Skip to main content
Top
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Can the impact of gender equality on health be measured? a cross-sectional study comparing measures based on register data with individual survey-based data

Authors: Ann Sörlin, Ann Öhman, Nawi Ng, Lars Lindholm

Published in: BMC Public Health | Issue 1/2012

Login to get access

Abstract

Background

The aim of this study was to investigate potential associations between gender equality at work and self-rated health.

Methods

2861 employees in 21 companies were invited to participate in a survey. The mean response rate was 49.2%. The questionnaire contained 65 questions, mainly on gender equality and health. Two logistic regression analyses were conducted to assess associations between (i) self-rated health and a register-based company gender equality index (OGGI), and (ii) self-rated health and self-rated gender equality at work.

Results

Even though no association was found between the OGGI and health, women who rated their company as “completely equal” or “quite equal” had higher odds of reporting “good health” compared to women who perceived their company as “not equal” (OR = 2.8, 95% confidence interval = 1.4 – 5.5 and OR = 2.73, 95% CI = 1.6-4.6). Although not statistically significant, we observed the same trends in men. The results were adjusted for age, highest education level, income, full or part-time employment, and type of company based on the OGGI.

Conclusions

No association was found between gender equality in companies, measured by register-based index (OGGI), and health. However, perceived gender equality at work positively affected women’s self-rated health but not men’s. Further investigations are necessary to determine whether the results are fully credible given the contemporary health patterns and positions in the labour market of women and men or whether the results are driven by selection patterns.
Appendix
Available only for authorised users
Literature
1.
go back to reference United Nations: The Millennium Development Goals Report. 2006, New York: Department of Economic and Social Affairs, DESA United Nations: The Millennium Development Goals Report. 2006, New York: Department of Economic and Social Affairs, DESA
2.
go back to reference Matthews S, Manor O, Power C: Social inequalities in health: are there gender differences?. Soc Sci Med. 1999, 48 (1): 49-60. 10.1016/S0277-9536(98)00288-3.CrossRefPubMed Matthews S, Manor O, Power C: Social inequalities in health: are there gender differences?. Soc Sci Med. 1999, 48 (1): 49-60. 10.1016/S0277-9536(98)00288-3.CrossRefPubMed
3.
go back to reference Arber S: Comparing inequalities in women’s and men’s health: Britain in the 1990s. Soc Sci Med. 1997, 44 (6): 773-787. 10.1016/S0277-9536(96)00185-2.CrossRefPubMed Arber S: Comparing inequalities in women’s and men’s health: Britain in the 1990s. Soc Sci Med. 1997, 44 (6): 773-787. 10.1016/S0277-9536(96)00185-2.CrossRefPubMed
4.
go back to reference Walby S, Amstrong J: Measuring equalities: data and indicators in Britain. Social Research Methodology. 2010, 13 (3): 237-249. 10.1080/13645579.2010.482259.CrossRef Walby S, Amstrong J: Measuring equalities: data and indicators in Britain. Social Research Methodology. 2010, 13 (3): 237-249. 10.1080/13645579.2010.482259.CrossRef
5.
go back to reference Sörlin A, Lindholm L, Ng N, Öhman A: Gender equality in couples and self-rated health - a survey study evaluating measurements of gender equality and its impact on health. Int J Equity Health. 2011, 10 (37): Sörlin A, Lindholm L, Ng N, Öhman A: Gender equality in couples and self-rated health - a survey study evaluating measurements of gender equality and its impact on health. Int J Equity Health. 2011, 10 (37):
6.
