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Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment

Daoud, N; Soskolne, V; Mindell, JS; Roth, MA; Manor, O; (2018) Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment. International Journal of Public Health , 63 (3) pp. 313-323. 10.1007/s00038-017-1065-3. Green open access

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Abstract

OBJECTIVES: Ethnic inequalities in health (EIH) are unjust public health problem that emerge across societies. In Israel, despite uniform healthcare coverage, marked EIH persist between Arabs and Jews. METHODS: We draw on the ecosocial approach to examine the relative contributions of individual socioeconomic status (SES), psychosocial and health behavioral factors, and the living environment (neighborhood problems, social capital, and social participation) to explaining ethnic differences in self-rated health (SRH). Data were derived from two nationwide studies conducted in 2004-2005 of stratified samples of Arabs (N = 902) and Jews (N = 1087). RESULTS: Poor SRH was significantly higher among Arabs after adjustment for age and gender [odds ratio and 95% confidence interval (CI) = 1.94 (1.57-2.40)]. This association was reversed following adjustment for all possible mediators: OR (95% CI) = 0.70(0.53-0.92). The relative contribution of SES and the living environment was sizable, each attenuating the EIH by 40%, psychosocial factors by 25%, and health behaviors by 16%. CONCLUSIONS: Arabs in Israel have poorer SRH than Jews. Polices to reduce this inequality should mainly focus on improving the SES and the living conditions of the Arabs, which might enhance health behaviors and well-being.

Type: Article
Title: Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00038-017-1065-3
Publisher version: http://dx.doi.org/10.1007/s00038-017-1065-3
Language: English
Additional information: The final published article can be accessed via: http://rdcu.be/C400. The version in this record is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Arabs and Jews Israel, Ecosocial, Ethnic inequalities, Living environment, Minorities’ health, Self-rated health, Socioeconomic status
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10041520
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