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Published in: European Journal of Ageing 4/2020

Open Access 01-12-2020 | Original Investigation

The gender health gap in Europe’s ageing societies: universal findings across countries and age groups?

Authors: Alina Schmitz, Patrick Lazarevič

Published in: European Journal of Ageing | Issue 4/2020

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Abstract

We provide a systematic country and age group comparison of the gender gap in several generic health indicators and more specific morbidity outcomes. Using data from the Survey of Health, Ageing and Retirement (SHARE), we examined the gender gap in the prevalence of poor self-rated health, chronic health conditions, activity limitations, multimorbidity, pain, heart attacks, diabetes, and depression in three age groups (50–64, 65–79, and 80+) based on linear probability models with and without adjustment for covariates. While women were typically disadvantaged regarding poor self-rated health, chronic health conditions, activity limitations, multimorbidity, pain, and depression, men had a higher prevalence of heart attacks and diabetes. However, the gender gap’s magnitude and sometimes even its direction varied considerably with some age trends apparent. Regarding some health indicators, the gender gap tended to be higher in Southern and Eastern Europe than in Western and Northern Europe. All in all, the presence of a gender health gap cannot be regarded as a universal finding as the gap tended to widen, narrow or even reverse with age depending on the indicator and country.
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Literature
go back to reference Acciai F, Hardy M (2017) Depression in later life: a closer look at the gender gap. Soc Sci Res 68:163–175 Acciai F, Hardy M (2017) Depression in later life: a closer look at the gender gap. Soc Sci Res 68:163–175
go back to reference Ahrenfeldt LJ, Möller S, Thinggaard M, Christensen K, Lindahl-Jacobsen R (2019) Sex differences in comorbidity and frailty in Europe. Int J Public Health 64(7):1025–1036 Ahrenfeldt LJ, Möller S, Thinggaard M, Christensen K, Lindahl-Jacobsen R (2019) Sex differences in comorbidity and frailty in Europe. Int J Public Health 64(7):1025–1036
go back to reference Bardage C, Pluijm SMF, Pedersen NL, Deeg DJH, Jylhä M, Noale M, Blumstein T, Otero A (2005) Self-rated health among older adults. A cross-national comparison. Eur J Ageing 2(2):149–158 Bardage C, Pluijm SMF, Pedersen NL, Deeg DJH, Jylhä M, Noale M, Blumstein T, Otero A (2005) Self-rated health among older adults. A cross-national comparison. Eur J Ageing 2(2):149–158
go back to reference Bartley EJ, Fillingim RB (2013) Sex differences in pain. A brief review of clinical and experimental findings. Br J Anaesth 111(1):52–58 Bartley EJ, Fillingim RB (2013) Sex differences in pain. A brief review of clinical and experimental findings. Br J Anaesth 111(1):52–58
go back to reference Bird CE, Rieker PP (2008) Gender and health: The effects of constrained choices and social policies. Cambridge University Press, Cambridge Bird CE, Rieker PP (2008) Gender and health: The effects of constrained choices and social policies. Cambridge University Press, Cambridge
go back to reference Bird CE, Lang ME, Rieker PP (2012) Changing gendered patterns of morbidity and mortality. In: Kuhlmann E, Annandale E (eds) The Palgrave handbook of gender and healthcare, 2nd edn. Palgrave, Basingstoke, pp 145–161 Bird CE, Lang ME, Rieker PP (2012) Changing gendered patterns of morbidity and mortality. In: Kuhlmann E, Annandale E (eds) The Palgrave handbook of gender and healthcare, 2nd edn. Palgrave, Basingstoke, pp 145–161
go back to reference Bonsang E, Skirbekk V, Staudinger UM (2017) As you sow, so shall you reap: gender-role attitudes and late-life cognition. Psychol Sci 28(9):1201–1213 Bonsang E, Skirbekk V, Staudinger UM (2017) As you sow, so shall you reap: gender-role attitudes and late-life cognition. Psychol Sci 28(9):1201–1213