go back to reference Magnusson E: Hon, han och hemmet. Genuspsykologiska perspektiv på vardagslivet i Nordiska barnfamiljer. [She, he and their home; Gender and Psychology in the everyday life of Nordic couples and their children]. 2006, Stockholm: Natur och Kultur Magnusson E: Hon, han och hemmet. Genuspsykologiska perspektiv på vardagslivet i Nordiska barnfamiljer. [She, he and their home; Gender and Psychology in the everyday life of Nordic couples and their children]. 2006, Stockholm: Natur och Kultur
7.
go back to reference Eriksson R, Nermo M: Care for sick children as a proxy for gender equality in the family. Soc Indic Res. 2010, 97: 341-356. 10.1007/s11205-009-9505-y.CrossRef Eriksson R, Nermo M: Care for sick children as a proxy for gender equality in the family. Soc Indic Res. 2010, 97: 341-356. 10.1007/s11205-009-9505-y.CrossRef
8.
go back to reference Baxter J: The joys and justice of housework. Sociology. 2000, 34 (4): 609-631.CrossRef Baxter J: The joys and justice of housework. Sociology. 2000, 34 (4): 609-631.CrossRef
9.
go back to reference Nordenmark M, Nyman C: Fair or unfair? perceived fairness of household division of labour and gender equality among women and men. the Swedish case. The European Journal of Womens Studies. 2003, 10 (2): 181-209. 10.1177/1350506803010002004.CrossRef Nordenmark M, Nyman C: Fair or unfair? perceived fairness of household division of labour and gender equality among women and men. the Swedish case. The European Journal of Womens Studies. 2003, 10 (2): 181-209. 10.1177/1350506803010002004.CrossRef
10.
go back to reference Wilkonson R, Pickett K: The Spirit Level. Why More Equal Societies Almost Always Do Better. 2009, London: Penguin Books Ltd Wilkonson R, Pickett K: The Spirit Level. Why More Equal Societies Almost Always Do Better. 2009, London: Penguin Books Ltd
11.
go back to reference Marmot M, Field S, Bell R, Houweling T, Taylor S: Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008, 372: 1661-1669. 10.1016/S0140-6736(08)61690-6.CrossRefPubMed Marmot M, Field S, Bell R, Houweling T, Taylor S: Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008, 372: 1661-1669. 10.1016/S0140-6736(08)61690-6.CrossRefPubMed
12.
go back to reference Dutrieux J, Viksten A: Orsaker till skillnader i kvinnors och mäns sjukskrivningsmönster - en kunskapsöversikt 2004:16 (Reasons for differences in women’s and men’s sick absence patterns - a knowledge review). RFV Analyserar. 2004, Stockholm: Riksförsäkringsverket Dutrieux J, Viksten A: Orsaker till skillnader i kvinnors och mäns sjukskrivningsmönster - en kunskapsöversikt 2004:16 (Reasons for differences in women’s and men’s sick absence patterns - a knowledge review). RFV Analyserar. 2004, Stockholm: Riksförsäkringsverket
13.
go back to reference Statistics Sweden: Statistical Yearbook of Sweden 2010. 2010, Stockholm Statistics Sweden: Statistical Yearbook of Sweden 2010. 2010, Stockholm
14.
go back to reference Emerek R: Measuring Gender Segregation, chapter in Gender segregation. Divisions of Work on Post Industrial Welfare States. 2005, London: Ashgate, edn Emerek R: Measuring Gender Segregation, chapter in Gender segregation. Divisions of Work on Post Industrial Welfare States. 2005, London: Ashgate, edn
15.
go back to reference Abrahamsson L: Restoring the order: gender segregation as an obstacle to organisational development. Appl Ergon. 2002, 33 (6): 549-557. 10.1016/S0003-6870(02)00043-1.CrossRefPubMed Abrahamsson L: Restoring the order: gender segregation as an obstacle to organisational development. Appl Ergon. 2002, 33 (6): 549-557. 10.1016/S0003-6870(02)00043-1.CrossRefPubMed
16.
go back to reference Enberg B, Stenlund H, Sundelin G, Öhman A: Work satisfaction, career preferences and unpaid household work among recently graduated health-care professionals- a gender perspective. Scand J Caring Sci. 2007, 21 (2): 169-177. 10.1111/j.1471-6712.2007.00453.x.CrossRefPubMed Enberg B, Stenlund H, Sundelin G, Öhman A: Work satisfaction, career preferences and unpaid household work among recently graduated health-care professionals- a gender perspective. Scand J Caring Sci. 2007, 21 (2): 169-177. 10.1111/j.1471-6712.2007.00453.x.CrossRefPubMed
