Social inequalities in "sickness": does welfare state regime type make a difference? A multilevel analysis of men and women in 26 European countries
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Social inequalities in "sickness" : does welfare state regime type make a difference? A multilevel analysis of men and women in 26 European countries. / van der Wel, Kjetil A; Dahl, Espen; Thielen, Karsten.
In: International Journal of Health Services, Vol. 42, No. 2, 2012, p. 235-55.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Social inequalities in "sickness"
T2 - does welfare state regime type make a difference? A multilevel analysis of men and women in 26 European countries
AU - van der Wel, Kjetil A
AU - Dahl, Espen
AU - Thielen, Karsten
PY - 2012
Y1 - 2012
N2 - In comparative studies of health inequalities, public health researchers have usually studied only disease and illness. Recent studies have also examined the sickness dimension of health, that is, the extent to which ill health is accompanied by joblessness, and how this association varies by education within different welfare contexts. This research has used either a limited number of countries or quantitative welfare state measures in studies of many countries. In this study, the authors expand on this knowledge by investigating whether a regime approach to the welfare state produces consistent results. They analyze data from the European Union Statistics on Income and Living Conditions (EU-SILC); health was measured by limiting longstanding illness (LLSI). Results show that for both men and women reporting LLSI in combination with low educational level, the probabilities of non-employment were particularly high in the Anglo-Saxon and Eastern welfare regimes, and lowest in the Scandinavian regime. For men, absolute and relative social inequalities in sickness were lowest in the Southern regime; for women, inequalities were lowest in the Scandinavian regime. The authors conclude that the Scandinavian welfare regime is more able than other regimes to protect against non-employment in the face of illness, especially for individuals with low educational level.
AB - In comparative studies of health inequalities, public health researchers have usually studied only disease and illness. Recent studies have also examined the sickness dimension of health, that is, the extent to which ill health is accompanied by joblessness, and how this association varies by education within different welfare contexts. This research has used either a limited number of countries or quantitative welfare state measures in studies of many countries. In this study, the authors expand on this knowledge by investigating whether a regime approach to the welfare state produces consistent results. They analyze data from the European Union Statistics on Income and Living Conditions (EU-SILC); health was measured by limiting longstanding illness (LLSI). Results show that for both men and women reporting LLSI in combination with low educational level, the probabilities of non-employment were particularly high in the Anglo-Saxon and Eastern welfare regimes, and lowest in the Scandinavian regime. For men, absolute and relative social inequalities in sickness were lowest in the Southern regime; for women, inequalities were lowest in the Scandinavian regime. The authors conclude that the Scandinavian welfare regime is more able than other regimes to protect against non-employment in the face of illness, especially for individuals with low educational level.
KW - Adult
KW - Age Factors
KW - Chronic Disease
KW - Cost of Illness
KW - Europe
KW - Female
KW - Health Care Costs
KW - Health Status Disparities
KW - Humans
KW - Male
KW - Middle Aged
KW - National Health Programs
KW - Sex Factors
KW - Social Welfare
KW - Socioeconomic Factors
KW - Unemployment
M3 - Journal article
C2 - 22611653
VL - 42
SP - 235
EP - 255
JO - International Journal of Health Services
JF - International Journal of Health Services
SN - 0020-7314
IS - 2
ER -
ID: 51449538