Socioeconomic Inequalities and Self-Rated Health: A Multilevel Study of Italian Elderly

Pirani, Elena; Salvini, Silvana

doi:10.1007/s11113-011-9219-0

Cited by 13 publications

(10 citation statements)

References 27 publications

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“…Some studies, however, report no interaction with age. This was the case for a study based on analysis of the European Community Household Panel (Huisman, Kunst, & Mackenbach, 2003 ), two studies from each of Finland (Nummela, Sulander, Heinonen, & Uutela, 2007 ; Sulander et al, 2012 adequacy of income only), Germany (Schmidt et al, 2012 for the mental component of quality of life only; von dem Knesebeck, Luschen, Cockerham, & Siegrist, 2003 ), Poland (Knurowski et al, 2004 ; Wroblewska, 2002 ), Italy (Laudisio et al, 2013 ; Pirani & Salvini, 2012 ) and three from England (Chandola et al, 2007 ; McFadden et al, 2008 ; Melzer et al, 2000 ). Some studies had a smaller sample size for older age groups, whereas others used stratified sampling to achieve numbers of about the same size in different age groups; however this difference did not seem to be systematically associated with whether or not associations between SEP and outcomes varied between age groups.…”

Section: Resultsmentioning

confidence: 99%

Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review

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Grundy

Foverskov

2015

Aging & Mental Health

134

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Objectives: Previous studies of older European populations have established that disability and morbidity vary with indicators of socio-economic position (SEP). We undertook a systematic narrative review of the literature to ascertain to what extent there is evidence of similar inequalities in the subjective health and well-being of older people in Europe. Method: Relevant original research articles were searched for using Medline, Global Health, Embase, Social Policy and Practice, Cinahl, Web of Science and International Bibliography of the Social Sciences (IBSS). We included studies of SEP and indicators of subjective health and well-being (self-rated health; life satisfaction; quality of life) conducted since 1991 using population-based samples of older people in Europe and published 1995–2013. Results: A total of 71 studies were identified. Poorer SEP was associated with poorer subjective health and well-being. Associations varied somewhat depending on the SEP measure and subjective health and well-being outcome used. Associations were weaker when social support and health-related behaviours were adjusted for suggesting that these factors mediate the relationship between SEP and subjective health and well-being. Associations tended to be weaker in the oldest age groups. The patterns of associations by gender were not consistent and tended to diminish after adjusting for indicators of health and life circumstances. Conclusion: The results of this systematic narrative review of the literature demonstrate the importance of social influences on later life subjective health and well-being and indicate areas which need further investigation, such as more studies from Eastern Europe, more longitudinal studies and more research on the role of mediating factors.

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Section: Resultsmentioning

confidence: 99%

Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review

Read

Grundy

Foverskov

2015

Aging & Mental Health

134

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“…Lower educated older people have poorer health and lower life expectancy compared to the highly educated (Istat 2016b). Involvement in social interaction as well as in working activities have a positive effect on older people's health status (Pirani and Salvini 2012a).…”

Section: Healthmentioning

confidence: 99%

Italy

Addabbo¹

2020

Extended Working Life Policies

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In 2011 the legal retirement age in Italy was raised from 65 years for men and 60 years for women to 67 years for both by the year 2019. This reform remains controversial. Extending the legal retirement age has caused an increase in employment rates for the 55-64 age group. However, unemployed workers in this age group face difficulties in finding a job and in re-entering the labour market. The demanding family responsibilities of Italian women and the persistence of the gender wage gap result in lower levels of retirement pensions. Moreover, increasing the retirement age without improving childcare services and addressing work-life balance policies negatively affects the working careers of young women. Extended working life policies should be matched with gender sensitive activation policies to ensure equal access to work and age management policies to achieve better working conditions for older workers.

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“…Social networks that are bigger, more diverse, more social integrated and more reliant on close ties are associated with better health and well-being in later life (e.g. Litwin 1998;Fiori et al 2006;Pirani and Salvini 2011). The simplicity of such a relation is disputed, though.…”

Section: Social Network and Health Inequality In Later Lifementioning

confidence: 99%

Ties and inequalities in later life: welfare state regime and the role of social networks in health inequalities in later life in Europe

Craveiro

2016

European Societies

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Cross-national comparisons on health inequalities have puzzled health researchers in the last years. Contrary to what is theoretically expected, Northern European countries, known for their advanced welfare state regime and universalistic policies in health and social protection, do not present smaller health inequalities than other European nations. Within the debate triggered by these surprising results, some authors consider the possibility that the differences among the welfare state regimes may be shaping the relevance of specific pathways or mechanisms underlining the association between socioeconomic position (SEP) and health. This research addresses this hypothesis by comparing the contribution of social networks to health inequality in later life across different welfare state regimes. Mediation effects between SEP and health by social networks variables are compared across four different welfare state regimes, using data from Survey of Health, Ageing, and Retirement in Europe. Findings suggest that the socioeconomic advantages in health are partially explained by the differentials in social integration and quality of social ties. Welfare state regimes appear to shape the contribution of social networks in health inequality concerning the implications of the exchanges of social support in health.

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Socioeconomic Inequalities and Self-Rated Health: A Multilevel Study of Italian Elderly

Cited by 13 publications

References 27 publications

Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review

Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review

Italy

Ties and inequalities in later life: welfare state regime and the role of social networks in health inequalities in later life in Europe

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