go back to reference Borrell C, Palencia L, Muntaner C, Urquia M, Malmusi D, O’Campo P (2014) Influence of macrosocial policies on women’s health and gender inequalities in health. Epidemiol Rev 36:31–48 Borrell C, Palencia L, Muntaner C, Urquia M, Malmusi D, O’Campo P (2014) Influence of macrosocial policies on women’s health and gender inequalities in health. Epidemiol Rev 36:31–48
go back to reference Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, Schaan B, Stuck S, Zuber S (2013) Data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Epidemiol 42(4):992–1001 Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, Schaan B, Stuck S, Zuber S (2013) Data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Epidemiol 42(4):992–1001
go back to reference Brandt M (2013) Intergenerational help and public assistance in Europe: a case of specialization? Eur Soc 15(1):26–56 Brandt M (2013) Intergenerational help and public assistance in Europe: a case of specialization? Eur Soc 15(1):26–56
go back to reference Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 10(4):287–333 Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 10(4):287–333
go back to reference Cipollone A, Patacchini E, Vallanti G (2012) Women’s labour market performance in Europe: trends and shaping factors. CEPS Special Report 66. Centre for European Policy Studies Cipollone A, Patacchini E, Vallanti G (2012) Women’s labour market performance in Europe: trends and shaping factors. CEPS Special Report 66. Centre for European Policy Studies
go back to reference Commission European (2015) Demography report. Publications Office of the European Union, Luxemburg Commission European (2015) Demography report. Publications Office of the European Union, Luxemburg
go back to reference Courtenay WH (2000) Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med 50:1385–1401 Courtenay WH (2000) Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med 50:1385–1401
go back to reference Cowie CC, Rust KF, Byrd-Holt DD, Eberhardt MS, Flegal KM, Engelgau MM, Saydah SH, Williams DE, Geiss LS, Gregg EW (2006) Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population. National Health And Nutrition Examination Survey 1999–2002. Diabetes Care 29(6):1263–1268 Cowie CC, Rust KF, Byrd-Holt DD, Eberhardt MS, Flegal KM, Engelgau MM, Saydah SH, Williams DE, Geiss LS, Gregg EW (2006) Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population. National Health And Nutrition Examination Survey 1999–2002. Diabetes Care 29(6):1263–1268
go back to reference Crimmins EM, Kim JK, Sole-Auro A (2010) Gender differences in health: results from SHARE, ELSA and HRS. Eur J Public Health 21(1):81–91 Crimmins EM, Kim JK, Sole-Auro A (2010) Gender differences in health: results from SHARE, ELSA and HRS. Eur J Public Health 21(1):81–91
go back to reference Edge CE, Cooper AM, Coffey M (2017) Barriers and facilitators to extended working lives in Europe: a gender focus. Public Health Rev 38:2 Edge CE, Cooper AM, Coffey M (2017) Barriers and facilitators to extended working lives in Europe: a gender focus. Public Health Rev 38:2
go back to reference Haberkern K, Schmid T, Szydlik M (2015) Gender differences in intergenerational care in European welfare states. Ageing Soc 35(2):298–320 Haberkern K, Schmid T, Szydlik M (2015) Gender differences in intergenerational care in European welfare states. Ageing Soc 35(2):298–320
go back to reference Jagger C, Robine JM, van Oyen H, Cambois E (2008) Life expectancy with chronic morbidity. In: European Commission (ed) Major and chronic diseases. Report 2007. Luxembourg, pp 292–304 Jagger C, Robine JM, van Oyen H, Cambois E (2008) Life expectancy with chronic morbidity. In: European Commission (ed) Major and chronic diseases. Report 2007. Luxembourg, pp 292–304
