Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016

Objective: Previous research has found persistent socioeconomic inequalities in health outcomes at the national level, with different patterns after the economic crisis. However, inequalities in urban areas are also important. This study analyses socioeconomic inequalities in self-assessed health an...

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Detalles Bibliográficos
Autores: Bartoll-Roca X., Palència L., Gotsens M., Borrell C.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p8177
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8177
https://ddd.uab.cat/record/275195
Access Level:acceso abierto
Palabra clave:Socioeconomic factors
Economic recession
Health status disparities
Mental health
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spelling Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016Bartoll-Roca X.Palència L.Gotsens M.Borrell C.Socioeconomic factorsEconomic recessionHealth status disparitiesMental healthObjective: Previous research has found persistent socioeconomic inequalities in health outcomes at the national level, with different patterns after the economic crisis. However, inequalities in urban areas are also important. This study analyses socioeconomic inequalities in self-assessed health and mental health in the city of Barcelona. Method: Repeated cross-sectional design using quinquennial data from the Barcelona Health Surveys carried out in 2001, 2006, 2011 and 2016 for the population older than 22 years. Robust Poisson regressions models were used to compute socioeconomic gradients and relative (RII) and slope indexes of inequality (SII) by occupational social class, with stratification by sex. RII and SII were also obtained with further adjustment by employment situation. Results: A consistent socioeconomic gradient was found for all years except for 2011. Relative and absolute inequalities followed a V-shape, showing a drop during the economic crisis but widening thereafter to recover pre-crisis figures for self-assessed health and widening for mental health, in both relative and absolute terms in 2016. Adjustment for employment situation reduces inequalities but a large part of these inequalities remains, with variability across years. Conclusions: The lasting effects of the 2008 economic crisis and the austerity programmes imposed since then may have contributed to the persistence of socioeconomic inequalities in self-assessed health and the widening of those for mental health.(c) 2021 SESPAS. Published by Elsevier Espan tilde a, S.L.U.ELSEVIER2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8177https://ddd.uab.cat/record/275195Gaceta SanitariaISSN: 02139111ISSNe: 15781283reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Españolinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p81772026-06-14T12:41:47Z
dc.title.none.fl_str_mv Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
title Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
spellingShingle Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
Bartoll-Roca X.
Socioeconomic factors
Economic recession
Health status disparities
Mental health
title_short Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
title_full Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
title_fullStr Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
title_full_unstemmed Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
title_sort Socioeconomic inequalities in self-assessed health and mental health in Barcelona, 2001-2016
dc.creator.none.fl_str_mv Bartoll-Roca X.
Palència L.
Gotsens M.
Borrell C.
author Bartoll-Roca X.
author_facet Bartoll-Roca X.
Palència L.
Gotsens M.
Borrell C.
author_role author
author2 Palència L.
Gotsens M.
Borrell C.
author2_role author
author
author
dc.subject.none.fl_str_mv Socioeconomic factors
Economic recession
Health status disparities
Mental health
topic Socioeconomic factors
Economic recession
Health status disparities
Mental health
description Objective: Previous research has found persistent socioeconomic inequalities in health outcomes at the national level, with different patterns after the economic crisis. However, inequalities in urban areas are also important. This study analyses socioeconomic inequalities in self-assessed health and mental health in the city of Barcelona. Method: Repeated cross-sectional design using quinquennial data from the Barcelona Health Surveys carried out in 2001, 2006, 2011 and 2016 for the population older than 22 years. Robust Poisson regressions models were used to compute socioeconomic gradients and relative (RII) and slope indexes of inequality (SII) by occupational social class, with stratification by sex. RII and SII were also obtained with further adjustment by employment situation. Results: A consistent socioeconomic gradient was found for all years except for 2011. Relative and absolute inequalities followed a V-shape, showing a drop during the economic crisis but widening thereafter to recover pre-crisis figures for self-assessed health and widening for mental health, in both relative and absolute terms in 2016. Adjustment for employment situation reduces inequalities but a large part of these inequalities remains, with variability across years. Conclusions: The lasting effects of the 2008 economic crisis and the austerity programmes imposed since then may have contributed to the persistence of socioeconomic inequalities in self-assessed health and the widening of those for mental health.(c) 2021 SESPAS. Published by Elsevier Espan tilde a, S.L.U.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8177
https://ddd.uab.cat/record/275195
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8177
https://ddd.uab.cat/record/275195
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Gaceta Sanitaria
ISSN: 02139111
ISSNe: 15781283
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
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