eprintid: 1003
rev_number: 42
eprint_status: archive
userid: 1
dir: disk0/00/00/10/03
datestamp: 2007-03-01 12:00:00
lastmod: 2021-12-06 00:52:49
status_changed: 2008-01-09 13:25:10
type: article
metadata_visibility: show
item_issues_count: 0
creators_name: Nicholson, A
creators_name: Bobak, M
creators_name: Murphy, M
creators_name: Rose, R
creators_name: Marmot, M
title: Socio-economic influences on self-rated health in Russian men and women - a life course approach
subjects: 3000
divisions: UCL
divisions: B02
divisions: D12
divisions: G19
keywords: Russia, life course, self-rated health, socio-economic differentials, CORONARY-HEART-DISEASE, LIPID RESEARCH CLINICS, PROSPECTIVE COHORT, CARDIOVASCULAR-DISEASE, PERCEIVED CONTROL, ADULT MORTALITY, MARITAL-STATUS, CHILDHOOD, INEQUALITIES, EDUCATION
abstract: Socio-economic differentials in health in Russia are not well understood and the life course approach has been relatively neglected. This paper examines the influence of socio-economic risk factors over the life course on the self-rated health of older Russian men and women. A random sample (response rate 61%) of the general population of the Russian Federation in 2002 included 1004 men and 1930 women aged 50 years and over in a cross-sectional study. They provided information concerning their childhood circumstances, including going to bed hungry; education; current social conditions, including per capita household income; health behaviours and self-rated health.There was considerable tracking of adverse social conditions across the life course with men and women who reported hunger in childhood having lower educational achievements, and current household income was strongly influenced by educational attainment. The effect of these socio-economic risk factors on health accumulated with an odds ratio of poor health of 1.87 [1.07-3.28] for men with one risk factor, 3.64 [2.13-6.22] for two risk factors and 4.51 [2.57-7.91] for all three compared to men with no risk factors. For women, the odds ratios were 1.44 [1.05-2.01], 2.88 [2 10-3.93] and 4.27 [3.03-6.00] for one, two and three risk factors, respectively. Current income was the strongest individual predictor for men, and education for women. Adjustment for health behaviours reduced the odds ratios only marginally.The results suggest that self-rated health in older Russians reflects social exposures accumulated over the life course, with the differentials observed only partially explained by current social conditions. Health behaviours were not involved in mediating social differences in self-rated health. Our results indicate that a life course approach may contribute to the understanding of health in Russia. (c) 2005 Elsevier Ltd. All rights reserved.
date: 2005-12
date_type: published
publisher: PERGAMON-ELSEVIER SCIENCE LTD
vfaculties: VFPHS
rae2008: 6
oa_status: green
primo: open
primo_central: open_green
article_type_text: Article
verified: verified_batch
elements_source: Web of Science
elements_id: 81473
doi: 10.1016/j.socscimed.2005.07.034
lyricists_name: Bobak, Martin
lyricists_name: Marmot, Michael
lyricists_name: NICHOLSON, AMANDA
lyricists_id: MBOBA10
lyricists_id: MGMAR64
lyricists_id: ACNIC95
full_text_status: public
publication: SOC SCI MED
volume: 61
number: 11
pagerange: 2345 - 2354
refereed: TRUE
issn: 0277-9536
citation:        Nicholson, A;    Bobak, M;    Murphy, M;    Rose, R;    Marmot, M;      (2005)    Socio-economic influences on self-rated health in Russian men and women - a life course approach.                   SOC SCI MED , 61  (11)   2345 - 2354.    10.1016/j.socscimed.2005.07.034 <https://doi.org/10.1016/j.socscimed.2005.07.034>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1003/1/lifecourse-russia-__refs.pdf