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International Journal of Public Health

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01-04-2018 | Original Article

Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment

Authors: Nihaya Daoud, Varda Soskolne, Jennifer S. Mindell, Marilyn A. Roth, Orly Manor

Published in: International Journal of Public Health | Issue 3/2018

Abstract

Objectives

Ethnic inequalities in health (EIH) are unjust public health problem that emerge across societies. In Israel, despite uniform healthcare coverage, marked EIH persist between Arabs and Jews.

Methods

We draw on the ecosocial approach to examine the relative contributions of individual socioeconomic status (SES), psychosocial and health behavioral factors, and the living environment (neighborhood problems, social capital, and social participation) to explaining ethnic differences in self-rated health (SRH). Data were derived from two nationwide studies conducted in 2004–2005 of stratified samples of Arabs (N = 902) and Jews (N = 1087).

Results

Poor SRH was significantly higher among Arabs after adjustment for age and gender [odds ratio and 95% confidence interval (CI) = 1.94 (1.57–2.40)]. This association was reversed following adjustment for all possible mediators: OR (95% CI) = 0.70(0.53–0.92). The relative contribution of SES and the living environment was sizable, each attenuating the EIH by 40%, psychosocial factors by 25%, and health behaviors by 16%.

Conclusions

Arabs in Israel have poorer SRH than Jews. Polices to reduce this inequality should mainly focus on improving the SES and the living conditions of the Arabs, which might enhance health behaviors and well-being.

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Title: Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment
Authors: Nihaya Daoud
Varda Soskolne
Jennifer S. Mindell
Marilyn A. Roth
Orly Manor
Publication date: 01-04-2018
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 3/2018
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-017-1065-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Ethnic inequalities in health between Arabs and Jews in Israel: the relative contribution of individual-level factors and the living environment

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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