SciELO - Scientific Electronic Library Online

 
vol.33 issue2Contraception in the Roma population living in two low-income neighborhoods of Barcelona (Spain)Health councils as an instrument of community participation: a qualitative research in La Rioja (Spain) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Gaceta Sanitaria

Print version ISSN 0213-9111

Abstract

GUMA, Jordi; ARPINO, Bruno  and  SOLE-AURO, Aïda. Social determinants of health at distinct levels by gender: education and household in Spain. Gac Sanit [online]. 2019, vol.33, n.2, pp.127-133.  Epub Oct 21, 2019. ISSN 0213-9111.  https://dx.doi.org/10.1016/j.gaceta.2017.11.010.

Objective

To explore from a gender perspective the association with subjective health of the interaction between education and household arrangements within the framework of social determinants of health placed at the micro and mezzo levels.

Methods

The data comes from the Spanish sample of the European Union Statistics on Income and Living Conditions for 2014. Independent logistic regression models for men and women were run to analyze the association with subjective health of the interaction between education and household arrangements. An additive model was run to assess possible advantages over the interaction approach.

Results

The interaction models show a lower or even no significant effect on health of household arrangements usually negatively associated with health among individuals with high education, displaying specific patterns according to sex.

Conclusions

Health profiles of women and men are more precisely drawn if both social determinants of health are combined. Among the women, the important role was confirmed of both social determinants of health in understanding their health inequalities. Among the men, mainly those with low educational achievement, the interaction revealed that the household was a more meaningful social determinant of health. This could enable the definition of more efficient public policies to reduce health and gender inequalities.

Keywords : Social determinants of health; Education; Household; Gender; Self-perceived health; Spain.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )