UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Social inequalities in self-rated health in Ukraine in 2007: the role of psychosocial, material and behavioural factors

Platts, LG; Gerry, CJ; (2017) Social inequalities in self-rated health in Ukraine in 2007: the role of psychosocial, material and behavioural factors. The European Journal of Public Health , 27 (2) pp. 211-217. 10.1093/eurpub/ckw143. Green open access

[img]
Preview
Text
s1-ln2365310695844769-1939656818Hwf1271572958IdV-158743175923653106PDF_HI0001.pdf - Accepted version

Download (419kB) | Preview

Abstract

BACKGROUND: Despite Ukraine's large population, few studies have examined social inequalities in health. This study describes Ukrainian educational inequalities in self-rated health and assesses how far psychosocial, material and behavioural factors account for the education gradient in health. METHODS: Data were analyzed from the 2007 wave of the Ukrainian Longitudinal Monitoring Survey. Education was categorized as: lower secondary or less, upper secondary and tertiary. In logistic regressions of 5451 complete cases, stratified by gender, declaring less than average health was regressed on education, before and after adjusting for psychosocial, material and behavioural factors. RESULTS: In analyses adjusted for socio-demographic characteristics, compared with those educated up to lower secondary level, tertiary education was associated with lower risk of less than average health for both men and women. Including material factors (income quintiles, housing assets, labour market status) reduced the association between education and health by 55–64% in men and 35–47% in women. Inclusion of health behaviours (physical activity, smoking, alcohol consumption and body mass index) reduced the associations by 27–30% in men and 19–27% in women; in most cases including psychosocial factors (marital status, living alone, trust in family and friends) did not reduce the size of the associations. Including all potential explanatory factors reduced the associations by 68–84% in men and 43–60% in women. CONCLUSIONS: The education gradient in self-rated health in Ukraine was partly accounted for by material and behavioural factors. In addition to health behaviours, policymakers should consider upstream determinants of health inequalities, such as joblessness and poverty.

Type: Article
Title: Social inequalities in self-rated health in Ukraine in 2007: the role of psychosocial, material and behavioural factors
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/eurpub/ckw143
Publisher version: http://dx.doi.org/10.1093/eurpub/ckw143
Language: English
Additional information: Copyright © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. This is a pre-copyedited, author-produced PDF of an article accepted for publication in The European Journal of Public Health following peer review. The version of record [INSERT CITATION INFORMATION HERE] is available online at: http://dx.doi.org/10.1093/eurpub/ckw143
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > SSEES
URI: https://discovery.ucl.ac.uk/id/eprint/1522256
Downloads since deposit
29Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item