go back to reference Jagger C, Gillies C, Cambois E, van Oyen H, Nusselder W, Robine J-M (2010) The global activity limitation index measured function and disability similarly across European countries. J Clin Epidemiol 63(8):892–899 Jagger C, Gillies C, Cambois E, van Oyen H, Nusselder W, Robine J-M (2010) The global activity limitation index measured function and disability similarly across European countries. J Clin Epidemiol 63(8):892–899
go back to reference Jürges H (2007) True health vs response styles: exploring cross-country differences in self-reported health. Health Econ 16(2):163–178 Jürges H (2007) True health vs response styles: exploring cross-country differences in self-reported health. Health Econ 16(2):163–178
go back to reference Jylhä 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 Jylhä 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
go back to reference King TL, Kavanagh A, Scovelle AJ, Milner A (2018) Associations between gender equality and health: a systematic review. Health Promot Int 35(1):27–41 King TL, Kavanagh A, Scovelle AJ, Milner A (2018) Associations between gender equality and health: a systematic review. Health Promot Int 35(1):27–41
go back to reference Kuehner C (2017) Why is depression more common among women than among men? Lancet Psychiatry 4(2):146–158 Kuehner C (2017) Why is depression more common among women than among men? Lancet Psychiatry 4(2):146–158
go back to reference Lachman ME, Neupert SD, Agrigoroaei D (2011) The relevance of control beliefs for health and ageing. In: Schaie KW, Willis SL (eds) Handbook of the psychology of aging. Elsevier, New York, pp 175–190 Lachman ME, Neupert SD, Agrigoroaei D (2011) The relevance of control beliefs for health and ageing. In: Schaie KW, Willis SL (eds) Handbook of the psychology of aging. Elsevier, New York, pp 175–190
go back to reference Lahelma E, Arber S, Martikainen P, Rahkonen O, Silventoinen K (2001) The myth of gender differences in health: social structural determinants across adult ages in Britain and Finland. Curr Sociol 49(3):31–54 Lahelma E, Arber S, Martikainen P, Rahkonen O, Silventoinen K (2001) The myth of gender differences in health: social structural determinants across adult ages in Britain and Finland. Curr Sociol 49(3):31–54
go back to reference Lazarevič P (2018) Ausgezeichnet, sehr gut, gut, mittelmäßig, schlecht: theoretische Konzepte und empirische Befunde zur Erhebung des allgemeinen Gesundheitszustands bei älteren und alten Menschen. In: Brandt M, Fietz J, Hampel S, Kaschowitz J, Lazarevič P (eds) Methoden der empirischen Alter(n)sforschung. Beltz, Weinheim, pp 16–37 Lazarevič P (2018) Ausgezeichnet, sehr gut, gut, mittelmäßig, schlecht: theoretische Konzepte und empirische Befunde zur Erhebung des allgemeinen Gesundheitszustands bei älteren und alten Menschen. In: Brandt M, Fietz J, Hampel S, Kaschowitz J, Lazarevič P (eds) Methoden der empirischen Alter(n)sforschung. Beltz, Weinheim, pp 16–37
go back to reference Leveille SG, Resnick HE, Balfour J (2000) Gender differences in disability: evidence and underlying reasons. Aging Clin Exp Res 12:106–112 Leveille SG, Resnick HE, Balfour J (2000) Gender differences in disability: evidence and underlying reasons. Aging Clin Exp Res 12:106–112
go back to reference Loretto W, Vickerstaff S (2015) Gender, age and flexible working in later life. Work Empl Soc 29(2):233–249 Loretto W, Vickerstaff S (2015) Gender, age and flexible working in later life. Work Empl Soc 29(2):233–249
go back to reference Luy M (2003) Causes of male excess mortality: insights from cloistered populations. Popul Dev Rev 29(4):647–676 Luy M (2003) Causes of male excess mortality: insights from cloistered populations. Popul Dev Rev 29(4):647–676
