2023-09-28 14:46:10 +00:00
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abstract: 'Background: Women experience poorer health than men despite their longer
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life expectancy, due to a higher prevalence of non-fatal chronic
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illnesses. This paper aims to explore whether the unequal gender
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distribution of roles and resources can account for inequalities in
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general self-rated health (SRH) by gender, across social classes, in a
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Southern European population.
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Methods: Cross-sectional study of residents in Catalonia aged 25-64,
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using data from the 2006 population living conditions survey (n =
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5,817). Poisson regression models were used to calculate the fair/poor
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SRH prevalence ratio (PR) by gender and to estimate the contribution of
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variables assessing several dimensions of living conditions as the
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reduction in the PR after their inclusion in the model. Analyses were
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stratified by social class (non-manual and manual).
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Results: SRH was poorer for women among both non-manual (PR 1.39, 95\%
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CI 1.09-1.76) and manual social classes (PR 1.36, 95\% CI 1.20-1.56).
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Adjustment for individual income alone eliminated the association
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between sex and SRH, especially among manual classes (PR 1.01, 95\% CI
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0.85-1.19; among non-manual 1.19, 0.92-1.54). The association was also
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reduced when adjusting by employment conditions among manual classes,
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and household material and economic situation, time in household chores
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and residential environment among non-manual classes.
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Discussion: Gender inequalities in individual income appear to
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contribute largely to women''s poorer health. Individual income may
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indicate the availability of economic resources, but also the history of
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access to the labour market and potentially the degree of independence
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and power within the household. Policies to facilitate women''s labour
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market participation, to close the gender pay gap, or to raise
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non-contributory pensions may be helpful to improve women''s health.'
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affiliation: 'Malmusi, D (Corresponding Author), Agcy Salut Publ Barcelona, Pl Lesseps
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1, ES-08023 Barcelona, Spain.
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Malmusi, Davide; Borrell, Carme, CIBERESP, Ctr Biomed Network Res Epidemiol \& Publ
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Hlth, Madrid, Spain.
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Malmusi, Davide; Borrell, Carme, IIB Sant Pau, Agcy Salut Publ Barcelona, Barcelona,
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Spain.
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Malmusi, Davide, PSMAR UPF ASPB, Unitat Docent Med Prevent \& Salut Publ, Barcelona,
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Spain.
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Vives, Alejandra; Benach, Joan, Univ Pompeu Fabra, GREDS EMCONET, Hlth Inequal Res
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Grp, Employment Condit Network, Barcelona, Spain.
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Vives, Alejandra, Pontificia Univ Catolica Chile, Escuela Med, Dept Salud Publ,
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Santiago, Chile.
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Borrell, Carme, Univ Pompeu Fabra, Dept Expt \& Hlth Sci, Barcelona, Spain.'
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article-number: '23189'
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author: Malmusi, Davide and Vives, Alejandra and Benach, Joan and Borrell, Carme
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author-email: dmalmusi@aspb.cat
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author_list:
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- family: Malmusi
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given: Davide
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- family: Vives
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given: Alejandra
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- family: Benach
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given: Joan
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- family: Borrell
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given: Carme
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da: '2023-09-28'
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doi: 10.3402/gha.v7.23189
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eissn: 1654-9880
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files: []
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journal: GLOBAL HEALTH ACTION
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keywords: 'gender; health inequalities; self-rated health; intersectionality;
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material resources; social class'
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keywords-plus: 'SELF-RATED HEALTH; DETERMINANTS; EXPLANATION; ILLNESS; STATES; WOMEN;
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LIFE; MENS'
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language: English
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number-of-cited-references: '35'
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orcid-numbers: 'Benach, Joan/0000-0003-2285-742X
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Vives, Alejandra/0000-0001-5851-0693
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Borrell, Carme/0000-0002-1170-2505
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Malmusi, Davide/0000-0003-1877-3581'
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pages: 1-9
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papis_id: 2022100821c673227eeaefdf7a703a37
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ref: Malmusi2014genderinequalities
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researcherid-numbers: 'Benach, Joan/H-2519-2013
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Vives, Alejandra/AFB-2073-2022
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'
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times-cited: '43'
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title: 'Gender inequalities in health: exploring the contribution of living conditions
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in the intersection of social class'
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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:000331880000001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '34'
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volume: '7'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2014'
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