IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v63y2018i3d10.1007_s00038-017-1065-3.html
   My bibliography  Save this article

Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment

Author

Listed:
  • Nihaya Daoud

    (Ben-Gurion University of the Negev)

  • Varda Soskolne

    (Bar-Ilan University)

  • Jennifer S. Mindell

    (UCL)

  • Marilyn A. Roth

    (UCL)

  • Orly Manor

    (Hebrew University-Hadassah)

Abstract

Objectives Ethnic inequalities in health (EIH) are unjust public health problem that emerge across societies. In Israel, despite uniform healthcare coverage, marked EIH persist between Arabs and Jews. Methods We draw on the ecosocial approach to examine the relative contributions of individual socioeconomic status (SES), psychosocial and health behavioral factors, and the living environment (neighborhood problems, social capital, and social participation) to explaining ethnic differences in self-rated health (SRH). Data were derived from two nationwide studies conducted in 2004–2005 of stratified samples of Arabs (N = 902) and Jews (N = 1087). Results Poor SRH was significantly higher among Arabs after adjustment for age and gender [odds ratio and 95% confidence interval (CI) = 1.94 (1.57–2.40)]. This association was reversed following adjustment for all possible mediators: OR (95% CI) = 0.70(0.53–0.92). The relative contribution of SES and the living environment was sizable, each attenuating the EIH by 40%, psychosocial factors by 25%, and health behaviors by 16%. Conclusions Arabs in Israel have poorer SRH than Jews. Polices to reduce this inequality should mainly focus on improving the SES and the living conditions of the Arabs, which might enhance health behaviors and well-being.

Suggested Citation

  • Nihaya Daoud & Varda Soskolne & Jennifer S. Mindell & Marilyn A. Roth & Orly Manor, 2018. "Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 313-323, April.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:3:d:10.1007_s00038-017-1065-3
    DOI: 10.1007/s00038-017-1065-3
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-017-1065-3
    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/s00038-017-1065-3?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. Chandola, Tarani, 2001. "Ethnic and class differences in health in relation to British South Asians: using the new National Statistics Socio-Economic Classification," Social Science & Medicine, Elsevier, vol. 52(8), pages 1285-1296, April.
    2. Kawachi, I. & Kennedy, B.P. & Glass, R., 1999. "Social capital and self-rated health: A contextual analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1187-1193.
    3. Krieger, N. & Kosheleva, A. & Waterman, P.D. & Chen, J.T. & Koenen, K., 2011. "Racial discrimination, psychological distress, and self-rated health among US-born and foreign-born black Americans," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1704-1713.
    4. Lindström, Martin & Merlo, Juan & Östergren, Per-Olof, 2002. "Individual and neighbourhood determinants of social participation and social capital: a multilevel analysis of the city of Malmö, Sweden," Social Science & Medicine, Elsevier, vol. 54(12), pages 1779-1791, June.
    5. Nazroo, J.Y., 2003. "The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 277-284.
    6. Signe Nielsen & Allan Krasnik, 2010. "Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(5), pages 357-371, October.
    7. Nihaya Daoud & Patricia O’Campo & Marcelo Urquia & Maureen Heaman, 2012. "Neighbourhood context and abuse among immigrant and non-immigrant women in Canada: findings from the Maternity Experiences Survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(4), pages 679-689, August.
    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. Anne Marie Novak & Adi Katz & Michal Bitan & Shahar Lev-Ari, 2022. "The Association between the Sense of Coherence and the Self-Reported Adherence to Guidelines during the First Months of the COVID-19 Pandemic in Israel," IJERPH, MDPI, vol. 19(13), pages 1-13, June.
    2. Nihaya Daoud & Ye Eun Jung & Ahmad Sheikh Muhammad & Ruth Weinstein & Amir Qaadny & Faten Ghattas & Mohammad Khatib & Itamar Grotto, 2018. "Facilitators and barriers to smoking cessation among minority men using the behavioral-ecological model and Behavior Change Wheel: A concept mapping study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-26, October.
    3. Kathleen Abu-Saad & Nihaya Daoud & Giora Kaplan & Arnona Ziv & Arnon D. Cohen & Liraz Olmer & Daphna Pollack & Ofra Kalter-Leibovici, 2022. "Comparing Patient Perspectives on Diabetes Management to the Deficit-Based Literature in an Ethnic Minority Population: A Mixed-Methods Study," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    4. Daoud, Nihaya & Abu-Hamad, Sirat & Berger-Polsky, Alexandra & Davidovitch, Nadav & Orshalimy, Sharon, 2022. "Mechanisms for racial separation and inequitable maternal care in hospital maternity wards," Social Science & Medicine, Elsevier, vol. 292(C).
    5. Kheir, Nasr & Portnov, Boris A., 2024. "Land market segmentation along ethnic lines: Four urban localities in Israel as a case study," Land Use Policy, Elsevier, vol. 136(C).
    6. Efrat Neter & Svetlana Chachashvili-Bolotin, 2022. "Ethnic Differences in Attitudes and Preventive Behaviors Related to Alzheimer’s Disease in the Israeli Survey of Aging," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    7. Violetta Rozani, 2022. "Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    8. Liqin Zhang & Lin Wu, 2021. "Community Environment Perception on Depression: The Mediating Role of Subjective Social Class," IJERPH, MDPI, vol. 18(15), pages 1-16, July.
    9. Kathleen Abu-Saad & Nihaya Daoud & Giora Kaplan & Arnona Ziv & Arnon D Cohen & Daphna Pollack & Liraz Olmer & Ofra Kalter-Leibovici & on behalf of the Diabetes in the Arab Population in Israel (DAPI) , 2021. "A strengths-based approach to exploring diabetes management in an Indigenous minority population: A mixed methods study," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-19, December.
    10. Semyonov-Tal, Keren, 2024. "Responsiveness of inpatient care and provision of dignity: Insights from a patient experience survey in Israel," Health Policy, Elsevier, vol. 143(C).