go back to reference Macintyre S, Hunt K, Sweeting H (1996) Gender differences in health: are things really as simple as they seem? Soc Sci Med 42(4):617–624 Macintyre S, Hunt K, Sweeting H (1996) Gender differences in health: are things really as simple as they seem? Soc Sci Med 42(4):617–624
go back to reference Mahalik JR, Burns SM, Syzdek M (2007) Masculinity and perceived normative health behaviors as predictors of men’s health behaviors. Soc Sci Med 64(11):2201–2209 Mahalik JR, Burns SM, Syzdek M (2007) Masculinity and perceived normative health behaviors as predictors of men’s health behaviors. Soc Sci Med 64(11):2201–2209
go back to reference Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, Meinow B, Fratiglioni L (2011) Aging with multimorbidity. A systematic review of the literature. Ageing Res Rev 10(4):430–439 Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, Meinow B, Fratiglioni L (2011) Aging with multimorbidity. A systematic review of the literature. Ageing Res Rev 10(4):430–439
go back to reference Murray CJL, Lopez AD (2013) Measuring the global burden of disease. N Engl J Med 369(5):448–457 Murray CJL, Lopez AD (2013) Measuring the global burden of disease. N Engl J Med 369(5):448–457
go back to reference Oksuzyan A, Juel K, Vaupel JW, Christensen K (2008) Men: good health and high mortality. Sex differences in health and aging. Aging Clin Exp Res 20(2):91–102 Oksuzyan A, Juel K, Vaupel JW, Christensen K (2008) Men: good health and high mortality. Sex differences in health and aging. Aging Clin Exp Res 20(2):91–102
go back to reference Oksuzyan A, Brønnum-Hansen H, Jeune B (2010) Gender gap in health expectancy. Eur J Ageing 7(4):213–218 Oksuzyan A, Brønnum-Hansen H, Jeune B (2010) Gender gap in health expectancy. Eur J Ageing 7(4):213–218
go back to reference Oksuzyan A, Gumà J, Doblhammer G (2018) Sex differences in health and survival. In: Doblhammer G, Gumà J (eds) A demographic perspective on gender, family and health in Europe. Springer, Cham, pp 65–100 Oksuzyan A, Gumà J, Doblhammer G (2018) Sex differences in health and survival. In: Doblhammer G, Gumà J (eds) A demographic perspective on gender, family and health in Europe. Springer, Cham, pp 65–100
go back to reference Prince MJ, Reischies F, Beekman ATF, Fuhrer R, Jonker C, Kivela S-L, Lawlor BA, Lobo A, Magnusson H, Fichter M, van Oyen H, Roelands M, Skoog I, Turrina C, Copeland JRM (1999) Development of the EURO-D scale - a European Union initiative to compare symptoms of depression in 14 European centres. B J Psych 174:330–338 Prince MJ, Reischies F, Beekman ATF, Fuhrer R, Jonker C, Kivela S-L, Lawlor BA, Lobo A, Magnusson H, Fichter M, van Oyen H, Roelands M, Skoog I, Turrina C, Copeland JRM (1999) Development of the EURO-D scale - a European Union initiative to compare symptoms of depression in 14 European centres. B J Psych 174:330–338
go back to reference Read JG, Gorman BG (2011) Gender and health revisited. In: Pescosolido BA, Martin JA, McLeod JD, Rogers A (eds) Handbook of the sociology of health, illness and healing. A blueprint for the 21st century. Springer, New York, pp 411–429 Read JG, Gorman BG (2011) Gender and health revisited. In: Pescosolido BA, Martin JA, McLeod JD, Rogers A (eds) Handbook of the sociology of health, illness and healing. A blueprint for the 21st century. Springer, New York, pp 411–429
go back to reference Robine JM, Jagger C (2003) Report to Eurostat on European health status module. Final report of convention Eurostat n°200135100021. Euro-REVES, Montpellier Robine JM, Jagger C (2003) Report to Eurostat on European health status module. Final report of convention Eurostat n°200135100021. Euro-REVES, Montpellier
go back to reference Roy K, Chaudhuri A (2012) Gender differences in healthcare utilization in later life. In: Kuhlmann E, Annandale E (eds) The Palgrave handbook of gender and healthcare, 2nd edn. Palgrave McMillan, Basingstoke, pp 256–272 Roy K, Chaudhuri A (2012) Gender differences in healthcare utilization in later life. In: Kuhlmann E, Annandale E (eds) The Palgrave handbook of gender and healthcare, 2nd edn. Palgrave McMillan, Basingstoke, pp 256–272
