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Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors
[Zeitschriftenartikel]
Abstract Background: Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender,... mehr
Background: Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender, social class and region, and the contribution of material and psychosocial factors to these inequalities. Methods: Participants were drawn from the cross-sectional 2015 National Living Conditions Survey of Spanish residents aged 19–88 years (N = 27,215; 77% response rate). Eight intersectional positions were formed by combining dichotomous variables of gender, social class and regional development. Poisson regression was used to estimate intersectional inequalities in SRH as prevalence ratios, and the contributions of material and psychosocial factors. Results: Results showed both cumulative and heterogeneous inequalities within and across intersectional positions. Inequalities in the intersection of social class and regional development were best explained by the joint contributions of material and psychosocial factors, while gender inequalities within non-manual social class were better explained by material factors alone. Conclusions: The results illustrate the complexity of interacting inequalities in health and their underpinnings in Spain. Local and national policies taking this complexity into account are needed to broadly improve equity in health in Spain.... weniger
Thesaurusschlagwörter
Ungleichheit; Gesundheit; soziale Klasse; Geschlecht; regionale Faktoren; regionaler Unterschied; Spanien; Selbsteinschätzung; psychosoziale Faktoren; Intersektionalität; regionale Entwicklung; Regressionsanalyse; Querschnittuntersuchung; Erwachsener
Klassifikation
Medizinsoziologie
Freie Schlagwörter
2015 annual national cross-sectional Living Conditions Survey 'Encuesta de Condiciones de Vida'; European Union Statistics on Income and Living Conditions (EU-SILC)
Sprache Dokument
Englisch
Publikationsjahr
2020
Seitenangabe
S. 1-14
Zeitschriftentitel
International Journal for Equity in Health, 19 (2020)
DOI
https://doi.org/10.1186/s12939-020-01202-7
ISSN
1475-9276
Status
Veröffentlichungsversion; begutachtet (peer reviewed)