Feeling discriminated means poor self-perceived health: a gender analysis using SHARE.

IF 1.5 4区经济学 Q3 BUSINESS, FINANCE International Journal of Health Economics and Management Pub Date : 2024-09-26 DOI:10.1007/s10754-024-09383-2

Sara Pinillos-Franco, David Cantarero-Prieto, Javier Lera

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Abstract

Most part of the literature has highlighted the detrimental effects of discrimination on health. However, the influence of past and perceived discrimination on older workers' self-assessed health has been understudied. Firstly, we aim at studying whether reported discrimination is associated with self-assessed health among adults of working ages (50-65 years of age). Secondly, we analyze the existence of differences by gender. Data was retrieved from the seventh wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) to obtain the regular panel of questions, and the third and seventh waves of the SHARELIFE questionnaire, that includes information about discrimination (n = 30,019). We develop logistic regression models to determine the relationship of discrimination on male and female workers' self-assessed health separately. Our results show that 49.0% of our sample was composed of highly discriminated women, while the remaining percentage covered men and women (42.3% males and 8.7% females) that reported lower levels of discrimination. Our estimations reveal a significant association between discrimination and poor health status, especially in the case of men ranging from OR = 1.802 (95% CI 1.502-2.163) to OR = 1.565 (95% CI 1.282-1.910). In the case of women our results range from OR = 1.728 (95% CI 1.463-2.040) to OR = 1.196 (95% CI 0.992-1.442). These findings are essential to highlight the importance of tackling discrimination as a determinant of health that negatively affects both sexes, men and women.

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感觉受歧视意味着自我感觉健康不佳：利用 SHARE 进行的性别分析。

大部分文献都强调了歧视对健康的不利影响。然而，过去和感知到的歧视对老年工人自我评估健康状况的影响还没有得到充分研究。首先，我们旨在研究报告的歧视是否与工作年龄的成年人（50-65 岁）的自我健康评估有关。其次，我们分析了性别差异的存在。我们从 "欧洲健康、老龄和退休调查"（SHARE）第七次调查中获取数据，以获得常规问题面板，以及包含歧视信息的 "SHARELIFE "问卷第三和第七次调查（n = 30,019）。我们分别建立了逻辑回归模型，以确定歧视与男性和女性工人自我评估的健康状况之间的关系。我们的结果显示，49.0% 的样本由高度受歧视的女性组成，而其余比例则涵盖了报告受歧视程度较低的男性和女性（男性占 42.3%，女性占 8.7%）。我们的估计结果表明，歧视与健康状况不良之间存在显著关联，尤其是男性，从 OR = 1.802（95% CI 1.502-2.163）到 OR = 1.565（95% CI 1.282-1.910）不等。就女性而言，我们的结果从 OR = 1.728（95% CI 1.463-2.040）到 OR = 1.196（95% CI 0.992-1.442）不等。这些研究结果对于强调解决歧视问题的重要性至关重要，因为歧视是影响男女健康的一个决定因素。

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来源期刊

International Journal of Health Economics and Management Multiple-

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3.60

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0.00%

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期刊介绍： The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)