Anziani e salute: un quadro europeo

Journal title SALUTE E SOCIETÀ
Author/s Bella Sara Della, Mario Lucchini
Publishing Year 2015 Issue 2016/1 Language Italian
Pages 16 P. 39-54 File size 341 KB
DOI 10.3280/SES2016-001004
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Using EU-SILC data for the years 2006-2009, this study examines the existence of a socioeconomic gradient in health. More precisely, this work aims at understanding whether poverty (both objective and subjective) is associated with worse health conditions among the elderly living in European countries. From the policy makers point of view, it is crucial to understand the health consequences of objective poverty since it can be the focus of dedicated policies. However it may be the case that subjective (self-assessed) poverty better synthesizes the living conditions of the elderly as well as their worries, hence exerting a stronger effect on their health. The applied multilevel models confirm that the association between health and subjective poverty is statistically significant even in those countries where objective poverty does not exert a significant effect. Moreover, with the subjective indicator of poverty the economic gradient in health appears to be more pronounced. However the relationship between objective poverty and health substantially traces that between subjective poverty and health. This study shows that individual differences in material circumstances (objectively or subjectively defined) are associated with different health conditions in the elderly populations of all European countries, notwithstanding the existence of well-known cross-countries differences in terms of welfare regimes and average health of the elderly.

Keywords: Elderly, self-assessed health; growth curves; EU-SILC; social gradient in health.

