2023-09-28 14:46:10 +00:00
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abstract: 'Background In the context of fiscal austerity in many European welfare
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states, policy innovation often takes the form of `social investment'', a
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contested set of policies aimed at strengthening labour markets. Social
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investment policies include employment subsidies, skills training and
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job-finding services, early childhood education and childcare and
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parental leave. Given that such policies can influence gender equity in
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the labour market, we analysed the possible effects of such policies on
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gender health equity.
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Methods Using age-stratified and sex-stratified data from the Global
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Burden of Disease Study on cardiovascular disease (CVD) morbidity and
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mortality between 2005 and 2010, we estimated linear regression models
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of policy indicators on employment supports, childcare and parental
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leave with country fixed effects.
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Findings We found mixed effects of social investment for men versus
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women. Whereas government spending on early childhood education and
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childcare was associated with lower CVD mortality rates for both men and
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women equally, government spending on paid parental leave was more
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strongly associated with lower CVD mortality rates for women.
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Additionally, government spending on public employment services was
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associated with lower CVD mortality rates for men but was not
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significant for women, while government spending on employment training
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was associated with lower CVD mortality rates for women but was not
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significant for men. Conclusions Social investment policies were
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negatively associated with CVD mortality, but the ameliorative effects
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of specific policies were gendered. We discuss the implications of these
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results for the European social investment policy turn and for future
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research on gender health equity.'
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affiliation: 'Morris, KA (Corresponding Author), Harvard Univ, Dept Sociol, Cambridge,
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MA 02138 USA.
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Morris, Katherine Ann; Beckfield, Jason, Harvard Univ, Dept Sociol, Cambridge, MA
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02138 USA.
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Bambra, Clare, Newcastle Univ, Inst Hlth \& Soc, Newcastle Upon Tyne, Tyne \& Wear,
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England.'
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author: Morris, Katherine Ann and Beckfield, Jason and Bambra, Clare
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author-email: kmorris@fas.harvard.edu
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author_list:
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- family: Morris
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given: Katherine Ann
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- family: Beckfield
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given: Jason
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- family: Bambra
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given: Clare
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da: '2023-09-28'
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doi: 10.1136/jech-2018-211283
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eissn: 1470-2738
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files: []
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issn: 0143-005X
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journal: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
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keywords-plus: 'GLOBAL BURDEN; HEALTH INEQUALITIES; SYSTEMATIC ANALYSIS; DISABILITY
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WEIGHTS; LIFE EXPECTANCY; UNEMPLOYMENT; STRATEGIES; INJURIES; SERVICES;
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OUTCOMES'
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language: English
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month: MAR
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number: '3'
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number-of-cited-references: '50'
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orcid-numbers: Bambra, Clare l/0000-0002-1294-6851
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pages: 206-213
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papis_id: 44b73d7edf01814c004985f7950b6ec3
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ref: Morris2019whobenefits
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researcherid-numbers: Bambra, Clare l/C-1392-2010
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times-cited: '12'
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title: Who benefits from social investment? The gendered effects of family and employment
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policies on cardiovascular disease in Europe
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000471846800003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '11'
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volume: '73'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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