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Socioeconomic inequality in clusters of health-related behaviours in Europe: latent class analysis of a cross-sectional European survey
[Zeitschriftenartikel]
Abstract Background: Modifiable health-related behaviours tend to cluster among most vulnerable sectors of the population, particularly those at the bottom of the social hierarchy. This study aimed to identify the clusters of health-related behaviours in 27 European countries and to examine the socioeconomic... mehr
Background: Modifiable health-related behaviours tend to cluster among most vulnerable sectors of the population, particularly those at the bottom of the social hierarchy. This study aimed to identify the clusters of health-related behaviours in 27 European countries and to examine the socioeconomic inequalities in these clusters.
Methods: Data were from Eurobarometer 72.3–2009, a cross-sectional survey of 27 European countries. The analyses were conducted in 2016. The main sections of the survey included questions pertaining to sociodemographic factors, health-related behaviours, and use of services. In this study, those aged 18 years and older were included. We selected five health-related behaviours, namely smoking, excessive alcohol consumption, frequent fresh fruit consumption, physical activity and dental check-ups. Socioeconomic position was indicated by education, subjective social status and difficulty in paying bills. Latent class analysis was conducted to explore the clusters of these five behaviours. Multinomial logistic regression model was used to examine the relationships between the clusters and socioeconomic positions adjusting for age, gender, marital status and urbanisation.
Results: The eligible total population was 23,842. Latent class analysis identified three clusters; healthy, moderate and risky clusters in this European population. Individuals with the lowest socioeconomic position were more likely to have risky and moderate clusters than healthy cluster compared to those with the highest socioeconomic position.
Conclusions: There were clear socioeconomic gradients in clusters of health-related behaviours. The findings highlight the importance of adopting interventions that address multiple health risk behaviours and policies that tackle the social determinants of health-related behaviours.... weniger
Thesaurusschlagwörter
sozioökonomische Faktoren; Gesundheitsverhalten; Cluster-Analyse; Europa; Ungleichheit; soziale Ungleichheit; Eurobarometer; Tabakkonsum; Alkoholkonsum; Essverhalten; körperliche Bewegung; Zahnarzt; Zahnpflege; Gesundheit; Risiko
Klassifikation
Gesundheitspolitik
Freie Schlagwörter
ZA4977: Eurobarometer 72.3 (Oct 2009)
Sprache Dokument
Englisch
Publikationsjahr
2017
Seitenangabe
S. 1-8
Zeitschriftentitel
BMC Public Health, 17 (2017)
Heftthema
Health behavior, health promotion and society
DOI
https://doi.org/10.1186/s12889-017-4440-3
ISSN
1471-2458
Status
Veröffentlichungsversion; begutachtet (peer reviewed)