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How occupational position and educational level modify each other's relationships with poor health status and morbidity.
Volkers, A.C., Westert, G.P., Schellevis, F.G. How occupational position and educational level modify each other's relationships with poor health status and morbidity. European Journal of Public Health: 2005, 15(suppl. 1) 62. Abstract. 13th Annual EUPHA Meeting "Promoting the public's health: reorienting health policies, linking health promotion and health care", Graz, 10-12 November 2005.
Background: Socio-economic health disparities remained the same or even have grown despite economic growth and advanced medical technology and care. It seems relevant to know if health policies should focus on specific socio-economic groups in the future. The aim of this study was to explore
individual and interaction effects of occupational position and educational level on selfperceived health status and morbidity.Methods: Data were obtained from the second Dutch National Survey of General Practice that was carried out in 2001 and included 104 general practices and 385 461 listed patients. GPs registered electronically at each patient contact the diagnosis (ICPC) for presented health problems, induced prescriptions for medication, and referrals to specialised care. Occupational position (ISEI) and educational level of patients were assessed by a socio-demographic census. Logistic regression analyses were used to study the individual and combined risk of the socio-economic (SES) indicators on different health indicators. Results: Patients with a lower occupational position and lower educational level had higher, independent risks of poor health status. An additional risk was found in patients belonging to both groups. Lower occupational position and educational level were also related to increased risks of depression, diabetes, myocardial infarction, osteoarthritis, dermatitis, muscle pain, and pain of neck/back. Risks of a low occupational position were only partly explained by a low educational level. Significant
interaction effects between SES indicators were found in case of diabetes, myocardial infarction, and pain of neck/back. Conclusions: Lower occupational position and educational level have an increased risk on poor health status and occurrence of several diseases. Patients with both a lower occupational and educational level deserve the attention from health policies. It seems relevant to study combined effects of SES indicators in future studies. (aut.ref.)
individual and interaction effects of occupational position and educational level on selfperceived health status and morbidity.Methods: Data were obtained from the second Dutch National Survey of General Practice that was carried out in 2001 and included 104 general practices and 385 461 listed patients. GPs registered electronically at each patient contact the diagnosis (ICPC) for presented health problems, induced prescriptions for medication, and referrals to specialised care. Occupational position (ISEI) and educational level of patients were assessed by a socio-demographic census. Logistic regression analyses were used to study the individual and combined risk of the socio-economic (SES) indicators on different health indicators. Results: Patients with a lower occupational position and lower educational level had higher, independent risks of poor health status. An additional risk was found in patients belonging to both groups. Lower occupational position and educational level were also related to increased risks of depression, diabetes, myocardial infarction, osteoarthritis, dermatitis, muscle pain, and pain of neck/back. Risks of a low occupational position were only partly explained by a low educational level. Significant
interaction effects between SES indicators were found in case of diabetes, myocardial infarction, and pain of neck/back. Conclusions: Lower occupational position and educational level have an increased risk on poor health status and occurrence of several diseases. Patients with both a lower occupational and educational level deserve the attention from health policies. It seems relevant to study combined effects of SES indicators in future studies. (aut.ref.)
Background: Socio-economic health disparities remained the same or even have grown despite economic growth and advanced medical technology and care. It seems relevant to know if health policies should focus on specific socio-economic groups in the future. The aim of this study was to explore
individual and interaction effects of occupational position and educational level on selfperceived health status and morbidity.Methods: Data were obtained from the second Dutch National Survey of General Practice that was carried out in 2001 and included 104 general practices and 385 461 listed patients. GPs registered electronically at each patient contact the diagnosis (ICPC) for presented health problems, induced prescriptions for medication, and referrals to specialised care. Occupational position (ISEI) and educational level of patients were assessed by a socio-demographic census. Logistic regression analyses were used to study the individual and combined risk of the socio-economic (SES) indicators on different health indicators. Results: Patients with a lower occupational position and lower educational level had higher, independent risks of poor health status. An additional risk was found in patients belonging to both groups. Lower occupational position and educational level were also related to increased risks of depression, diabetes, myocardial infarction, osteoarthritis, dermatitis, muscle pain, and pain of neck/back. Risks of a low occupational position were only partly explained by a low educational level. Significant
interaction effects between SES indicators were found in case of diabetes, myocardial infarction, and pain of neck/back. Conclusions: Lower occupational position and educational level have an increased risk on poor health status and occurrence of several diseases. Patients with both a lower occupational and educational level deserve the attention from health policies. It seems relevant to study combined effects of SES indicators in future studies. (aut.ref.)
individual and interaction effects of occupational position and educational level on selfperceived health status and morbidity.Methods: Data were obtained from the second Dutch National Survey of General Practice that was carried out in 2001 and included 104 general practices and 385 461 listed patients. GPs registered electronically at each patient contact the diagnosis (ICPC) for presented health problems, induced prescriptions for medication, and referrals to specialised care. Occupational position (ISEI) and educational level of patients were assessed by a socio-demographic census. Logistic regression analyses were used to study the individual and combined risk of the socio-economic (SES) indicators on different health indicators. Results: Patients with a lower occupational position and lower educational level had higher, independent risks of poor health status. An additional risk was found in patients belonging to both groups. Lower occupational position and educational level were also related to increased risks of depression, diabetes, myocardial infarction, osteoarthritis, dermatitis, muscle pain, and pain of neck/back. Risks of a low occupational position were only partly explained by a low educational level. Significant
interaction effects between SES indicators were found in case of diabetes, myocardial infarction, and pain of neck/back. Conclusions: Lower occupational position and educational level have an increased risk on poor health status and occurrence of several diseases. Patients with both a lower occupational and educational level deserve the attention from health policies. It seems relevant to study combined effects of SES indicators in future studies. (aut.ref.)
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