  1. Ardigò A. (1997). Società e salute: lineamenti di sociologia sanitaria. Milano: Franco-Angeli
  2. Avendano M., Jürges H., Mackenbach J.P. (2009). Educational level and changes in health across Europe: longitudinal results from SHARE. Journal of European Social Policy, 19: 301-316. DOI: 10.1177/135050680934151
  3. Brunner E., Marmot M. (2006). Social organization, stress, and health. In: Social Determinants of Health (second edition). Marmot M.. Wilkinson R.G. (eds). New York: Oxford
  4. University Press, pp.6-30 Cesa-Bianchi G., Cristini C. (2005). La vecchiaia è l’età del disadattamento? È possibile
  5. prevenirlo e/o superarlo?. In: Cristini C., Rizzi R., Zago S., La vecchiaia fra salute e malattia, Bologna: Pendragon
  6. Christen M., Gatignon H. (2009). Estimating the effect of strategic variables: with limited within-cross-section variance.
  7. Cipolla C. (2004). Manuale di Sociologia della salute. Milano: FrancoAngeli
  8. Cumming E., Henry W.E. (1961). Growing old: the process of disengagement. New York: Basic Books
  9. Dalstra J.A., Kunst A.E., Borrell C., Breeze E., Cambois E., Costa G. Geurts J.J.M., Lahelma E., Van Oyen H., Rasmussen N.K., Regidor E., Spadea T., Mackenbach J.P.
  10. (2005). Socioeconomic differences in the prevalence of common chronic diseases: an overview of eight European countries. International Journal of Epidemiology, 34:316–326. DOI: 10.1093/ije/dyh38
  11. Dalstra J.A., Kunst A.E., Mackenbach J.P. (2006). A comparative appraisal of the relationship of education, Income and housing tenure with less than good health among the elderly in Europe. Social Science and Medicine, 62: 2046 – 2060. DOI: 10.1016/j.socscimed.2005.09.00
  12. Della Bella S., Sarti S., Lucchini M., Tognetti Bordogna, M. (2011). Un’analisi comparata delle disuguaglianze di salute in Europa. In: Vicarelli M.G., a cura di, Regolazione e governance nei sistemi sanitari europei, Bologna: Il Mulino
  13. Demakakos P., Nazroo J., Breeze E., Marmot M. (2008). Socioeconomic status and health: the role of subjective social status. Social Science and Medicine, 67: 330–340. DOI: 10.1016/j.socscimed.2008.03.03
  14. Eikemo T.A., Huisman M., Bambra C., Kunst A.E. (2008). Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries. Sociology of Health & Illness 30: 565 – 582. DOI: 10.1111/j.1467-9566.2007.01073.
  15. Ferrera M. (1996). The “Southern” Model of Welfare in Social Europe. Journal of European Social Policy, 6:17-37. DOI: 10.1177/09589287960060010
  16. Fries J.F. (1980) Aging, Natural Death and the compression of morbidity. The New England Journal of Medicine, 303: 130-135. DOI: 10.1056/NEJM19800717303030
  17. Fries J.F., Bruce B., Chakravarty E. (2011). Compression of morbidity 1980–2011: a focused review of paradigms and progress. Journal of Aging Research, Article ID: 261702. DOI: 10.4061/2011/26170
  18. Frolich K. L., Corin E., Potvin L. (2001). A theoretical proposal for the relationship between context and disease. Sociology of Health & Illness, 23: 776-797. DOI: 10.1111/1467-9566.0027
  19. Hernández-Quevedo C., Masseria C., Mossialos E. (2010). Analysing the socioeconomic determinants of health in Europe: new evidence from EU-SILC Eurostat working paper
  20. Huisman M., Kunst A.E., Mackenbach J.P. (2003). Socioeconomic inequalities in morbidity among the elderly; a European overview. Social Science and Medicine, 57: 861- 873. DOI: 10.1016/S0277-9536(02)00454-
  21. Idler E.L., Benyamini Y. (1997). Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies, Journal of Health and Social Behavior, 38: 21-37. DOI: 10.2307/295535
  22. ISTAT (2006). La distribuzione del reddito in Italia Indagine europea sui redditi e sulle condizioni di vita delle famiglie (Eu-Silc). In: Argomenti n.38
  23. Jylha M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69: 307-316. DOI: 10.1016/j.socscimed.2009.05.01
  24. Lucchini M. (2007a). Benessere e vulnerabilità nella popolazione anziana: un’analisi topologica. In: Donati P. a cura di. Famiglie e bisogni sociali: la frontiera delle buone prassi, Milano: FrancoAngeli
  25. Lucchini M. (2007b). Il “gradiente sociale” nelle disuguaglianze di salute nell’anzianità. In: Tognetti Bordogna M. a cura di. I grandi anziani tra definizione sociale e salute, Milano: FrancoAngeli
  26. Luijben A., Galenkamp H., Deeg D.J.H. (2013). Mobilising the potential for Active Ageing in Europe Trends in Healthy Life Expectancy and Health Indicators Among Older People in 27 EU Countries. uploads/2013/10/Health-Well-being-HLY-review.pdf McDowell I., Newell C. (1996). Measuring Health A Guide To Rating Scales And Questionnaires. New York: Oxford University Press
  27. Mc Munn A., Breeze E., Goodman A., Nazroo J. (2006). Social determinants of health in older age. In: Marmot M., Wilkinson R., editors. Social Determinants of Health (2 ed.). Oxford: Oxford University Press.
  28. Olsen K.M., Dahl S.A. (2007). Health differences between European countries. Social Science and Medicine, 64: 1665 – 1678. DOI: 10.1016/j.socscimed.2006.11.03
  29. Pearlin L.I, Schieman S, Fazio E.M., Meersman S.C. (2005). Stress, health and the life course: some conceptual perspectives. Journal of Health and Social Behaviour, 46: 205-219. DOI: 10.1177/00221465050460020
  30. Ploubidis G.B., Dale C., Grundy E. (2012). Later life health in Europe: how important are
  31. country level influences? European Journal of Ageing, 9: 5–13. DOI: 10.1007/s10433-011-0215-
  32. Rowe J., Kahn R. (1987). Human aging: Usual and successful. Science, 237: 143–9. DOI: 10.1126/science.329970
  33. Singer J.D., Willett J.B. (2003). Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence New York: Oxford University Press
  34. Tee Khan K. (2002). Inequalities in health: older people. In: Gordon D., Shaw M., Dorling D., Davey Smith G.. a cura di. Inequalities in health, Bristol: The Policy Press
  35. United Nations, Department of Economic and Social Affairs, Population Division (2013). World Population Ageing 2013. ST/ESA/SER.A/348
  36. Wahrendorf M., Reinhardt J.D., Siegrist J. (2013). Relationships of Disability with Age Among Adults Aged 50 to 85: Evidence from the United States, England and Continental Europe. PlosOne, 8: e71893. DOI: 10.1371/journal.pone.007189

Bella Sara Della, Mario Lucchini, Anziani e salute: un quadro europeo in "SALUTE E SOCIETÀ" 1/2016, pp 39-54, DOI: 10.3280/SES2016-001004