Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | International Journal for Equity in Health |
| Online Access: | http://link.springer.com/article/10.1186/s12939-020-01202-7 |
| _version_ | 1818340638276452352 |
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| author | Núria Pedrós Barnils Eva Eurenius Per E. Gustafsson |
| author_facet | Núria Pedrós Barnils Eva Eurenius Per E. Gustafsson |
| author_sort | Núria Pedrós Barnils |
| collection | DOAJ |
| description | 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, 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. |
| first_indexed | 2024-12-13T15:46:05Z |
| format | Article |
| id | doaj.art-7079896dfbf34c71a413c42510b94d5c |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-13T15:46:05Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-7079896dfbf34c71a413c42510b94d5c2022-12-21T23:39:42ZengBMCInternational Journal for Equity in Health1475-92762020-06-0119111410.1186/s12939-020-01202-7Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factorsNúria Pedrós Barnils0Eva Eurenius1Per E. Gustafsson2Department of Physics, Polytechnic University of CataloniaDepartment of Epidemiology and Global Health, Umeå UniversityDepartment of Epidemiology and Global Health, Umeå UniversityAbstract 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.http://link.springer.com/article/10.1186/s12939-020-01202-7 |
| spellingShingle | Núria Pedrós Barnils Eva Eurenius Per E. Gustafsson Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors International Journal for Equity in Health |
| title | Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors |
| title_full | Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors |
| title_fullStr | Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors |
| title_full_unstemmed | Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors |
| title_short | Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors |
| title_sort | self rated health inequalities in the intersection of gender social class and regional development in spain exploring contributions of material and psychosocial factors |
| url | http://link.springer.com/article/10.1186/s12939-020-01202-7 |
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