Self-rated health: inequalities and potential determinants

Int J Environ Res Public Health. 2009 Sep;6(9):2456-69. doi: 10.3390/ijerph6092456. Epub 2009 Sep 15.

Abstract

Understanding social inequalities in health is of great importance; it provides the conceptual frame for investigating the social factors that affect health, together with empirical evidence for improving population health. Individual and socioeconomic data, disease related conditions and self rated health (SRH) ratings were collected from a representative sample of 1,000 participants in order to study health inequalities in Greece. 20.8% of men and 37.2% of women reported poor health status. Significant inequalities in SRH were observed. Strong associations of poor SRH with gender, age, insurance coverage and chronic diseases were identified. Social insurance scheme captured partly the effects of educational level, income and residence area in SRH in multivariate analysis. Respondents under chronic treatment and those suffering from cardiovascular, musculoskeletal and neurological/psychiatric disorders exhibited the highest risk of reporting poor SRH. Our findings provide decision-makers with insights into how to manage health inequalities by prioritizing preventive measures and consequently, progress towards the fair distribution of healthcare resources.

Keywords: Greece; chronic diseases; health inequalities; self-rated health; social determinants.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Greece
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Self-Assessment*
  • Social Justice*
  • Young Adult