Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010

Hu, Yannan; Lenthe, Frank J. van; Borsboom, Gerard; Looman, Caspar W. N.; Bopp, Matthias; Burström, Bo; Dzúrová, Dagmar; Ekholm, Ola; Klumbienė, Jūratė; Lahelma, Eero; Leinsalu, Mall; Regidor, Enrique; Santana, Paula; Gelder, Rianne de; Mackenbach, Johan P.

doi:10.1136/jech-2015-206780

Cited by 123 publications

(127 citation statements)

References 37 publications

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“…Thus, unweighted results are reported in the results section. A previous study based on the same data sources and with self-assessed health as the outcome found essentially similar results if weighted or unweigthed data were used [35].…”

Section: Methodssupporting

confidence: 56%

Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Hoffmann

Gelder

et al. 2016

European Journal of Public Health

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Background: The prevalence of obesity increased dramatically in many European countries in the past decades. Whether the increase occurred to the same extent in all socioeconomic groups is less known. We systematically assessed and compared the trends in educational inequalities in obesity in 15 different European countries between 1990 and 2010.Methods: Nationally representative survey data from 15 European countries were harmonized and used in a metaregression of trends in prevalence and educational inequalities in obesity between 1990 and 2010. Educational inequalities were estimated by means of absolute rate differences and relative rate ratios in men and women aged 30-64 years. Results: A statistically significant increase in the prevalence of obesity was found for all countries, except for Ireland (among men) and for France, Hungary, Italy and Poland (among women). Meta-regressions showed a statistically significant overall increase in absolute inequalities of 0.11% points [95% CI 0.03, 0.20] per year among men and 0.12% points [95% CI 0.04, 0.20] per year among women. Relative inequalities did not significantly change over time in most countries. A significant reduction of relative inequalities was found among Austrian and Italian women. Conclusion:The increase in the overall prevalence aligned with a widening of absolute but not of relative inequalities in obesity in many European countries over the past two decades. Our findings urge for a further understanding of the drivers of the increase in obesity in lower education groups particularly, and an equity perspective in population-based obesity prevention strategies.

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Section: Methodssupporting

confidence: 56%

Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Hoffmann

Gelder

et al. 2016

European Journal of Public Health

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“…Regarding the trends of absolute and relative health inequalities over time, most of the previous studies did not look at income, functional limitations and elderly populations. Recent analyses suggest that the relative educational inequalities in mortality and self-rated health among men and women aged 30–74 years increased since 1990 in European countries, while absolute inequalities were constant (self-rated health) or declined (mortality) 19 20. A study from the USA21 found that income disparities in disability among the older adults increased between 1982 and 2002.…”

Section: Discussionmentioning

confidence: 99%

“…The models were controlled for age and stratified for gender. Following the approach of Hu et al ,20 we employed meta-analyses with random-effect models to study the trends over time. Effect sizes were based on linear models, using the prevalence of functional limitations, the absolute prevalence rate differences, and relative prevalence rate ratios as the outcomes, and year of data collection as the independent variable.…”

Section: Methodsmentioning

confidence: 99%

“…Recent trend analyses reveal that, for example, relative educational inequalities in premature mortality (expressed in rate ratios) have continued to rise since the 1990s in most European countries while absolute inequalities (expressed in rate differences) decreased in many European countries 19. In terms of self-assessed health in 17 European countries, absolute inequalities were mostly constant between 1990 and 2010, whereas relative inequalities increased 20. Trends in health inequalities among older populations have received less attention,21 and a comprehensive overview of recent trends in income-related inequalities in functional limitations among older people in Europe is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Income and functional limitations among the aged in Europe: a trend analysis in 16 countries

Knesebeck

Vonneilich

Lüdecke

2017

J Epidemiol Community Health

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“…Self-perceived oral health status is one of the representative health measurement indicators used in many domestic and international studies (Hu et al 2016;Manderbacka 1998). It is relatively easy to use as an indicator of oral health measurement (Chen and Hunter 1996;Slade 2002) and is used effectively to identify oral health inequality.…”

Section: Discussionmentioning

confidence: 99%

Association between maternal and child oral health and dental caries in Korea

Lee

Kim

Lee

et al. 2018

J Public Health (Berl.)

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Aim The aim of this study was to examine the oral health-related behaviors in mothers and their children and the prevalence of dental caries in both. Subject and methods A sample of 2536 children and their mothers was selected from the Fifth Korean National Health and Nutrition Examination Survey. Variables were analyzed using multiple regression to evaluate the prevalence of dental caries among children and mothers, demographic socioeconomic status, and oral health-related behaviors.Results The average age of the mothers was 40.28 years and that of the children was 10.88 years. Mean DT scores were 0.67 for mothers and 0.29 for children. Mean DMFT scores were 6.63 for mothers and 1.76 for children. The higher the mother's number of decayed, missing, or filled permanent teeth (DMFT score, B = 0.076, P < 0.001) and number of decayed teeth (DT score, B = 0.032, P = 0.038) in their permanent dentition, the higher the children's DMFT score was for their permanent dentition. Children from mothers with low household income levels (B = 0.159, P = 0.043), with dental pain (B = 0.132, P = 0.032), and not using a dental mouth rinse (B = 0.135, P = 0.007) presented with higher DT scores. Children from mothers with low self-perceived oral health status (B = 0.113, P < 0.001), lower usage of dental floss (B = 0.100, P = 0.012), a lower ratio of protein intake to total energy (B = −0.017, P = 0.014), and lower ratio of fat intake (B = −0.009, P = 0.047) showed lower self-perceived oral health status. Conclusion The better the oral health status of the mother, the better the oral health status of the child was. An effective oral health and education program for mothers should be developed to promote an improved oral health status of their children.

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Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010

Cited by 123 publications

References 37 publications

Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Income and functional limitations among the aged in Europe: a trend analysis in 16 countries

Association between maternal and child oral health and dental caries in Korea

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