17.
go back to reference Sörlin A, Öhman A, Blomstedt Y, Stenlund H, Lindholm L: Measuring the gender gap in organizations. Gend Manag Int J. 2011, 26 (4): 275-288. 10.1108/17542411111144292.CrossRef Sörlin A, Öhman A, Blomstedt Y, Stenlund H, Lindholm L: Measuring the gender gap in organizations. Gend Manag Int J. 2011, 26 (4): 275-288. 10.1108/17542411111144292.CrossRef
18.
go back to reference Chong PS, Benli ÃS: Benchmarking the efficacy of team decisions using a game theoretic approach. Total Qual Manag Bus Excell. 2009, 20 (3): 349-361. 10.1080/14783360902719790.CrossRef Chong PS, Benli ÃS: Benchmarking the efficacy of team decisions using a game theoretic approach. Total Qual Manag Bus Excell. 2009, 20 (3): 349-361. 10.1080/14783360902719790.CrossRef
19.
go back to reference Hammarström A: A tool for developing gender research in medicine: examples from the medical literature on work life. Gend Med. 2007, 4 (B): s123-s132.CrossRefPubMed Hammarström A: A tool for developing gender research in medicine: examples from the medical literature on work life. Gend Med. 2007, 4 (B): s123-s132.CrossRefPubMed
20.
go back to reference Plantega J, Remery C: The gender pay-gap. Origins and policy responses. A comparative review of 30 European Countries. 2006, Luxenbourg: European Commission Plantega J, Remery C: The gender pay-gap. Origins and policy responses. A comparative review of 30 European Countries. 2006, Luxenbourg: European Commission
21.
go back to reference United Nations: Measuring Human Development. Guideline and tools for statistical research, analysis and advocacy. 2007, New York: United Nations Development Program United Nations: Measuring Human Development. Guideline and tools for statistical research, analysis and advocacy. 2007, New York: United Nations Development Program
22.
go back to reference Jacobsson N, Kotsdam A: Do attitudes toward gender equality really differ between Norway and Sweden? Nr 352. Working Paper in Economics. 2009, Gothenburg: Department of Economics, University of Gothenburg Jacobsson N, Kotsdam A: Do attitudes toward gender equality really differ between Norway and Sweden? Nr 352. Working Paper in Economics. 2009, Gothenburg: Department of Economics, University of Gothenburg
23.
go back to reference Nordenmark M: Balancing work and family demands: Do increasing demands increase strain? A longitudinal study. Scand J Public Health. 2004, 32: 450-455. 10.1080/14034940410028280.CrossRefPubMed Nordenmark M: Balancing work and family demands: Do increasing demands increase strain? A longitudinal study. Scand J Public Health. 2004, 32: 450-455. 10.1080/14034940410028280.CrossRefPubMed
24.
go back to reference Artazcoz L, Artieda L, Borrell C, Cortès I, Benach J, García V: Combining job and family demands and being healthy what are the differences between men anf women?. Eur J Public Health. 2004, 14: 43-48. 10.1093/eurpub/14.1.43.CrossRefPubMed Artazcoz L, Artieda L, Borrell C, Cortès I, Benach J, García V: Combining job and family demands and being healthy what are the differences between men anf women?. Eur J Public Health. 2004, 14: 43-48. 10.1093/eurpub/14.1.43.CrossRefPubMed
25.
go back to reference Jun HJ, Subramanian SV, Gortmaker S, Kawachi I: A multilevel analysis of women’s status and self-rated health in the United States. J Am Med Womens Assoc. 2004, 59 (3): 172-180.PubMed Jun HJ, Subramanian SV, Gortmaker S, Kawachi I: A multilevel analysis of women’s status and self-rated health in the United States. J Am Med Womens Assoc. 2004, 59 (3): 172-180.PubMed
26.
go back to reference Zheng H: Rising U.S. income inequality, gender and individual self-rated health, 1972–2004. Soc Sci Med. 2009, 69: 1333-1342. 10.1016/j.socscimed.2009.08.016.CrossRefPubMed Zheng H: Rising U.S. income inequality, gender and individual self-rated health, 1972–2004. Soc Sci Med. 2009, 69: 1333-1342. 10.1016/j.socscimed.2009.08.016.CrossRefPubMed
