IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v63y2018i2d10.1007_s00038-018-1079-5.html
   My bibliography  Save this article

Self-rated health in Europe and its determinants: Does generation matter?

Author

Listed:
  • Isabel Aguilar-Palacio

    (Zaragoza University
    IIS Aragon)

  • Ana Isabel Gil-Lacruz

    (Zaragoza University)

  • Raquel Sánchez-Recio

    (IIS Aragon)

  • Mª José Rabanaque

    (Zaragoza University
    IIS Aragon)

Abstract

Objectives To analyse the influence of micro- and macro-factors on self-rated health, and the role of generation on this relationship. Methods Cross-sectional study using data from European Health Interview Surveys from 14 European countries. Individuals were divided into four generations (“silent generation”, “baby boomers”, and “generation X” and “Y”). We conducted multilevel analyses for each generation to study the influence of individual and national explanatory variables on self-rated health. Results Age showed an exponential effect in older generations. Education and employment presented the strongest association with low self-rated health, especially in “baby boomers” and women (low education: OR 3.5; 95% CI 3.2–3.9). Tobacco showed a negative effect in younger generations. Overweight and low physical activity were negatively associated with self-rated health regardless of generation. Countries from the Eastern welfare system showed the highest risk of low self-rated health and this association was higher in men for “silent generation” (OR 4.7; 95% CI 3.0–7.6). Conclusions The influence of individual and national factors on self-rated health varies regarding generation. The target generation and the demographic structure of a country should be taken into account to develop more accurate health policies.

