ArticlePloS one2018
Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Informal employment and poor self-perceived health in Latin America and the Caribbean: a gender-based comparison between countries and welfare states in a pooled analysis of 176,786 workers.Globalization and health · 2021Pooled it
- Changes over time in social inequality in adult self-rated health: the case of Norway 2002-2019.BMC public health · 2025Article
- Local Welfare Systems and Health Inequalities: The Effects of Institutional Overlapping and Local Variations.International journal of environmental research and public health · 2022Article
- The Effect of Health Check-Ups on Health Among the Elderly in China: Evidence From 2011-2018 Longitudinal Data.International journal of public health · 2022Article
- Women's empowerment and fertility preferences of married women: analysis of demographic and health survey'2016 in Timor-Leste.AIMS public health · 2022Article
- Changes in the role of explanatory factors for socioeconomic inequalities in physical performance: a comparative study of three birth cohorts.International journal for equity in health · 2021Article
- Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education.SSM - population health · 2021Article
- Trends in inequalities in disability in Europe between 2002 and 2017.Journal of epidemiology and community health · 2021Article
- Gender Equality and Gender Inequalities in Self-Reported Health: A Longitudinal Study of 27 European Countries 2004 to 2016.International journal of health services : planning, administration, evaluation · 2021Article
- Socioeconomic pathways to inequalities in mental and functional health: a comparative study of three birth cohorts.BMC public health · 2021Article
- The role of welfare regimes in the relationship between childhood economic stress and adult health: a multilevel study of 20 European countries.SSM - population health · 2020Article
- Observational
- Educational Inequalities in Self-Rated Health in Europe and South Korea.International journal of environmental research and public health · 2020Article
- Inequalities in Longitudinal Health Trajectories in Middle to Later Life: a Comparison of European Countries and Korea.Journal of Korean medical science · 2020Article
- Is austerity responsible for the recent change in mortality trends across high-income nations? A protocol for an observational study.BMJ open · 2020Article
- The differential impact of economic recessions on health systems in middle-income settings: a comparative case study of unequal states in Brazil.BMJ global health · 2020Article
- 36-year trends in educational inequalities in self-rated health among Finnish adults.SSM - population health · 2019Article
- Article
- Article
- Health-related educational inequalities in paid employment across 26 European countries in 2005-2014: repeated cross-sectional study.BMJ open · 2019Article
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5 authors.
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Abstract
backgroundAlthough socioeconomic inequalities in health have long been observed in Europe, few studies have analysed their recent patterning. In this paper, we examined how educational inequalities in self-reported health have evolved in different European countries and welfare state regimes over the last decade, which was troubled by the Great Recession.
methodsWe used cross-sectional data from the EU-SILC survey for adults from 26 European countries, from 2005 to 2014 (n = 3,030,595). We first calculated education-related absolute (SII) and relative (RII) inequalities in poor self-reported health by country-year, adjusting for age, sex, and EU-SILC survey weights. We then regressed the year- and country-specific RII and SII on a yearly time trend, globally and by welfare regime, adjusting for country fixed effects. We further adjusted the analysis for the economic cycle using GDP growth, unemployment, and income inequality.
resultsOverall, absolute inequalities persisted and relative inequalities slightly widened (betaRII = 0.0313, p<0.05). There were substantial differences by welfare regime: Anglo-Saxon countries experienced the largest increase in absolute inequalities (betaSII = 0.0032, p<0.05), followed by Bismarkian countries (betaSII = 0.0024, p<0.001), while they reduced in Post-Communist countries (betaSII = -0.0022, p<0.001). Post-Communist countries also experienced a widening in relative inequalities (betaRII = 0.1112, p<0.001), which were found to be stable elsewhere. Adjustment for income inequality only explained such trend in Anglo-Saxon countries.
conclusionsEducational inequalities in health have overall persisted across European countries over the last decade. However, there is considerable variation across welfare regimes, possibly related to underpinning social safety nets and to austerity measures implemented during this 10-year period.
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