Social and Psychosocial Determinants of Self-Rated Health in Central and Eastern Europe

Social and Psychosocial Determinants of Self-Rated Health in Central and Eastern Europe

by Hynek Pikhart

Paperback(Softcover reprint of the original 1st ed. 2002)

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Overview

Contributing to the study of why health is significantly worse in central and eastern Europe, including the former Soviet Union than in western Europe, Pikhart (U. College London) pursues theories that psychosocial factors play an important role. Specifically he looks at the socioeconomic gradient in self-rated health, and on the effects of psychosocial factors on health status. Among the socioeconomic factors he examined are education, material deprivation, and material inequality. The psychosocial factors include working conditions, perceived control over life and health, social support at home, and marital status. The study was his doctoral dissertation for University College London. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Product Details

ISBN-13: 9781461352648
Publisher: Springer US
Publication date: 10/26/2012
Edition description: Softcover reprint of the original 1st ed. 2002
Pages: 213
Product dimensions: 6.10(w) x 9.25(h) x 0.02(d)

Table of Contents

List of Tablesxi
List of Figuresxv
List of Abbreviationsxvii
Acknowledgmentxix
11
Introduction1
1.East-West Difference1
2.Main Interest and Hypo Theses3
3.Study Design and Data4
4.Contributors to the Project5
5.Structure6
27
Background7
1.Health Status in Countries of Central and Eastern Europe7
2.Self-Rated Health8
2.1Self-rated health as a predictor of mortality8
2.2Self-rated health in Central and Eastern Europe12
3.Socioeconomic Factors14
3.1Socioeconomic factors at individual level14
3.2Socioeconomic factors in Central and Eastern Europe16
3.3Socioeconomic factors at aggregated level17
4.Psychosocial Factors18
4.1Work related factors19
4.2Perceived control over own life and health28
4.3Social support and social networks31
335
Populations and Methods35
1.Populations35
1.1National samples37
1.2Community samples38
2.Description of the Data44
2.1Socioeconomic status45
2.2Psychosocial factors not related to work46
2.3Work-related psychosocial factors48
2.4Life-style risk factors49
3.Statistical Power of the Study50
4.Statistical Analysis52
4.1Strategy of analysis52
4.2Restrictions of analysis53
4.3Missing values54
4.4Software54
455
Results55
1.Descriptive Characteristics of Study Subjects and Populations56
1.1Countries56
1.2Study subjects57
1.3National samples58
1.4Community samples61
2.Socioeconomic Characteristics and Marital Status64
2.1The role of socioeconomic variables in national samples64
2.2The role of socioeconomic variables in five community samples80
3.Perceived Control and Other Psycho-Social Factors not Related to Work90
3.1The role of perceived control and other psychosocial factors not related to work in seven national samples90
3.2The role of perceived control in five community samples103
4.Measures of Socioeconomic Inequality at the Population Level110
5.Work Related Psychosocial Factors117
5.1Work-related psychosocial factors in national samples118
5.2Work-related psychosocial factors in community samples120
6.Analyses using Other Endpoints139
6.1Physical functioning139
6.2Other definition of self-rated health141
6.3Self-reported history of cardiovascular disease143
5147
Discussion147
1.Methodological Issues148
1.1Representativeness of the sample148
1.2Limitations of the cross-sectional character of the study150
1.3Random error151
1.4Misclassification151
1.5Confounding153
1.6Relevance of statistical techniques used in the analysis153
2.Consistency of the Results With Other Studies157
2.1Prevalence of self-rated health157
2.2Life-style risk factors157
2.3Socioeconomic factors on individual level159
2.4Psychosocial factors not related to work165
2.5Inequalities measured at the aggregated level167
2.6Psychosocial factors related to work171
3.Does This Research Help to Understand the Health Crisis in Ccee?173
6177
Conclusions177
References179
Appendix 1191
Chewe Questionnaire191
Appendix 2201
Physical Functioning201
Appendix 3203
Coding of Work Characteristics203
Index207

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