go back to reference Scheel-Hincke LL, Möller S, Lindahl-Jacobsen R, Jeune B, Ahrenfeldt LJ (2019) Cross-national comparison of sex differences in ADL and IADL in Europe: findings from SHARE. Eur J Ageing 64(7):1025 Scheel-Hincke LL, Möller S, Lindahl-Jacobsen R, Jeune B, Ahrenfeldt LJ (2019) Cross-national comparison of sex differences in ADL and IADL in Europe: findings from SHARE. Eur J Ageing 64(7):1025
go back to reference Schmid T, Brandt M, Haberkern K (2012) Gendered support to older parents: do welfare states matter? Eur J Ageing 9(1):39–50 Schmid T, Brandt M, Haberkern K (2012) Gendered support to older parents: do welfare states matter? Eur J Ageing 9(1):39–50
go back to reference Schmitz A, Brandt M (2019) Gendered patterns of depression and its determinants in older Europeans. Arch Gerontol Geriatr 82:207–216 Schmitz A, Brandt M (2019) Gendered patterns of depression and its determinants in older Europeans. Arch Gerontol Geriatr 82:207–216
go back to reference Schofield T (2012) Men’s health and well-being. In: Kuhlmann E, Annandale E (eds) The Palgrave handbook of gender and healthcare, 2nd edn. Palgrave, Basingstoke, pp 273–289 Schofield T (2012) Men’s health and well-being. In: Kuhlmann E, Annandale E (eds) The Palgrave handbook of gender and healthcare, 2nd edn. Palgrave, Basingstoke, pp 273–289
go back to reference Sen G, George A, Östlin P (2002) The case for gender equity in health research. J Health Manag 4(2):99–117 Sen G, George A, Östlin P (2002) The case for gender equity in health research. J Health Manag 4(2):99–117
go back to reference Sun LY, Tu JV, Coutinho T, Turek M, Rubens FD, McDonnell L, Tulloch H, Bader Eddeen A, Mielniczuk LM (2018) Sex differences in outcomes of heart failure in an ambulatory, population-based cohort from 2009 to 2013. CMAJ 28(190):E848–E854 Sun LY, Tu JV, Coutinho T, Turek M, Rubens FD, McDonnell L, Tulloch H, Bader Eddeen A, Mielniczuk LM (2018) Sex differences in outcomes of heart failure in an ambulatory, population-based cohort from 2009 to 2013. CMAJ 28(190):E848–E854
go back to reference Thoits PA (2011) Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav 52(2):145–161 Thoits PA (2011) Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav 52(2):145–161
go back to reference UNESCO (1997) International standard classification of education 1997. UNESCO, Geneva UNESCO (1997) International standard classification of education 1997. UNESCO, Geneva
go back to reference van Oyen H, van der Heyden J, Perenboom R, Jagger C (2006) Monitoring population disability: evaluation of a new global activity limitation indicator (GALI). Soz Präventivmed 51(3):153–161 van Oyen H, van der Heyden J, Perenboom R, Jagger C (2006) Monitoring population disability: evaluation of a new global activity limitation indicator (GALI). Soz Präventivmed 51(3):153–161
go back to reference Violan C, Foguet-Boreu Q, Flores-Mateo G, Salisbury C, Blom J, Freitag M, Glynn L, Muth C, Valderas JM (2014) Prevalence, determinants and patterns of multimorbidity in primary care. A systematic review of observational studies. PLoS ONE 9(7):e102149 Violan C, Foguet-Boreu Q, Flores-Mateo G, Salisbury C, Blom J, Freitag M, Glynn L, Muth C, Valderas JM (2014) Prevalence, determinants and patterns of multimorbidity in primary care. A systematic review of observational studies. PLoS ONE 9(7):e102149
Metadata
Title
The gender health gap in Europe’s ageing societies: universal findings across countries and age groups?
Authors
Alina Schmitz
Patrick Lazarevič
Publication date
01-12-2020
Publisher
Springer Netherlands
Published in
European Journal of Ageing / Issue 4/2020
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-020-00559-6

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