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International Journal of Public Health

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01-03-2018 | Original Article

Self-rated health in Europe and its determinants: Does generation matter?

Authors: Isabel Aguilar-Palacio, Ana Isabel Gil-Lacruz, Raquel Sánchez-Recio, Mª José Rabanaque

Published in: International Journal of Public Health | Issue 2/2018

Abstract

Objectives

To analyse the influence of micro- and macro-factors on self-rated health, and the role of generation on this relationship.

Methods

Cross-sectional study using data from European Health Interview Surveys from 14 European countries. Individuals were divided into four generations (“silent generation”, “baby boomers”, and “generation X” and “Y”). We conducted multilevel analyses for each generation to study the influence of individual and national explanatory variables on self-rated health.

Results

Age showed an exponential effect in older generations. Education and employment presented the strongest association with low self-rated health, especially in “baby boomers” and women (low education: OR 3.5; 95% CI 3.2–3.9). Tobacco showed a negative effect in younger generations. Overweight and low physical activity were negatively associated with self-rated health regardless of generation. Countries from the Eastern welfare system showed the highest risk of low self-rated health and this association was higher in men for “silent generation” (OR 4.7; 95% CI 3.0–7.6).

Conclusions

The influence of individual and national factors on self-rated health varies regarding generation. The target generation and the demographic structure of a country should be taken into account to develop more accurate health policies.

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Aguilar-Palacio I, Carrera-Lasfuentes P, Rabanaque MJ (2015a) Self-rated health and educational level in Spain: trends by autonomous communities and gender (2001–2012). Gac Sanit 29(1):37–43. https://doi.org/10.1016/j.gaceta.2014.07.004 CrossRefPubMed

Aguilar-Palacio I, Carrera-Lasfuentes P, Rabanaque MJ (2015b) Youth unemployment and economic recession in Spain: influence on health and lifestyles in young people (16–24 years old). Int J Public Health 60(4):427–435. https://doi.org/10.1007/s00038-015-0668-9 CrossRefPubMed

Ahmad F, Jhajj AK, Stewart DE, Burghardt M, Bierman AS (2014) Single item measures of self-rated mental health: a scoping review. BMC Health Serv Res 14:398. https://doi.org/10.1186/1472-6963-14-398 CrossRefPubMedPubMedCentral

Baćak V, Ólafsdóttir S (2017) Gender and validity of self-rated health in nineteen European countries. Scand J Public Health 45(6):647–653CrossRefPubMed

Badley EM, Canizares M, Perruccio AV, Hogg-Johnson S, Gignac MA (2015) Benefits gained, benefits lost: comparing baby boomers to other generations in a longitudinal cohort study of self-rated health. Milbank Q 93(1):40–72CrossRefPubMedPubMedCentral

Bambra C (2007) Going beyond The three worlds of welfare capitalism: regime theory and public health research. J Epidemiol Community Health 61(12):1098–1102. https://doi.org/10.1136/jech.2007.064295 CrossRefPubMedPubMedCentral

Bambra C (2011) Health inequalities and welfare state regimes: theoretical insights on a public health ‘puzzle’. J Epidemiol Community Health 65(9):740–745. https://doi.org/10.1136/jech.2011.136333 CrossRefPubMed

Bianchi SM (2011) Family change and time allocation in American families. Ann Am Acad Polit Soc Sci 638(1):21–44CrossRef

Bristow J (2016) The sociology of generations: new directions and challenges. Palgrave Macmillan, LondonCrossRef

Carter MR, Kelly RK (2013) Self-reported health status, body mass index, and healthy lifestyle behaviors: differences between Baby Boomer and Generation X employees at a southeastern university. Workplace Health Saf 61(9):409–418. https://doi.org/10.3928/21650799-20130827-67 (quiz 419) PubMed

Chatterji S, Byles J, Cutler D, Seeman T, Verdes E (2015) Health, functioning, and disability in older adults–present status and future implications. Lancet 385(9967):563–575. https://doi.org/10.1016/S0140-6736(14)61462-8 CrossRefPubMed

Chen H, Cohen P, Kasen S (2007) Cohort differences in self-rated health: evidence from a three-decade, community-based, longitudinal study of women. Am J Epidemiol 166(4):439–446CrossRefPubMed

