Physical health conditions and political participation in Europe: the moderating effects of age

Unequal political participation is widely considered a problem of democratic representation. Citizens with fewer resources typically report lower levels of participation. Lack of good health has been identified as one barrier to participation. However, poor health may have heterogeneous impacts on participation, depending on the type of health issue. Moreover, poor health may affect participation patterns differently, depending on age. Previous research has not yet systematically examined these issues. We address these gaps by using European Social Survey data, which includes self-reports of a variety of physical health conditions and engagement in different forms of political participation. The results show that most physical health conditions are related to political participation; however, except for turnout, physical health problems mobilize individuals into action. This effect is strongest among younger individuals, and the health gap in participation evens out in later life. The condition-specific effects are similar across different forms of physical health conditions. Our findings are consistent with the grievance and identity theories of political participation. Younger citizens, in particular, may experience poor health or physical impairment as unjust and are then mobilized into political action. We discuss the implications for the broader understanding of mechanisms behind political behavior and suggest that health problems are often a motivator for political action rather than an obstacle.