Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type

This dissertation aims to describe social inequalities in self-rated health in an integrated framework of gender, social class and immigration, and to identify the main intermediary factors and health problems that contribute to these inequalities. Three cross-sectional studies were performed with d...

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Detalles Bibliográficos
Autor: Malmusi, Davide
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2012
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/116733
Acceso en línea:http://hdl.handle.net/10803/116733
Access Level:acceso abierto
Palabra clave:Health inequalities
Migration
Gender
Social class
Self-rated health
Intersectionality
Desigualtats en salut
Immigració
Gènere
Classe social
Autovaloració de la salut
Interseccionalitat
614
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spelling Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration typeMalmusi, DavideHealth inequalitiesMigrationGenderSocial classSelf-rated healthIntersectionalityDesigualtats en salutImmigracióGènereClasse socialAutovaloració de la salutInterseccionalitat614This dissertation aims to describe social inequalities in self-rated health in an integrated framework of gender, social class and immigration, and to identify the main intermediary factors and health problems that contribute to these inequalities. Three cross-sectional studies were performed with data from surveys of the general population residing in Catalonia and Spain in 2006. Migration from poor regions of Spain to Catalonia emerged as a health inequality dimension in addition to and interaction with gender and social class, highlighting the transitory nature of the ‘healthy immigrant effect’ partially observed in foreign immigrants. Material and economic resources made major contributions to all three types of health inequalities: individual income made the greatest contribution to gender inequalities; household material assets and financial difficulties to migration-related inequalities; and both to social class inequalities. Poorer self-rated health of women was showed to be not an issue of perception but a precise reflection of the higher burden of chronic conditions they suffered compared to men, such as musculoskeletal, mental and other pain disorders, which could be targets for a health system responsive to gender inequalities. Intersections between axes of inequality created complex social locations with unique consequences on health.Programa de doctorat en BiomedicinaUniversitat Pompeu FabraBorrell i Thió, CarmeBenach, JoanUniversitat Pompeu Fabra. Departament de Ciències Experimentals i de la Salut201320132012info:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/publishedVersion181 p.application/pdfapplication/pdfhttp://hdl.handle.net/10803/116733TDX (Tesis Doctorals en Xarxa)reponame:TDR. Tesis Doctorales en Redinstname:CBUC, CESCAInglésL'accés als continguts d'aquesta tesi queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons: http://creativecommons.org/licenses/by-nc-sa/3.0/es/http://creativecommons.org/licenses/by-nc-sa/3.0/es/info:eu-repo/semantics/openAccessoai:www.tdx.cat:10803/1167332026-06-14T12:46:07Z
dc.title.none.fl_str_mv Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
title Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
spellingShingle Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
Malmusi, Davide
Health inequalities
Migration
Gender
Social class
Self-rated health
Intersectionality
Desigualtats en salut
Immigració
Gènere
Classe social
Autovaloració de la salut
Interseccionalitat
614
title_short Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
title_full Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
title_fullStr Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
title_full_unstemmed Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
title_sort Determinants of social inequalities in selfrated health: analysis at the intersection of gender, class and migration type
dc.creator.none.fl_str_mv Malmusi, Davide
author Malmusi, Davide
author_facet Malmusi, Davide
author_role author
dc.contributor.none.fl_str_mv Borrell i Thió, Carme
Benach, Joan
Universitat Pompeu Fabra. Departament de Ciències Experimentals i de la Salut
dc.subject.none.fl_str_mv Health inequalities
Migration
Gender
Social class
Self-rated health
Intersectionality
Desigualtats en salut
Immigració
Gènere
Classe social
Autovaloració de la salut
Interseccionalitat
614
topic Health inequalities
Migration
Gender
Social class
Self-rated health
Intersectionality
Desigualtats en salut
Immigració
Gènere
Classe social
Autovaloració de la salut
Interseccionalitat
614
description This dissertation aims to describe social inequalities in self-rated health in an integrated framework of gender, social class and immigration, and to identify the main intermediary factors and health problems that contribute to these inequalities. Three cross-sectional studies were performed with data from surveys of the general population residing in Catalonia and Spain in 2006. Migration from poor regions of Spain to Catalonia emerged as a health inequality dimension in addition to and interaction with gender and social class, highlighting the transitory nature of the ‘healthy immigrant effect’ partially observed in foreign immigrants. Material and economic resources made major contributions to all three types of health inequalities: individual income made the greatest contribution to gender inequalities; household material assets and financial difficulties to migration-related inequalities; and both to social class inequalities. Poorer self-rated health of women was showed to be not an issue of perception but a precise reflection of the higher burden of chronic conditions they suffered compared to men, such as musculoskeletal, mental and other pain disorders, which could be targets for a health system responsive to gender inequalities. Intersections between axes of inequality created complex social locations with unique consequences on health.
publishDate 2012
dc.date.none.fl_str_mv 2012
2013
2013
dc.type.none.fl_str_mv info:eu-repo/semantics/doctoralThesis
info:eu-repo/semantics/publishedVersion
format doctoralThesis
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10803/116733
url http://hdl.handle.net/10803/116733
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 181 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universitat Pompeu Fabra
publisher.none.fl_str_mv Universitat Pompeu Fabra
dc.source.none.fl_str_mv TDX (Tesis Doctorals en Xarxa)
reponame:TDR. Tesis Doctorales en Red
instname:CBUC, CESCA
instname_str CBUC, CESCA
reponame_str TDR. Tesis Doctorales en Red
collection TDR. Tesis Doctorales en Red
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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