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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
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    References listed on IDEAS

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    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. 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.
    3. 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.
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