ArticleSSM - population health2019
36-year trends in educational inequalities in self-rated health among Finnish adults.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Changes over time in social inequality in adult self-rated health: the case of Norway 2002-2019.BMC public health · 2025Article
- Meat consumption and obesity: A climate-friendly way to reduce health inequalities.Public health challenges · 2024Article
- Article
- Trends and socioeconomic inequalities in self-rated health in Japan, 1986-2016.BMC public health · 2021Article
- Article
- Sense of Unity and Self-Reported Health Among 15-year-Olds: Findings From the Swedish 2017/18 Health Behavior in School-Aged Children Study.International journal of public health · 2021Article
- The effect of pharmaceutical co-payment increase on the use of social assistance-A natural experiment study.PloS one · 2021Article
- Are Israelis becoming healthier? Trends in self-rated health, 2002-2018.Israel journal of health policy research · 2020Article
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5 authors.
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Abstract
Health inequalities exist across countries and populations, but little is known about their long-term trends and even less about factors shaping the trends. We examined the magnitude of absolute and relative educational inequalities in self-rated health over 36 years among Finnish adults, considering individual covariates and macro-economic fluctuations. Our data were derived from representative annual cross-sectional surveys in 1979-2014 conducted among adult men and women. Participants aged 25-64 were included and nine periods used (n = 8870-14235). Our health outcome was less-than-good self-rated health (SRH) and our socioeconomic indicator was completed years of education as a continuous variable. Educational inequalities in self-rated health were analysed using the relative index of inequality (RII) and the slope index of inequality (SII). Nine time-variant sociodemographic and health-related covariates were included in the analyses. Linear trends suggested stable or slightly curvilinear overall trends in both absolute and relative health equalities over 36 years. Among men, absolute and relative inequalities narrowed immediately after economic recession in Finland in 1993-1994. Among women, inequalities narrowed during financial crisis in 2008-2009. Adjusting for most covariates reduced the magnitude of inequalities throughout the nine periods, but affected little the temporal patterning of health inequalities. Educational inequalities in self-rated health remained during 36 years in Finland. While among men and women health inequalities narrowed during and after recessions, they widened soon back to the pre-recession level. The perseverance of the trends calls for novel and powerful measures to tackle health inequalities.
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