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Macro-level determinants of young people’s subjective health and health inequalities: A multilevel analysis in 27 welfare states

  • 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.

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Metadaten
Document Type:Article
Language:English
Author(s):Klaus HurrelmannORCiD, Katharina Rathmann, Veronika Ottova, Margarethe de Looze, Kate Levin, Michael Molcho, Frank Elgar, Saoirse Nic Gabhainn, Jitse P. van Dijk, Matthias Richter
Parent Title (English):Maturitas
ISSN:0378-5122
Publisher:Elsevier
Place of Publisher:Amsterdam [u.a.]
Publication year:2015
First Page:414
Last Page:420
DOI:https://doi.org/10.1016/j.maturitas.2015.01.008
Release Date:2015/03/26
Tag:Adolescents; HBSC; Health inequality; Macro-level determinants; Subjective health
Volume:80
Issue:4
Licence of document (German):Metadaten / metadata
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