Journal Information
Vol. 20. Issue 3.
Pages 178-182 (May - June 2006)
Vol. 20. Issue 3.
Pages 178-182 (May - June 2006)
Originales
Open Access
Trends of socioeconomic inequalities and socioeconomic inequalities in self-perceived health in Spain
Evolución de las desigualdades socioeconómicas y desigualdades socioeconómicas en la percepción de la salud en España
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Enrique Regidor
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enriqueregidor@hotmail.com

Correspondence: Dr. Enrique Regidor. Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España.
, David Martínez, Paloma Astasio, Paloma Ortega, María E. Calle, Vicente Domínguez
Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
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Abstract
Objective

To study the trends of socioeconomic inequalities and socioeconomic inequalities in self-perceived health in Spain between 1987 and 2001.

Methods

We estimated the distribution of educational level and per capita provincial income, and the differences in lessthan-good self-perceived health by educational level and per capita provincial income in each period.

Results

The percentage of the population that had completed secondary or higher education was larger and inequality in per capita provincial income was smaller in 2001 than in 1987. In general, the differences in less-than-good self-perceived health by educational level and provincial income were larger in 2001 than in 1987, in both absolute and relative terms. However, when the effect of residual correlation within provinces was taken into account, the differences by percapita provincial income were smaller in 2001 than in 1987.

Conclusions

The redistribution of socioeconomic resources achieves greater social justice, but probably does not lead to reduced health inequalities in all cases.

Key words:
Health inequalities
Education
Per capital income
Self-perceived health
Resumen
Objetivo

Estudiar la evolución de las desigualdades socioeconómicas y las desigualdades socioeconómicas en la percepción subjetiva de la salud en España entre 1987 y 2001.

Métodos

Se han estimado la distribución del nivel de estudios y de la renta per cápita provincial, así como las diferencias en la percepción de la salud según el nivel de estudios y según la renta per cápita provincial en cada período.

Resultados

El porcentaje de población que había completado estudios de segundo grado o superiores fue mayor, y la desigualdad en la renta per cápita provincial fue menor en el año 2001 que en 1987. En líneas generales, las diferencias en la percepción negativa de la salud como según el nivel de estudios y la renta per cápita provincial fueron mayores en 2001 que en 1987, en términos relativos y absolutos. En cambio, cuando se tuvo en cuenta el efecto de la correlación residual dentro de las provincias en el resultado, las diferencias según la renta per cápita provincial fueron menores en 2001 que en 1987.

Conclusión

La redistribución de los recursos socioeconómicos básicos consigue una mayor justicia social, pero probablemente no siempre consigan reducir las desigualdades en salud.

Palabras clave:
Desigualdades en salud
Estudios
Renta per cápita
Autopercepción de la salud
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References
[1.]
M. Benzeval, K. Judge, M. Whitehead.
Tackling inequalities in health. An agenda for action.
King’s Fund, (1995),
[2.]
Y. Ben-Shlomo, M. Marmot.
Policy options for managing health inequalities in industrial and post-industrial countries.
Human biology and social inequality, pp. 308-330
[3.]
D. Acheson, D. Barker, J. Chambers, H. Graham, M. Marmot, M. Whitehead.
Independent inquiry into inequalities in health.
The Stationery Office, (1998),
[4.]
F. Diderichsen, T. Evans, M. Whitehead.
The social basis of disparities in health.
Challenging inequities in health. From ethics to action, pp. 13-23
[5.]
J.P. Mackenbach, M.J. Bakker, M. Sihto, F. Diderichsen.
Strategies to reduce socioeconomic inequalities in health.
Reducing inequalities in health. A European perspective, pp. 25
[6.]
F. Godlee.
The Cochrane Collaboration.
BMJ, 309 (1994), pp. 969-970
[7.]
S. Macintyre, I. Chalmers, R. Horton, R. Smith.
Using evidence to inform health policy: case study.
BMJ, 322 (2001), pp. 222-225
[8.]
J.P. Mackenbach, L.J. Gunning-Schepers.
How should interventions to reduce inequalities in health be valuated ?.
J Epidemiol Community Health, 51 (1997), pp. 359-364
[9.]
Davey Smith, S. Ebrahim, S. Frankel.
How policy informs the evidence. «Evidence based» thinking can lead to debased policy making.
BMJ, 322 (2001), pp. 184-185
[10.]
J.A.A. Dalstra, A.E. Kunst, J.J.M. Geurts, F.J.M. Frenken, J.P. Mackenbach.
Trends in socioeconomic health inequalities in the Netherlands, 1981-1999.
J Epidemiol Community Health, 56 (2002), pp. 927-934
[11.]
A.E. Kunst, V. Bos, E. Lahelma, M. Bartley, I. Lissau, E. Regidor, et al.
Trends in socio-economic inequalities in self assessed health in ten European countries.
Int J Epidemiol, 34 (2005), pp. 295-305
[12.]
J.P. Mackenbach, V. Bos, O. Andersen, M. Cardano, G. Costa, S. Harding, et al.
Widening socioeconomic inequalities in mortality in six European countries.
Int J Epidemiol, 32 (2003), pp. 830-837
[13.]
Health inequalities. Decennial supplement,
[14.]
C.E. Ross, C. Wu.
Education, age, and the cumulative advantage in health.
J Health Soc Behav, 37 (1996), pp. 104-120
[15.]
Fundación BBVA. Renta Nacional de España y su distribución provincial. Año 1995 y avances 1996-1999. Bilbao: Fundación BBVA; 2000.
Copyright © 2006. Sociedad Española de Salud Pública y Administración Sanitaria
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