Social inequalities in health- do they diminish with age? Revisiting the question in Sweden 1999.

Juan Merlo, Ulf Gerdtham, John Lynch, Anders Beckman, Anders Norlund, Thor Lithman

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskriftPeer review

24 Citeringar (SciVal)
456 Nedladdningar (Pure)

Sammanfattning

BACKGROUND: Individuals with low income have poorer health and should, therefore, have higher health expenditure than people with high income particularly in countries with a universal health care system. However, it has been discussed if social inequities in health diminish with age and we, hence, aimed to analyse this question. METHODS: We performed an age stratified cross-sectional analysis using averages, logistic and linear regression modelling of health care contacts, health care expenditures and mortality in relation to individual income in five groups by quintiles. The population consisted of all the 249,855 men aged 40 to 80 years living in the county of Skane, Sweden during 1999. RESULTS: For working-age people (40-59 year old) we find a clear socioeconomic gradient with increasing probability of health care contact, relative expenditure and mortality as income decreased. The point estimations for 1st (highest)-2nd-3rd-4th and 5th (lowest) income groups were: (1.00-1.13-1.21-1.42 and 1.15), (1.00-1.16-1.29-1.69 and 1.89) and (1.00-1.35-1.44-2.82 and 4.12) for health care contact, relative expenditure and mortality respectively. However, in the elderly (75-80 year old) these point estimates were (1.00-0.83-0.59-0.61 and 0.39), (1.00-1.04-1.05-1.02 and 0.96) and (1.00-1.06-1.30-1.33 and 1.49). CONCLUSIONS: As expected among working-age individuals, lower income was associated with higher health care contact, relative expenditure and mortality. However, the existence of opposite socioeconomic gradients in health care utilisation and mortality in the elderly suggests that factors related to a high income might condition allocation of resources, or that current medical care is ineffective to treat determinants of income differences in mortality occurring earlier in the lifecourse.
Originalspråkengelska
Sidor (från-till)2-2
TidskriftInternational Journal for Equity in Health
Volym2
Utgåva1
DOI
StatusPublished - 2003

Ämnesklassifikation (UKÄ)

  • Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Fingeravtryck

Utforska forskningsämnen för ”Social inequalities in health- do they diminish with age? Revisiting the question in Sweden 1999.”. Tillsammans bildar de ett unikt fingeravtryck.

Citera det här