Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states

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Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states. / Rathmann, Katharina; Ottová-Jordan, Veronika; Hurrelmann, Klaus; de Looze, Margarethe; Levin, Kate; Molcho, Michal; Elgar, Frank; Gabhainn, Saoirse Nic; van Dijk, Jitse P; Richter, Matthias.

In: MATURITAS, Vol. 80, No. 4, 01.04.2015, p. 414-20.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

Rathmann, K, Ottová-Jordan, V, Hurrelmann, K, de Looze, M, Levin, K, Molcho, M, Elgar, F, Gabhainn, SN, van Dijk, JP & Richter, M 2015, 'Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states', MATURITAS, vol. 80, no. 4, pp. 414-20. https://doi.org/10.1016/j.maturitas.2015.01.008

APA

Rathmann, K., Ottová-Jordan, V., Hurrelmann, K., de Looze, M., Levin, K., Molcho, M., Elgar, F., Gabhainn, S. N., van Dijk, J. P., & Richter, M. (2015). Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states. MATURITAS, 80(4), 414-20. https://doi.org/10.1016/j.maturitas.2015.01.008

Vancouver

Bibtex

@article{9b3c14187f224e089e99017fccd92531,
title = "Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states",
abstract = "OBJECTIVES: Cross-national studies have rarely focused on young people. The aim of this study is to investigate whether macro-level determinants are associated with health and socioeconomic inequalities in young people's health.STUDY DESIGN: Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2006, which included 11- to 15-year old adolescents from 27 European and North American countries (n=134,632). This study includes national income, health expenditure, income inequality, and welfare regime dummy-variables as macro-level determinants, using hierarchical regression modelling.MAIN OUTCOME MEASURE: Psychosomatic health complaints and socioeconomic inequalities in psychosomatic health complaints.RESULTS: Adolescents in countries with higher income inequality and with liberal welfare tradition were associated with more health complaints and a stronger relationship between socioeconomic status and macro-level determinants compared to adolescents from countries with lower income inequality or the Social Democratic regime. National income and health expenditure were not related to health complaints. Countries with higher national income, public health expenditure and income inequality showed stronger associations between socioeconomic status and psychosomatic health complaints.CONCLUSION: Results showed that macro-level characteristics are relevant determinants of health and health inequalities in adolescence.",
author = "Katharina Rathmann and Veronika Ottov{\'a}-Jordan and Klaus Hurrelmann and {de Looze}, Margarethe and Kate Levin and Michal Molcho and Frank Elgar and Gabhainn, {Saoirse Nic} and {van Dijk}, {Jitse P} and Matthias Richter",
note = "Copyright {\textcopyright} 2015 Elsevier Ireland Ltd. All rights reserved.",
year = "2015",
month = apr,
day = "1",
doi = "10.1016/j.maturitas.2015.01.008",
language = "English",
volume = "80",
pages = "414--20",
journal = "MATURITAS",
issn = "0378-5122",
publisher = "Elsevier Ireland Ltd",
number = "4",

}

RIS

TY - JOUR

T1 - Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states

AU - Rathmann, Katharina

AU - Ottová-Jordan, Veronika

AU - Hurrelmann, Klaus

AU - de Looze, Margarethe

AU - Levin, Kate

AU - Molcho, Michal

AU - Elgar, Frank

AU - Gabhainn, Saoirse Nic

AU - van Dijk, Jitse P

AU - Richter, Matthias

N1 - Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - OBJECTIVES: Cross-national studies have rarely focused on young people. The aim of this study is to investigate whether macro-level determinants are associated with health and socioeconomic inequalities in young people's health.STUDY DESIGN: Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2006, which included 11- to 15-year old adolescents from 27 European and North American countries (n=134,632). This study includes national income, health expenditure, income inequality, and welfare regime dummy-variables as macro-level determinants, using hierarchical regression modelling.MAIN OUTCOME MEASURE: Psychosomatic health complaints and socioeconomic inequalities in psychosomatic health complaints.RESULTS: Adolescents in countries with higher income inequality and with liberal welfare tradition were associated with more health complaints and a stronger relationship between socioeconomic status and macro-level determinants compared to adolescents from countries with lower income inequality or the Social Democratic regime. National income and health expenditure were not related to health complaints. Countries with higher national income, public health expenditure and income inequality showed stronger associations between socioeconomic status and psychosomatic health complaints.CONCLUSION: Results showed that macro-level characteristics are relevant determinants of health and health inequalities in adolescence.

AB - OBJECTIVES: Cross-national studies have rarely focused on young people. The aim of this study is to investigate whether macro-level determinants are associated with health and socioeconomic inequalities in young people's health.STUDY DESIGN: Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2006, which included 11- to 15-year old adolescents from 27 European and North American countries (n=134,632). This study includes national income, health expenditure, income inequality, and welfare regime dummy-variables as macro-level determinants, using hierarchical regression modelling.MAIN OUTCOME MEASURE: Psychosomatic health complaints and socioeconomic inequalities in psychosomatic health complaints.RESULTS: Adolescents in countries with higher income inequality and with liberal welfare tradition were associated with more health complaints and a stronger relationship between socioeconomic status and macro-level determinants compared to adolescents from countries with lower income inequality or the Social Democratic regime. National income and health expenditure were not related to health complaints. Countries with higher national income, public health expenditure and income inequality showed stronger associations between socioeconomic status and psychosomatic health complaints.CONCLUSION: Results showed that macro-level characteristics are relevant determinants of health and health inequalities in adolescence.

U2 - 10.1016/j.maturitas.2015.01.008

DO - 10.1016/j.maturitas.2015.01.008

M3 - SCORING: Journal article

C2 - 25703273

VL - 80

SP - 414

EP - 420

JO - MATURITAS

JF - MATURITAS

SN - 0378-5122

IS - 4

ER -