    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. Blom, Niels & Huijts, Tim & Kraaykamp, Gerbert, 2016. "Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system characteristics," Social Science & Medicine, Elsevier, vol. 158(C), pages 43-51.
    2. Fu, Mengzhu & Exeter, Daniel J. & Anderson, Anneka, 2015. "“So, is that your ‘relative’ or mine?” A political-ecological critique of census-based area deprivation indices," Social Science & Medicine, Elsevier, vol. 142(C), pages 27-36.
    3. Cecilie Dinesen & Signe Nielsen & Laust Mortensen & Allan Krasnik, 2011. "Inequality in self-rated health among immigrants, their descendants and ethnic Danes: examining the role of socioeconomic position," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 503-514, October.
    4. Araya, Ricardo & Dunstan, Frank & Playle, Rebecca & Thomas, Hollie & Palmer, Stephen & Lewis, Glyn, 2006. "Perceptions of social capital and the built environment and mental health," Social Science & Medicine, Elsevier, vol. 62(12), pages 3072-3083, June.
    5. Signe Smith Nielsen & Nana Folmann Hempler & Allan Krasnik, 2013. "Issues to Consider When Measuring and Applying Socioeconomic Position Quantitatively in Immigrant Health Research," IJERPH, MDPI, vol. 10(12), pages 1-12, November.
    6. Silvia Loi & Jo Mhairi Hale, 2019. "Migrant health convergence and the role of material deprivation," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(32), pages 933-962.
    7. Damiano Fiorillo & Nunzia Nappo, 2017. "Formal volunteering and self-perceived health. Causal evidence from the UK-SILC," Review of Social Economy, Taylor & Francis Journals, vol. 75(2), pages 112-138, April.
    8. Matias Reus-Pons & Eva U. B. Kibele & Fanny Janssen, 2017. "Differences in healthy life expectancy between older migrants and non-migrants in three European countries over time," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 531-540, June.
    9. Kumar, Kaushalendra & Shukla, Ankita & Singh, Abhishek & Ram, Faujdar & Kowal, Paul, 2016. "Association between wealth and health among older adults in rural China and India," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 43-52.
    10. Hanibuchi, Tomoya & Murata, Yohei & Ichida, Yukinobu & Hirai, Hiroshi & Kawachi, Ichiro & Kondo, Katsunori, 2012. "Place-specific constructs of social capital and their possible associations to health: A Japanese case study," Social Science & Medicine, Elsevier, vol. 75(1), pages 225-232.
    11. Guillem López-Casasnovas & Berta Rivera, 2002. "Las políticas de equidad en salud y las relaciones entre renta y salud," Hacienda Pública Española / Review of Public Economics, IEF, vol. 161(2), pages 99-126, June.
    12. Irizar, Patricia & Kapadia, Dharmi & Amele, Sarah & Bécares, Laia & Divall, Pip & Katikireddi, Srinivasa Vittal & Kibuchi, Eliud & Kneale, Dylan & McCabe, Ronan & Nazroo, James & Nellums, Laura B. & T, 2023. "Pathways to ethnic inequalities in COVID-19 health outcomes in the United Kingdom: A systematic map," Social Science & Medicine, Elsevier, vol. 329(C).
    13. Fiorillo, Damiano & Sabatini, Fabio, 2011. "Quality and quantity: The role of social interactions in self-reported individual health," Social Science & Medicine, Elsevier, vol. 73(11), pages 1644-1652.
    14. Fu, Mengzhu & Exeter, Daniel J. & Anderson, Anneka, 2015. "The politics of relative deprivation: A transdisciplinary social justice perspective," Social Science & Medicine, Elsevier, vol. 133(C), pages 223-232.
    15. Mosi Adesina Ifatunji & Yanica Faustin & Wendy Lee & Deshira Wallace, 2022. "Black Nativity and Health Disparities: A Research Paradigm for Understanding the Social Determinants of Health," IJERPH, MDPI, vol. 19(15), pages 1-40, July.
    16. Mitchell, Andrew David & Bossert, Thomas J., 2007. "Measuring dimensions of social capital: Evidence from surveys in poor communities in Nicaragua," Social Science & Medicine, Elsevier, vol. 64(1), pages 50-63, January.
    17. Kobayashi, Tomoko & Kawachi, Ichiro & Iwase, Toshihide & Suzuki, Etsuji & Takao, Soshi, 2013. "Individual-level social capital and self-rated health in Japan: An application of the Resource Generator," Social Science & Medicine, Elsevier, vol. 85(C), pages 32-37.
    18. Branislav Šprocha & Branislav Bleha, 2021. "Mortality, Health Status and Self-Perception of Health in Slovak Roma Communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(3), pages 1065-1086, February.
    19. Sijmen Reijneveld & Maroesjka Nieuwenhuijzen & Mariska Klein Velderman & Theo Paulussen & Marianne Junger, 2012. "Clustering of health and risk behaviour in immigrant and indigenous Dutch residents aged 19–40 years," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(2), pages 351-361, April.
    20. Muntaner, Carles & Borrell, Carme & Vanroelen, Christophe & Chung, Haejoo & Benach, Joan & Kim, Il Ho & Ng, Edwin, 2010. "Employment relations, social class and health: A review and analysis of conceptual and measurement alternatives," Social Science & Medicine, Elsevier, vol. 71(12), pages 2130-2140, December.

    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:3:d:10.1007_s00038-017-1065-3. 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.