@article{RathmannOttovaJordanHurrelmannetal., author = {Rathmann, Katharina and Ottov{\´a}-Jordan, Veronika and Hurrelmann, Klaus and Richter, Matthias}, title = {Makro-strukturelle Determinanten der Gesundheit und gesundheitlichen Ungleichheit von Jugendlichen in 27 Wohlfahrtsstaaten: Eine Mehrebenenanalyse}, series = {Zeitschrift f{\"u}r Soziologie der Erziehung und Sozialisation}, volume = {36}, journal = {Zeitschrift f{\"u}r Soziologie der Erziehung und Sozialisation}, number = {4}, publisher = {Beltz Juventa}, issn = {1436-1957}, pages = {356 -- 381}, abstract = {Dieser Beitrag untersucht die Relevanz makro-struktureller Merkmale f{\"u}r die Gesundheit und sozio{\"o}konomische Ungleichheit in der Gesundheit von Jugendlichen in hochentwickelten Wohlfahrtsstaaten. Datenbasis ist die internationale "Health Behaviour in School-aged Child-ren (HBSC)"-Studie 2005/06. Sie umfasst 11- bis 15-j{\"a}hrige Jugendliche in 27 europ{\"a}ischen und nordamerikanischen L{\"a}nder (n=134.632), die in f{\"u}nf Wohlfahrtsstaatsregimes (sozialde-mokratisch, konservativ, liberal, s{\"u}d- und osteurop{\"a}isch) zusammengefasst wurden. In hierar-chischen Regressionsmodellen wurden f{\"u}r die psychosomatische Beschwerdelast als gesund-heitliche Zielgr{\"o}ßee individuelle (famili{\"a}rer Wohlstand) und makro-strukturelle Determinanten (Einkommensungleichheit, Ausgaben f{\"u}r das Gesundheitssystem, Regime-Dummies) unter Kontrolle des nationalen Wohlstands analysiert. Im liberalen Regime und damit in L{\"a}ndern mit hoher Einkommensungleichheit fallen die Beschwerderate und sozio{\"o}konomische Un-gleichheiten in der Beschwerdelast am h{\"o}chsten aus. Der gesellschaftliche Wohlstand und die Ausgaben f{\"u}r das Gesundheitssystem sind dagegen nicht mit den Beschwerden assoziiert}, language = {de} } @article{HurrelmannRathmannMooretal., author = {Hurrelmann, Klaus and Rathmann, Katharina and Moor, Irene and Kunst, Anton E. and Dragano, Nico and Pf{\"o}rtner, Timo-Kolja and Elgar, Frank J. and Kannas, Lasse and Baška, Tibor and Richter, Matthias}, title = {Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries}, series = {Sociology of Health \& Illness}, volume = {38}, journal = {Sociology of Health \& Illness}, number = {7}, pages = {1005 -- 1025}, abstract = {This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO-Collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, which included 48,025 15-year-old students (Nboys = 23,008, Ngirls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country-level. We used multilevel logistic regression to assess the association of daily smoking and early smoking initiation predicted by family affluence, educational differentiation, and their interactions. Socioeconomic inequalities in both smoking outcomes were larger in countries that are characterised by a lower degree of educational differentiation (e.g. Canada, Scandinavia and the United Kingdom) than in countries with higher levels of educational differentiation (e.g. Austria, Belgium, Hungary and The Netherlands). This study found that high educational differentiation does not relate to greater relative inequalities in smoking. Features of educational systems are important to consider as they are related to overall prevalence in smoking and smoking inequalities in adolescence.}, language = {en} } @article{HurrelmannRathmannOttovaetal., author = {Hurrelmann, Klaus and Rathmann, Katharina and Ottova, Veronika and de Looze, Margarethe and Levin, Kate and Molcho, Michael and Elgar, Frank and Nic Gabhainn, Saoirse and van Dijk, Jitse P. and Richter, Matthias}, title = {Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states}, series = {Maturitas}, volume = {80}, journal = {Maturitas}, number = {4}, publisher = {Elsevier}, address = {Amsterdam [u.a.]}, issn = {0378-5122}, doi = {10.1016/j.maturitas.2015.01.008}, pages = {414 -- 420}, abstract = {Objectives Cross-national studies have rarely focused on young people. The aim of this study is to investigate whether macro-level determinants are associated with health and socioeconomic inequalities in young people's health. Study design Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2006, which included 11- to 15-year old adolescents from 27 European and North American countries (n = 134,632). This study includes national income, health expenditure, income inequality, and welfare regime dummy-variables as macro-level determinants, using hierarchical regression modelling. Main outcome measure Psychosomatic health complaints and socioeconomic inequalities in psychosomatic health complaints. Results Adolescents in countries with higher income inequality and with liberal welfare tradition were associated with more health complaints and a stronger relationship between socioeconomic status and macro-level determinants compared to adolescents from countries with lower income inequality or the Social Democratic regime. National income and health expenditure were not related to health complaints. Countries with higher national income, public health expenditure and income inequality showed stronger associations between socioeconomic status and psychosomatic health complaints. Conclusion Results showed that macro-level characteristics are relevant determinants of health and health inequalities in adolescence.}, language = {en} }