Social inequalities of functioning and perceived health in Switzerland: a representative cross-sectional analysis.

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State: Public
Version: Final published version
Serval ID
serval:BIB_EFA1B7DA149A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Social inequalities of functioning and perceived health in Switzerland: a representative cross-sectional analysis.
Journal
Plos One
Author(s)
Reinhardt Jan D., von Elm Erik, Fekete Christine, Siegrist Johannes
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
7
Number
6
Pages
e38782
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Many people worldwide live with a disability, i.e. limitations in functioning. The prevalence is expected to increase due to demographic change and the growing importance of non-communicable disease and injury. To date, many epidemiological studies have used simple dichotomous measures of disability, even though the WHO's International Classification of Functioning, Disability, and Health (ICF) provides a multi-dimensional framework of functioning. We aimed to examine associations of socio-economic status (SES) and social integration in 3 core domains of functioning (impairment, pain, limitations in activity and participation) and perceived health. We conducted a secondary analysis of representative cross-sectional data of the Swiss Health Survey 2007 including 10,336 female and 8,424 male Swiss residents aged 15 or more. Guided by a theoretical ICF-based model, 4 mixed effects Poisson regressions were fitted in order to explain functioning and perceived health by indicators of SES and social integration. Analyses were stratified by age groups (15-30, 31-54, ≥55 years). In all age groups, SES and social integration were significantly associated with functional and perceived health. Among the functional domains, impairment and pain were closely related, and both were associated with limitations in activity and participation. SES, social integration and functioning were related to perceived health. We found pronounced social inequalities in functioning and perceived health, supporting our theoretical model. Social factors play a significant role in the experience of health, even in a wealthy country such as Switzerland. These findings await confirmation in other, particularly lower resourced settings.
Keywords
Adolescent, Adult, Age Factors, Aged, Attitude to Health, Cross-Sectional Studies, Disabled Persons/psychology, Disabled Persons/statistics & numerical data, Female, Health Status, Humans, Male, Middle Aged, Models, Theoretical, Poisson Distribution, Regression Analysis, Sex Factors, Socioeconomic Factors, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
23/01/2013 8:21
Last modification date
20/08/2019 17:17
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