27.
go back to reference Fayers PM, Sprangers MAG: Understanding self-rated health. Lancet. 2002, 359: 187-188. 10.1016/S0140-6736(02)07466-4.CrossRefPubMed Fayers PM, Sprangers MAG: Understanding self-rated health. Lancet. 2002, 359: 187-188. 10.1016/S0140-6736(02)07466-4.CrossRefPubMed
28.
go back to reference Eriksson I, Undén AL, Elofsson S: Self-rated health. Comparison between different measures. result from a population study. Int J Epidemiol. 2001, 30: 326-333. 10.1093/ije/30.2.326.CrossRefPubMed Eriksson I, Undén AL, Elofsson S: Self-rated health. Comparison between different measures. result from a population study. Int J Epidemiol. 2001, 30: 326-333. 10.1093/ije/30.2.326.CrossRefPubMed
29.
go back to reference Idler EL, Hudson SV, Leventhal H: The meanings of self-ratings of health. Res Ageing. 1999, 21 (3): 458-476. 10.1177/0164027599213006.CrossRef Idler EL, Hudson SV, Leventhal H: The meanings of self-ratings of health. Res Ageing. 1999, 21 (3): 458-476. 10.1177/0164027599213006.CrossRef
30.
go back to reference Lundberg O, Manderbacka K: Assessing reliability of a measure of self-rated health. Scand J Public Health. 1996, 24: 218-224. 10.1177/140349489602400314.CrossRef Lundberg O, Manderbacka K: Assessing reliability of a measure of self-rated health. Scand J Public Health. 1996, 24: 218-224. 10.1177/140349489602400314.CrossRef
31.
go back to reference Benyamini Y, Leventhal EA, Leventhal H: Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000, 62: 354-364.CrossRefPubMed Benyamini Y, Leventhal EA, Leventhal H: Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000, 62: 354-364.CrossRefPubMed
32.
go back to reference Martikainen P, Aromaa A, Heliövaara M, Klaukka T, Knekt P, Maatela J, Lahelma E: Reliability of perceived health by sex and age. Soc Sci Med. 1999, 48: 1117-1122. 10.1016/S0277-9536(98)00416-X.CrossRefPubMed Martikainen P, Aromaa A, Heliövaara M, Klaukka T, Knekt P, Maatela J, Lahelma E: Reliability of perceived health by sex and age. Soc Sci Med. 1999, 48: 1117-1122. 10.1016/S0277-9536(98)00416-X.CrossRefPubMed
33.
go back to reference Manderbacka K, Lundberg O, Martikainen P: Do risk factors and health behaviors contribute to self-ratings of health?. Soc Sci Med. 1999, 48: 1713-1720. 10.1016/S0277-9536(99)00068-4.CrossRefPubMed Manderbacka K, Lundberg O, Martikainen P: Do risk factors and health behaviors contribute to self-ratings of health?. Soc Sci Med. 1999, 48: 1713-1720. 10.1016/S0277-9536(99)00068-4.CrossRefPubMed
34.
go back to reference Mansdotter A, Lindholm L, Lundberg M, Winkvist A, Ohman A: Parental share in public and domestic spheres: a population study on gender equality, death, and sickness. J Epidemiol Community Health. 2006, 60 (7): 616-620. 10.1136/jech.2005.041327.CrossRefPubMedPubMedCentral Mansdotter A, Lindholm L, Lundberg M, Winkvist A, Ohman A: Parental share in public and domestic spheres: a population study on gender equality, death, and sickness. J Epidemiol Community Health. 2006, 60 (7): 616-620. 10.1136/jech.2005.041327.CrossRefPubMedPubMedCentral
35.
go back to reference Courtenay WH: Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med. 2000, 50: 1385-1401. 10.1016/S0277-9536(99)00390-1.CrossRefPubMed Courtenay WH: Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med. 2000, 50: 1385-1401. 10.1016/S0277-9536(99)00390-1.CrossRefPubMed
36.
go back to reference Annandale E, Hunt K: Gender Inequalities in Health. 2000, Bershire: Open University Press Annandale E, Hunt K: Gender Inequalities in Health. 2000, Bershire: Open University Press
37.
go back to reference Risberg G, Johansson EE, Hamberg K: A theoretical model for analyzing gender bias in medicine. Int J Equity Health. 2009, 8 (28): Risberg G, Johansson EE, Hamberg K: A theoretical model for analyzing gender bias in medicine. Int J Equity Health. 2009, 8 (28):
38.
