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Changes in mortality inequalities over two decades: register based study of European countries

Changes in mortality inequalities over two decades: register based study of European countries Objective: To determine whether government efforts in reducing inequalities in health in European countries have actually made a difference to mortality inequalities by socioeconomic group. Design: Register based study. Data source: Mortality data by level of education and occupational class in the period 1990-2010, usually collected in a census linked longitudinal study design. We compared changes in mortality between the lowest and highest socioeconomic groups, and calculated their effect on absolute and relative inequalities in mortality (measured as rate differences and rate ratios, respectively). Setting: All European countries for which data on socioeconomic inequalities in mortality were available for the approximate period between years 1990 and 2010. These included Finland, Norway, Sweden, Scotland, England and Wales (data applied to both together), France, Switzerland, Spain (Barcelona), Italy (Turin), Slovenia, and Lithuania. Results: Substantial mortality declines occurred in lower socioeconomic groups in most European countries covered by this study. Relative inequalities in mortality widened almost universally, because percentage declines were usually smaller in lower socioeconomic groups. However, as absolute declines were often smaller in higher socioeconomic groups, absolute inequalities narrowed by up to 35%, particularly among men. Narrowing was partly driven by ischaemic heart disease, smoking related causes, and causes amenable to medical intervention ...

Categoría:Territorio
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-04-19

Health Behaviour in School-aged Children (HBSC) study: international report from 2013/2014 survey

Health Behaviour in School-aged Children (HBSC) study: international report from 2013/2014 survey Health Behaviour in School-aged Children (HBSC), a WHO collaborative cross-national study, has provided information about the health, well-being, social environment and health behaviour of 11-, 13- and 15-year-old boys and girls for over 30 years. This latest international report from the study presents findings from the 2013/2014 survey, which collected data from almost 220 000 young people in 42 countries in Europe and North America. The data focus on social context (relations with family, peers and school), health outcomes (subjective health, injuries, obesity and mental health), health behaviours (patterns of eating, toothbrushing and physical activity) and risk behaviours (use of tobacco, alcohol and cannabis, sexual behaviour, fighting and bullying) relevant to young people’s health and well-being. New items on family and peer support, migration, cyberbullying and serious injuries are also reflected in the report.

Categoría:Edad
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-04-14

A "Before and After" in the Use of Emergency Services in Spain? The Impact of the Economic Crisis

The objective of this study was to analyse whether variables associated with emergency services (ES) use in Spain have changed in the period 2006-2011 using a comparative analysis of the 2006 and 2011 Spanish National Health Surveys. The measure of association was the prevalence ratio with its 95% confidence interval, obtained by Poisson regression with robust variance. We studied interactions between the explanatory variables for ES use and year and subsequently performed a stratified analysis by year. ES use declined by 2.1% in 2011. Most emergency care (approximately 60% in both surveys) was provided in public hospitals. Between 2006 and 2011, ES use increased by 9% in women (p for interaction=0.008) [ref. men], 3% in persons with poor mental health (p for interaction=0.072) [ref. good mental health], and 8% in individuals with limitations on activities of daily living (p for interaction=0.006) [ref. no limitations]. The change in the effect of the variables sex, mental health, and limitations on activities of daily living on use of ES (2006 and 2011) is not explained by either demographic characteristics or individual socioeconomic indicators. These results could be associated with macroeconomic and structural changes occurring during the period 2006-2011.

Categoría:Crisis Económica
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-04-14

Observatorio para Medición de Desigualdades y Análisis de Equidad en Salud. ODES Colombia

Observatorio para Medición de Desigualdades y Análisis de Equidad en Salud. ODES Colombia El Ministerio de Salud y Protección Social de Colombia publica la Guía del Observatorio para Medición de Desigualdades y Análisis de Equidad en Salud. La guía aborda los aspectos conceptuales y los elementos metodológicos necesarios para entender la equidad y medir las desigualdades en salud en el país, explica la necesidad de por qué medir esas desigualdades en salud y se convierte en el puente de la incidencia política entre la investigación y la ciencia. Facilita la toma de decisiones, que la Comisión Intersectorial de Salud Pública (CISP), establecida en 2014 en Colombia, requerirá como herramienta para lograr la mayor inclusión de la equidad en el diseño e implementación de todas las políticas bajo el enfoque de "Salud y Equidad en Todas las Políticas" en el marco del Plan Decenal de Salud Pública 2012-2021. El apoyo de EUROsociAL fue fundamental para la concreción y finalización de la metodología de trabajo y para la garantía de su rigor y calidad.

Categoría:Observatorios
TipoOrganismos Públicos
Publicado en ODS2016-04-13

Health inequalities by socioeconomic characteristics in Spain: the economic crisis effect

Health inequalities by socioeconomic characteristics in Spain: the economic crisis effect Background:An economic crisis can widen health inequalities between individuals. The aim of this paper is to explore differences in the effect of socioeconomic characteristics on Spaniards' self-assessed health status, depending on the Spanish economic situation. Methods:Data from the 2006-2007 and 2011-2012 National Health Surveys were used and binary logit and probit models were estimated to approximate the effects of socioeconomic characteristics on the likelihood to report good health. Results:The difference between high and low education levels leads to differences in the likelihood to report good health of 16.00-16.25 and 18.15-18.22 percentage points in 2006-07 and 2011-12, respectively. In these two periods, the difference between employees and unemployed is 5.24-5.40 and 4.60-4.90 percentage points, respectively. Additionally, the difference between people who live in households with better socioeconomic conditions and those who are in worse situation reaches 5.37-5.46 and 3.63-3.74 percentage points for the same periods, respectively. Conclusions:The magnitude of the contribution of socioeconomic characteristics to health inequalities changes with the economic cycle; but this effect is different depending on the socioeconomic characteristics indicator that is being measured. In recessive periods, health inequalities due to education level increase, but those linked to individual professional status and household living conditions are attenuated. When the joint ef ...

Categoría:Clase Social
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-04-13

Desigualdades en salud mental en población trabajadora de España: un estudio basado en la Encuesta Nacional de Salud

Desigualdades en salud mental en población trabajadora de España: un estudio basado en la Encuesta Nacional de Salud Objetivo:En población trabajadora, los problemas de salud mental son un problema significativo cuya prevalencia y factores asociados pueden diferir según el sexo, en especial durante un periodo de cambios socioeconómicos. Los objetivos de este estudio son: a) conocer la prevalencia de problemas de salud mental en población trabajadora de España en 2011; b) evaluar la asociación de esta prevalencia con variables socioeconómicas y laborales para hombres y mujeres por separado; c) determinar si los patrones difieren por sexos. Métodos:Estudio transversal con datos de la Encuesta Nacional de Salud de España (2011). De los 21.007 participantes en la encuesta, se seleccionaron 7396 cuya situación laboral era "trabajando". Se utilizón el General Health Questionnaire (GHQ-12) como herramienta de cribado para detectar problemas de salud mental. Se calcularon las prevalencias y se realizaron modelos bivariados y multivariados de regresión logísstica para comprobar la asociación entre variables. Resultados:La prevalencia de problemas de salud mental fue mayor entre las mujeres (19,9%) que entre los hombres (13,9%), con una prevalencia global del 16,8%. Las variables asociadas a una mayor prevalencia fueron el tipo de contrato y las relacionadas con el empleo remunerado entre hombres, y la edad y las variables socioeconómicas en las mujeres Conclusiones:En población trabajadora de España, la prevalencia de problemas de salud mental y sus factores relacionados difieren en función del s ...

Categoría:Género
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-04-11