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Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland

INTRODUCTION: Social determinants of health have not been intensively studied in Russia, even though the health divide has been clearly demonstrated by an increased mortality rate among those with low education. A comparative analysis of social health determinants in countries with different histori...

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Autores principales: Dubikaytis, Tatiana, Härkänen, Tommi, Regushevskaya, Elena, Hemminki, Elina, Haavio-Mannila, Elina, Laanpere, Made, Kuznetsova, Olga, Koskinen, Seppo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038079/
https://www.ncbi.nlm.nih.gov/pubmed/24885151
http://dx.doi.org/10.1186/1475-9276-13-39
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author Dubikaytis, Tatiana
Härkänen, Tommi
Regushevskaya, Elena
Hemminki, Elina
Haavio-Mannila, Elina
Laanpere, Made
Kuznetsova, Olga
Koskinen, Seppo
author_facet Dubikaytis, Tatiana
Härkänen, Tommi
Regushevskaya, Elena
Hemminki, Elina
Haavio-Mannila, Elina
Laanpere, Made
Kuznetsova, Olga
Koskinen, Seppo
author_sort Dubikaytis, Tatiana
collection PubMed
description INTRODUCTION: Social determinants of health have not been intensively studied in Russia, even though the health divide has been clearly demonstrated by an increased mortality rate among those with low education. A comparative analysis of social health determinants in countries with different historical and economic backgrounds may provide useful evidence for addressing health inequalities. We aimed to assess socioeconomic determinants of self-rated health in St. Petersburg as compared to Estonia and Finland. METHODS: Data for women aged 18–44 were extracted from existing population-based surveys and analysed. In St. Petersburg the data were originally collected in 2003 (response rate 68%), in Estonia in 2004–2005 (54%), and in Finland in 2000–2001 (86%). The study samples comprised 865 women in St. Petersburg, 2141 in Estonia and 1897 in Finland. RESULTS: Self-rated health was much poorer in St. Petersburg than in Estonia or Finland. High education was negatively associated with poor self-rated health in all the studied populations; it was (partially) mediated via health behaviour and limiting long-term illness only in Estonia and Finland, but not in St. Petersburg. High personal income and employment did not associate with poor self-rated health among St. Petersburg women, as it did in Estonia and Finland. In St. Petersburg housewives rather than employed women had better self-rated health, unlike the two other areas. CONCLUSION: Women’s self-rated health in St. Petersburg varied similarly by education but differently by income and employment as compared to Estonia and Finland. Education is likely the most meaningful dimension of women’s socioeconomic position in St. Petersburg. More research is needed to further clarify the pathways between socioeconomic position and health in Russia.
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spelling pubmed-40380792014-05-30 Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland Dubikaytis, Tatiana Härkänen, Tommi Regushevskaya, Elena Hemminki, Elina Haavio-Mannila, Elina Laanpere, Made Kuznetsova, Olga Koskinen, Seppo Int J Equity Health Research INTRODUCTION: Social determinants of health have not been intensively studied in Russia, even though the health divide has been clearly demonstrated by an increased mortality rate among those with low education. A comparative analysis of social health determinants in countries with different historical and economic backgrounds may provide useful evidence for addressing health inequalities. We aimed to assess socioeconomic determinants of self-rated health in St. Petersburg as compared to Estonia and Finland. METHODS: Data for women aged 18–44 were extracted from existing population-based surveys and analysed. In St. Petersburg the data were originally collected in 2003 (response rate 68%), in Estonia in 2004–2005 (54%), and in Finland in 2000–2001 (86%). The study samples comprised 865 women in St. Petersburg, 2141 in Estonia and 1897 in Finland. RESULTS: Self-rated health was much poorer in St. Petersburg than in Estonia or Finland. High education was negatively associated with poor self-rated health in all the studied populations; it was (partially) mediated via health behaviour and limiting long-term illness only in Estonia and Finland, but not in St. Petersburg. High personal income and employment did not associate with poor self-rated health among St. Petersburg women, as it did in Estonia and Finland. In St. Petersburg housewives rather than employed women had better self-rated health, unlike the two other areas. CONCLUSION: Women’s self-rated health in St. Petersburg varied similarly by education but differently by income and employment as compared to Estonia and Finland. Education is likely the most meaningful dimension of women’s socioeconomic position in St. Petersburg. More research is needed to further clarify the pathways between socioeconomic position and health in Russia. BioMed Central 2014-05-17 /pmc/articles/PMC4038079/ /pubmed/24885151 http://dx.doi.org/10.1186/1475-9276-13-39 Text en Copyright © 2014 Dubikaytis et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Dubikaytis, Tatiana
Härkänen, Tommi
Regushevskaya, Elena
Hemminki, Elina
Haavio-Mannila, Elina
Laanpere, Made
Kuznetsova, Olga
Koskinen, Seppo
Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland
title Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland
title_full Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland
title_fullStr Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland
title_full_unstemmed Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland
title_short Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland
title_sort socioeconomic differences in self-rated health among women: a comparison of st. petersburg to estonia and finland
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038079/
https://www.ncbi.nlm.nih.gov/pubmed/24885151
http://dx.doi.org/10.1186/1475-9276-13-39
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