go back to reference Sörlin A: Health and the elusive gender equality. Can the impact of gender equality on health be measured?. Doctoral thesis. 2011, Umeå: Umeå University Sörlin A: Health and the elusive gender equality. Can the impact of gender equality on health be measured?. Doctoral thesis. 2011, Umeå: Umeå University
39.
go back to reference Ahlgren C, Malmgren-Olsson EB, Brulin C: Gender analysis of musculoskeletal disorders and emotional exhaustion: interactive effects from physical and psychosocial work exposures and engagement in domestic work. Ergonomics. 2012, 55 (2): 212-228. 10.1080/00140139.2011.646319.CrossRefPubMed Ahlgren C, Malmgren-Olsson EB, Brulin C: Gender analysis of musculoskeletal disorders and emotional exhaustion: interactive effects from physical and psychosocial work exposures and engagement in domestic work. Ergonomics. 2012, 55 (2): 212-228. 10.1080/00140139.2011.646319.CrossRefPubMed
40.
go back to reference Marmot M: The Status Syndrome: How Social Standing Affects Our Health And Longevity. 2004, London: Bloomsbury Publishing Plc Marmot M: The Status Syndrome: How Social Standing Affects Our Health And Longevity. 2004, London: Bloomsbury Publishing Plc
41.
go back to reference Kristdemokraterna: 13 steps to a more humane Sweden. Wwwkristdemokraternase. 2010, Stockholm Kristdemokraterna: 13 steps to a more humane Sweden. Wwwkristdemokraternase. 2010, Stockholm
42.
go back to reference Vänsterpartiet: Our Common Welfare Freedom of the Individual a Sustainable World. www vansterpartiet se. 2010, Stockholm: Billes Vänsterpartiet: Our Common Welfare Freedom of the Individual a Sustainable World. www vansterpartiet se. 2010, Stockholm: Billes
43.
go back to reference Schofield T, Connell R, Walker L, Wood JF, Buntland DL: Understanding men’s health and illness: a gender relations approach to policy, research and practice. J Am Coll Health. 2000, 48: 247-256. 10.1080/07448480009596266.CrossRefPubMed Schofield T, Connell R, Walker L, Wood JF, Buntland DL: Understanding men’s health and illness: a gender relations approach to policy, research and practice. J Am Coll Health. 2000, 48: 247-256. 10.1080/07448480009596266.CrossRefPubMed
44.
go back to reference Ringbäck-Weitoft G, Burström B, Rosén M: Premature mortality among lone fathers and childless men. Soc Sci Med. 2004, 59: 1449-1459. 10.1016/j.socscimed.2004.01.026.CrossRefPubMed Ringbäck-Weitoft G, Burström B, Rosén M: Premature mortality among lone fathers and childless men. Soc Sci Med. 2004, 59: 1449-1459. 10.1016/j.socscimed.2004.01.026.CrossRefPubMed
45.
go back to reference Månsdotter A, Lundin A: How do masculinity, partinity leave ans mortality associate? A study of fathers in Swedish parental & child cohort of 1988/1998. Soc Sci Med. 2010, 71: 576-583. 10.1016/j.socscimed.2010.05.008.CrossRefPubMed Månsdotter A, Lundin A: How do masculinity, partinity leave ans mortality associate? A study of fathers in Swedish parental & child cohort of 1988/1998. Soc Sci Med. 2010, 71: 576-583. 10.1016/j.socscimed.2010.05.008.CrossRefPubMed
46.
go back to reference Backhans MC, Lundberg M, Månsdotter A: Does in creased gender equality lead to a convergence of health outcomes for men and for women? A study of Swedish municipalities. Soc Sci Med. 2007, 64: 1892-1903. 10.1016/j.socscimed.2007.01.016.CrossRefPubMed Backhans MC, Lundberg M, Månsdotter A: Does in creased gender equality lead to a convergence of health outcomes for men and for women? A study of Swedish municipalities. Soc Sci Med. 2007, 64: 1892-1903. 10.1016/j.socscimed.2007.01.016.CrossRefPubMed
Metadata
Title
Can the impact of gender equality on health be measured? a cross-sectional study comparing measures based on register data with individual survey-based data
Authors
Ann Sörlin
Ann Öhman
Nawi Ng
Lars Lindholm
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-795

Other articles of this Issue 1/2012

BMC Public Health 1/2012 Go to the issue