| Titre : | Health Crisis in Russia and Eastern Europe. Socioeconomic factors, material inequalities, and perceived control in self-rated health : cross-sectional data from seven post-communist countries. (2000) |
| Auteurs : | Martin BOBAK ; William COCKERHAM, éd. ; Clyde HERTZMAN ; Michael Marmot ; Irina-V MCKEEHAN, éd. ; Hynek Pikhart ; Richard ROSE ; Johannes SIEGRIST, éd. ; International Centre for Health and Society. Department of Epidemiology and Public Health. University College London. London. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 51, n° 9, 2000) |
| Pagination : | 1343-1350 |
| Langues: | Anglais |
| Mots-clés : | Etat santé ; Morbidité ; Facteur socioéconomique ; Facteur risque ; Homme ; Europe de l'Est ; Europe ; Morbidité [épidémiologie] ; Epidémiologie ; Etude comparée |
| Résumé : | [BDSP. Notice produite par INIST Zv1deR0x. Diffusion soumise à autorisation]. This study examined the association between perceived control and several socioeconomic variables and self-rated health in seven post-communist countries (Russia, Estonia, Lithuania, Latvia, Hungary, Poland, Czech Republic). Questionnaire interviews were used to collect data on self-rated health in the last 12 months, education, marital status, perceived control based on nine questions, and material deprivation based on availability of food, clothing and heating. For each population, two ecological measures of material inequalities were available : an inequality score estimated from the survey data as the distance between the 90th and 10th percentiles of material deprivation, and Gini coefficient from published sources. Data on 5330 men and women aged 20-60 were analysed. Prevalence of poor health (worse than average) varied between 8% in Czechs and 19% in Hungarians. The age-sex-adjusted odds ratio for university vs primary education was 0.36 (0.26-0.49) ; odds ratios per 1 standard deviation increase in perceived control and in material deprivation were 0.58 (95% CI 0.48-0.69) and 1.51 (1.40-1.63), respectively. The odds ratio for an increase in inequality equivalent to the difference between the most and the least unequal populations was 1.49 (0.88-2.52) using the material inequality score and 1.41 (0.91-2.20) using the Gini coefficient. (...) |
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