Cogin J (2012) Are generational differences in work values fact or fiction? Multi-country evidence and implications. Int J Hum Resour Manag 23(11):2268–2294CrossRef

Crumpacker M, Crumpacker JM (2007) Succession planning and generational stereotypes: should HR consider age-based values and attitudes a relevant factor or a passing fad? Public Pers Manag 36(4):349–369

Department of Economic and Social Affairs (2013) World population prospects: the 2012 revision. Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, New York

Eikemo TA, Bambra C (2008) The welfare state: a glossary for public health. J Epidemiol Community Health 62(1):3–6. https://doi.org/10.1136/jech.2007.066787 CrossRefPubMed

Eikemo TA, Bambra C, Judge K, Ringdal K (2008) Welfare state regimes and differences in self-perceived health in Europe: a multilevel analysis. Soc Sci Med 66(11):2281–2295. https://doi.org/10.1016/j.socscimed.2008.01.022 CrossRefPubMed

Eurostat (2016) European Health Interview Survey (EHIS). http://ec.europa.eu/eurostat/web/microdata/european-health-interview-survey

Ferrera M (1996) The ‘Southern model’ of welfare in social Europe. J Eur Soc Policy 6(1):17–37CrossRef

Ford ES, Li C, Zhao G, Pearson WS, Tsai J, Greenlund KJ (2010) Trends in low-risk lifestyle factors among adults in the United States: findings from the Behavioral Risk Factor Surveillance System 1996–2007. Prev Med 51(5):403–407. https://doi.org/10.1016/j.ypmed.2010.08.002 CrossRefPubMed

Gesell I (2010) How to lead when the generation gap becomes your everyday reality. J Qual Particip 32(4):21

Hurrelmann K, Rathmann K, Richter M (2011) Health inequalities and welfare state regimes. A research note. J Public Health 19(1):3–13CrossRef

Jylha M (2009) What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med 69(3):307–316. https://doi.org/10.1016/j.socscimed.2009.05.013 CrossRefPubMed

Lahelma E, Pietiläinen O, Ferrie J, Kivimäki M, Lahti J, Marmot M, Rahkonen O, Sekine M, Shipley M, Tatsuse T (2016) Changes over time in absolute and relative socioeconomic differences in smoking: a comparison of cohort studies from Britain, Finland, and Japan. Nicotine Tob Res 18(8):1697–1704CrossRefPubMedPubMedCentral

Lancaster LC, Stillman D (2002) When generations collide: Who they are. Why they clash. How to solve the generational puzzle at work. HarperCollins Publishers, New York City

Levickaite R (2010) Generations X, Y, Z: how social networks form the concept of the world without borders (the case of Lithuania). LIMES Cult Reg 3(2):170–183CrossRef

Lynch J (2006) Age in the welfare state: the origins of social spending on pensioners, workers, and children. Cambridge University Press, CambridgeCrossRef

Malmusi D, Artazcoz L, Benach J, Borrell C (2012) Perception or real illness? How chronic conditions contribute to gender inequalities in self-rated health. Eur J Pub Health 22(6):781–786. https://doi.org/10.1093/eurpub/ckr184 CrossRef

Meyer OL, Castro-Schilo L, Aguilar-Gaxiola S (2014) Determinants of mental health and self-rated health: a model of socioeconomic status, neighborhood safety, and physical activity. Am J Public Health 104(9):1734–1741CrossRefPubMedPubMedCentral

Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, Gortmaker SL (2011) The global obesity pandemic: shaped by global drivers and local environments. Lancet 378(9793):804–814. https://doi.org/10.1016/S0140-6736(11)60813-1 CrossRefPubMed

World Health Organization (2010) Global recommendations on physical activity for health. WHO, Geneva

Wu S, Wang R, Zhao Y, Ma X, Wu M, Yan X, He J (2013) The relationship between self-rated health and objective health status: a population-based study. BMC Public Health 13(1):320CrossRefPubMedPubMedCentral

Title: Self-rated health in Europe and its determinants: Does generation matter?
Authors: Isabel Aguilar-Palacio
Ana Isabel Gil-Lacruz
Raquel Sánchez-Recio
Mª José Rabanaque
Publication date: 01-03-2018
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 2/2018
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1079-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Self-rated health in Europe and its determinants: Does generation matter?

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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