ArticleBMJ open2015
Socioeconomic inequalities in functional somatic symptoms by social and material conditions at four life course periods in Sweden: a decomposition analysis.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Decomposition analysis of public health service utilization and health disparities among urban and rural older adult migrants in China.Frontiers in public health · 2025Article
- Depressive symptoms among the oldest-old in China: a study on rural-urban differences.BMC public health · 2024Article
- Understanding health inequalities in Wales using the Blinder-Oaxaca decomposition method.Frontiers in public health · 2022Article
- Impact of main residential locations on depressive symptoms among older adults in China: A Blinder-Oaxaca decomposition analysis.Frontiers in public health · 2022Article
- What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort.BMC public health · 2021Review
- Article
- Social integration and mental health - a decomposition approach to mental health inequalities between the foreign-born and native-born in Sweden.International journal for equity in health · 2019Article
- Health inequalities between employed and unemployed in northern Sweden: a decomposition analysis of social determinants for mental health.International journal for equity in health · 2018Article
- Widening health inequalities between the employed and the unemployed: A decomposition of trends in Canada (2000-2014).PloS one · 2018Article
- Explaining mental health inequalities in Northern Sweden: a decomposition analysis.Global health action · 2017Article
- Article
- Meddling with middle modalities: a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden.Global health actionArticle
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3 authors.
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Abstract
objectiveSocioeconomic inequalities in health are deemed a worldwide public health problem, but current research is lacking on key points including determinants of socioeconomic differences in health, and not the least variations of these determinants over the life course. Using a 26-year prospective Swedish community-based cohort, we aim at decomposing socioeconomic inequalities in functional somatic symptoms by social and material life circumstances, at 4 periods of the life course.
designRepeated cross-sectional study.
settingParticipants came from the Northern Swedish Cohort (n=1001), who completed questionnaires about occupational class, social and material living conditions, and symptoms at ages 16, 21, 30 and 42. Socioeconomic inequalities were estimated and decomposed using the Blinder-Oaxaca decomposition analysis.
resultsInequalities in symptoms between blue-collar and white-collar socioeconomic groups increased along the life course in the sample. In the decomposition analysis, a high proportion of the gap between socioeconomic groups could be explained by social and material living conditions at ages 16 (84% explained), 30 (45%) and 42 (68%), but not at age 21. Specific social (parental illness at age 16 and violence at ages 30 and 42) and material (parental unemployment at age 16, and own unemployment and financial strain at ages 30 and 42) factors contributed jointly to the health gaps.
conclusionsSocioeconomic inequalities in functional somatic symptoms increased along the life course in this Swedish cohort. A considerable portion of the social gaps in health was explained by concurrent social and material conditions, and the importance of specific adversities was dependent on the life course stage. Our findings suggest that socioeconomic inequalities in functional somatic symptoms may be reduced by addressing both social and material living conditions of disadvantaged families, and also that the life course stage needs to be taken into consideration.
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