Relationship of socio-economic status and health: systematic review of the socio-economic indicators that have been used and the relationships that have been documented

Postgraduate Thesis uoadl:2776235 95 Read counter

Unit:
Κατεύθυνση Βιοστατιστική
Library of the School of Health Sciences
Deposit date:
2018-07-02
Year:
2018
Author:
Lykogianni Paraskevi
Supervisors info:
Κατσουγιάννη Κλέα, Καθηγήτρια, Ιατρική, ΕΚΠΑ
Μπουρνέτας Απόστολος, Καθηγητής, Τμήμα Μαθηματικών, ΕΚΠΑ
Σαμόλη Ευαγγελία, Επ καθηγήτρια, Ιατρική, ΕΚΠΑ
Original Title:
Σχέση κοινωνικο-οικονομικού επιπέδου και υγείας: συστηματική ανασκόπηση των δεικτών κοινωνικο-οικονομικού επιπέδου που έχουν χρησιμοποιηθεί και των σχέσεων που έχουν τεκμηριωθεί
Languages:
Greek
Translated title:
Relationship of socio-economic status and health: systematic review of the socio-economic indicators that have been used and the relationships that have been documented
Summary:
The association between socio-economic status and health of the population has been studied to some extent. The purpose of this dissertation is to investigate the indicators used to describe the socio-economic status and to investigate the association between socio-economic status and the level of health. Methods: We performed a systematic review of the MEDLINE database for studies investigating the relationship between the most commonly used socio-economic indicators with self-reported/rated health and mortality. We then proceeded to a meta-analysis of the relevant studies. Results: The most commonly used indicators of socio-economic status are education level, income, occupation, deprivation index and other composite indicators that combine more than two variables. Meta analysis was applied for the level of education and self reported/rated health, and for mortality, meta analysis was applied for three different socio-economic indicators, namely income, level of education and composite indicators. It was found that the level of education affects self-reported/rated health (people with low level of education were 1.64 times more likely to identify their health as poor), income affects mortality (lower incomes are related to almost 3 times (2.96) higher mortality), education affects mortality (people with low level of education were 1,61 times more likely to die), the composite socio-economic indicator affects mortality (people who are at low level of the composited indicator are almost 2 times (1.94) more likely to die). Discussion & Conclusions: Lower socio-economic status is associated with lower levels of self reported/rated health and higher mortality.
Main subject category:
Health Sciences
Keywords:
Systematic review, Socio-economic status, Health indicators
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
54
Number of pages:
74
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