Suggested Citation

  • Isabel Aguilar-Palacio & Ana Isabel Gil-Lacruz & Raquel Sánchez-Recio & Mª José Rabanaque, 2018. "Self-rated health in Europe and its determinants: Does generation matter?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 223-232, March.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:2:d:10.1007_s00038-018-1079-5
    DOI: 10.1007/s00038-018-1079-5
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-018-1079-5
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00038-018-1079-5?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jylhä, Marja, 2009. "What is self-rated health and why does it predict mortality? Towards a unified conceptual model," Social Science & Medicine, Elsevier, vol. 69(3), pages 307-316, August.
    2. Meyer, O.L. & Castro-Schilo, L. & Aguilar-Gaxiola, S., 2014. "Determinants of mental health and self-rated health: A model of socioeconomic status, neighborhood safety, and physical activity," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1734-1741.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Renato Vitor Vieira & Carlos Antonio Gomes da Cruz & Gizelton Pereira Alencar & Viviane Elisângela Gomes & Loliza Luiz Figueiredo Houri Chalub & Anna Rachel dos Santos Soares & Maria Luiza Viana Fonse, 2024. "Experience of Discrimination and Oral Health Self-Perception: A Cross-Sectional Study among Brazilian Adults," IJERPH, MDPI, vol. 21(6), pages 1-15, June.
    2. Furkan Tosyali & Ezgi Coban-Tosyali & Mehmet Harma, 2024. "Predictors of Subjective Health Among Spouses and Its Relations With Happiness: A Multilevel Analysis in a Nationwide Survey in Turkey," Journal of Happiness Studies, Springer, vol. 25(6), pages 1-20, August.
    3. Martina Otavova & Herman Oyen & Renata T. C. Yokota & Rana Charafeddine & Luk Joossens & Geert Molenberghs & Wilma J. Nusselder & Hendriek C. Boshuizen & Brecht Devleesschauwer, 2020. "Potential impact of reduced tobacco use on life and health expectancies in Belgium," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 129-138, March.
    4. Patricia Gómez-Costilla & Carmen García-Prieto & Noelia Somarriba-Arechavala, 2022. "Aging and Gender Health Gap: A Multilevel Analysis for 17 European Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 1051-1069, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Qiutong Yu & Yuqing Cheng & Wei Li & Genyong Zuo, 2022. "Mediating Factors Explaining the Associations between Solid Fuel Use and Self-Rated Health among Chinese Adults 65 Years and Older: A Structural Equation Modeling Approach," IJERPH, MDPI, vol. 19(11), pages 1-10, June.
    2. M Fernanda Lima-Costa & James Macinko & Juliana Vaz de Melo Mambrini & Cibele C Cesar & Sérgio V Peixoto & Wagner C S Magalhães & Bernardo L Horta & Mauricio Barreto & Erico Castro-Costa & Josélia O A, 2015. "Genomic Ancestry, Self-Rated Health and Its Association with Mortality in an Admixed Population: 10 Year Follow-Up of the Bambui-Epigen (Brazil) Cohort Study of Ageing," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-14, December.
    3. Leila Freidoony & Ranabhat Chhabi & Chang Soo Kim & Myung Bae Park & Chun-Bae Kim, 2015. "The Components of Self-Perceived Health in the Kailali District of Nepal: A Cross-Sectional Survey," IJERPH, MDPI, vol. 12(3), pages 1-17, March.
    4. Foubert, Josephine & Levecque, Katia & Van Rossem, Ronan & Romagnoli, Alessia, 2014. "Do welfare regimes influence the association between disability and self-perceived health? A multilevel analysis of 57 countries," Social Science & Medicine, Elsevier, vol. 117(C), pages 10-17.
    5. Sophie Le Cœur & Aline Desesquelles & Elisabeth Morand & Cheeraya Kanabkaew & Éva Lelièvre, 2017. "Self-rated Health among HIV-infected People Receiving Treatments in Thailand," Asian Social Science, Canadian Center of Science and Education, vol. 13(1), pages 1-20, January.
    6. Jin Liu & Ning Jiang & Amy Z. Fan & William W. Thompson & Ruyi Ding & Shiguang Ni, 2023. "Investigating the Associations Between Socioeconomic Factors and Unhealthy Days among Adults Using Zero-inflated Negative Binomial Regression," SAGE Open, , vol. 13(3), pages 21582440231, August.
    7. Chiara Scaratti & Matilde Leonardi & Fabiola Silvaggi & Carolina C. Ávila & Amalia Muñoz-Murillo & Panayiota Stavroussi & Olga Roka & Helena Burger & Klemens Fheodoroff & Beata Tobiasz-Adamczyk & Carl, 2018. "Mapping European Welfare Models: State of the Art of Strategies for Professional Integration and Reintegration of Persons with Chronic Diseases," IJERPH, MDPI, vol. 15(4), pages 1-20, April.
    8. Yosuke Kasai & Etsuji Suzuki & Toshihide Iwase & Hiroyuki Doi & Soshi Takao, 2013. "Type D Personality Is Associated with Psychological Distress and Poor Self-Rated Health among the Elderly: A Population-Based Study in Japan," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-7, October.
    9. Teresa Leão & Inês Campos-Matos & Clare Bambra & Giuliano Russo & Julian Perelman, 2018. "Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
    10. Xi Pan & Rose Ward, 2015. "Self-management and Self-rated Health Among Middle-aged and Older Adults with Type 2 Diabetes in China: A Structural Equation Model," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 120(1), pages 247-260, January.
    11. Jane K L Teh & Nai Peng Tey & Sor Tho Ng, 2014. "Ethnic and Gender Differentials in Non-Communicable Diseases and Self-Rated Health in Malaysia," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    12. Wolf, Jennifer Price & Freisthler, Bridget & McCarthy, Karla Shockley, 2021. "Parenting in poor health: Examining associations between parental health, prescription drug use, and child maltreatment," Social Science & Medicine, Elsevier, vol. 277(C).
    13. Terje A Eikemo & Rasmus Hoffmann & Margarete C Kulik & Ivana Kulhánová & Marlen Toch-Marquardt & Gwenn Menvielle & Caspar Looman & Domantas Jasilionis & Pekka Martikainen & Olle Lundberg & Johan P Mac, 2014. "How Can Inequalities in Mortality Be Reduced? A Quantitative Analysis of 6 Risk Factors in 21 European Populations," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-1, November.
    14. Zheng Xie & Adrienne N Poon & Zhijun Wu & Weiyan Jian & Kit Yee Chan, 2015. "Is Occupation a Good Predictor of Self-Rated Health in China?," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-18, May.
    15. Zimmer, Zachary & Prachuabmoh, Vipan, 2012. "Comparing the socioeconomic status – Health gradient among adults 50 and older across rural and urban areas of Thailand in 1994 and 2007," Social Science & Medicine, Elsevier, vol. 74(12), pages 1921-1928.
    16. Ilias‐Ioannis Kyriopoulos & Dimitris Zavras & Antonis Charonis & Kostas Athanasakis & Elpida Pavi & John Kyriopoulos, 2016. "Indebtedness, Socioeconomic Status, and Self‐Rated Health: Empirical Evidence From Greece," Poverty & Public Policy, John Wiley & Sons, vol. 8(4), pages 387-397, December.
    17. Amelie F. Constant & Teresa García-Muñoz & Shoshana Neuman & Tzahi Neuman, 2018. "A “healthy immigrant effect” or a “sick immigrant effect”? Selection and policies matter," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(1), pages 103-121, January.
    18. Zachary Zimmer & Luoman Bao & Nanette L. Mayol & Feinian Chen & Tita Lorna L. Perez & Paulita L. Duazo, 2017. "Functional limitation trajectories and their determinants among women in the Philippines," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(30), pages 863-892.
    19. Sascha de Breij & Martijn Huisman & Dorly J H Deeg, 2020. "Work characteristics and health in older workers: Educational inequalities," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-11, October.
    20. Ashley McAllister & Theo Bodin & Henrik Brønnum-Hansen & Lisa Harber-Aschan & Ben Barr & Lee Bentley & Qing Liao & Natasja Koitzsch Jensen & Ingelise Andersen & Wen-Hao Chen & Karsten Thielen & Camero, 2020. "Inequalities in extending working lives beyond age 60 in Canada, Denmark, Sweden and England—By gender, level of education and health," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-12, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:63:y:2018:i:2:d:10.1007_s00038-018-1079-5. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.