Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)

Background: The objective of this study was to estimate changes over time in health status and selected health behaviours during the Great Recession, in the period 2011/12, in Spain, both overall, and according to socioeconomic position and gender. Methods: We applied a before-after estimation on da...

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Autores: Bartoll, Xavier|||0000-0001-6865-8034, Toffolutti, Veronica, Malmusi, Davide|||0000-0003-1877-3581, Palència, Laia|||0000-0002-3726-9893, Borrell i Thió, Carme|||0000-0002-1170-2505, Suhrcke, Marc
Formato: artículo
Fecha de publicación:2015
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:299414
Acesso em linha:https://ddd.uab.cat/record/299414
https://dx.doi.org/urn:doi:10.1186/s12889-015-2204-5
Access Level:acceso abierto
Palavra-chave:Adult
Cross-Sectional Studies
Economic Recession
Female
Health Behavior
Health Status
Health Status Disparities
Health Surveys
Humans
Male
Middle Aged
Self Report
Social Class
Socioeconomic Factors
Spain
Young Adult
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spelling Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)Bartoll, Xavier|||0000-0001-6865-8034Toffolutti, VeronicaMalmusi, Davide|||0000-0003-1877-3581Palència, Laia|||0000-0002-3726-9893Borrell i Thió, Carme|||0000-0002-1170-2505Suhrcke, MarcAdultCross-Sectional StudiesEconomic RecessionFemaleHealth BehaviorHealth StatusHealth Status DisparitiesHealth SurveysHumansMaleMiddle AgedSelf ReportSocial ClassSocioeconomic FactorsSpainYoung AdultBackground: The objective of this study was to estimate changes over time in health status and selected health behaviours during the Great Recession, in the period 2011/12, in Spain, both overall, and according to socioeconomic position and gender. Methods: We applied a before-after estimation on data from four editions of the Spanish National Health Survey: 2001, 2003/04, 2006/07 and 2011/12. This involved applying linear probability regression models accounting for time-trends and with robust standard errors, using as outcomes self-reported health and health behaviours, and as the main explanatory variable a dummy "Great Recession" for the 2011/12 survey edition. All the computations were run separately by gender. The final sample consisted of 47,156 individuals aged between 25 and 64 years, economically active at the time of the interview. We also assessed the inequality of the effects across socio-economic groups. Results: The probability of good self-reported health increased for women (men) by 9.6 % (7.6 %) in 2011/12, compared to the long term trend. The changes are significant for all educational levels, except for the least educated. Some healthy behaviours also improved but results were rather variable. Adverse dietary changes did, however, occur among men (though not women) who were unemployed (e.g., the probability of declaring eating fruit daily changed by -12.1 %), and among both men (-21.8 %) and women with the lowest educational level (-15.1 %). Conclusions: Socioeconomic inequalities in health and health behaviour have intensified, in the period 2011/12, in at least some respects, especially regarding diet. While average self-reported health status and some health behaviours improved during the economic recession, in 2011/12, this improvement was unequal across different socioeconomic groups.Universitat Autònoma de Barcelona 22015-01-0120152015-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/299414https://dx.doi.org/urn:doi:10.1186/s12889-015-2204-5reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2994142026-06-06T12:50:31Z
dc.title.none.fl_str_mv Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
title Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
spellingShingle Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
Bartoll, Xavier|||0000-0001-6865-8034
Adult
Cross-Sectional Studies
Economic Recession
Female
Health Behavior
Health Status
Health Status Disparities
Health Surveys
Humans
Male
Middle Aged
Self Report
Social Class
Socioeconomic Factors
Spain
Young Adult
title_short Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
title_full Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
title_fullStr Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
title_full_unstemmed Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
title_sort Health and health behaviours before and during the Great Recession, overall and by socioeconomic status, using data from four repeated cross-sectional health surveys in Spain (2001-2012)
dc.creator.none.fl_str_mv Bartoll, Xavier|||0000-0001-6865-8034
Toffolutti, Veronica
Malmusi, Davide|||0000-0003-1877-3581
Palència, Laia|||0000-0002-3726-9893
Borrell i Thió, Carme|||0000-0002-1170-2505
Suhrcke, Marc
author Bartoll, Xavier|||0000-0001-6865-8034
author_facet Bartoll, Xavier|||0000-0001-6865-8034
Toffolutti, Veronica
Malmusi, Davide|||0000-0003-1877-3581
Palència, Laia|||0000-0002-3726-9893
Borrell i Thió, Carme|||0000-0002-1170-2505
Suhrcke, Marc
author_role author
author2 Toffolutti, Veronica
Malmusi, Davide|||0000-0003-1877-3581
Palència, Laia|||0000-0002-3726-9893
Borrell i Thió, Carme|||0000-0002-1170-2505
Suhrcke, Marc
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Adult
Cross-Sectional Studies
Economic Recession
Female
Health Behavior
Health Status
Health Status Disparities
Health Surveys
Humans
Male
Middle Aged
Self Report
Social Class
Socioeconomic Factors
Spain
Young Adult
topic Adult
Cross-Sectional Studies
Economic Recession
Female
Health Behavior
Health Status
Health Status Disparities
Health Surveys
Humans
Male
Middle Aged
Self Report
Social Class
Socioeconomic Factors
Spain
Young Adult
description Background: The objective of this study was to estimate changes over time in health status and selected health behaviours during the Great Recession, in the period 2011/12, in Spain, both overall, and according to socioeconomic position and gender. Methods: We applied a before-after estimation on data from four editions of the Spanish National Health Survey: 2001, 2003/04, 2006/07 and 2011/12. This involved applying linear probability regression models accounting for time-trends and with robust standard errors, using as outcomes self-reported health and health behaviours, and as the main explanatory variable a dummy "Great Recession" for the 2011/12 survey edition. All the computations were run separately by gender. The final sample consisted of 47,156 individuals aged between 25 and 64 years, economically active at the time of the interview. We also assessed the inequality of the effects across socio-economic groups. Results: The probability of good self-reported health increased for women (men) by 9.6 % (7.6 %) in 2011/12, compared to the long term trend. The changes are significant for all educational levels, except for the least educated. Some healthy behaviours also improved but results were rather variable. Adverse dietary changes did, however, occur among men (though not women) who were unemployed (e.g., the probability of declaring eating fruit daily changed by -12.1 %), and among both men (-21.8 %) and women with the lowest educational level (-15.1 %). Conclusions: Socioeconomic inequalities in health and health behaviour have intensified, in the period 2011/12, in at least some respects, especially regarding diet. While average self-reported health status and some health behaviours improved during the economic recession, in 2011/12, this improvement was unequal across different socioeconomic groups.
publishDate 2015
dc.date.none.fl_str_mv 2
2015-01-01
2015
2015-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/299414
https://dx.doi.org/urn:doi:10.1186/s12889-015-2204-5
url https://ddd.uab.cat/record/299414
https://dx.doi.org/urn:doi:10.1186/s12889-015-2204-5
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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