graţiela Georgiana Noja & Cecilia-Nicoleta Jurcuţ & Constantin Ştefan Ponea & Elena Sorina Caragiani & Alin Viorel Istodor, 2021. "The Interplay between Public Health, Well-Being and Population Aging in Europe: An Advanced Structural Equation Modelling and Gaussian Network Approach," IJERPH, MDPI, vol. 18(4), pages 1-20, February.
    3. Olaf von dem Knesebeck & Daniel Lüdecke & Claudia Luck-Sikorski & Tae Jun Kim, 2019. "Public beliefs about causes of obesity in the USA and in Germany," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(8), pages 1139-1146, November.

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