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Decreasing socioeconomic inequalities and increasing health inequalities in Spain: A case study

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  • Regidor, E.
  • Ronda, E.
  • Pascual, C.
  • Martínez, D.
  • Calle, M.E.
  • Domínguez, V.

Abstract

Objectives. We examined the evolution of income inequalities and health inequalities in Spain from the time of the country's entry into the European Union. Methods. We estimated distributions of provincial income and household income, relations of provincial income with mortality and disability, and relations of household income with disability in 1984-1986 and 1999-2001. Results. Inequalities in average provincial income and household income were lower in 2000 than in 1985. Differences in mortality and disability according to income were greater in 2000 than in 1985, in both absolute and relative terms, except for differences in mortality among individuals aged 25 to 44 years. In most cases, differences in mortality from leading causes of death and differences in major types of disabilities were also greater in 2000. Conclusions. Our results show that redistribution of income might achieve greater social justice but probably does not lead to reduced health inequalities, despite observed improvements in material circumstances as well as in most health indicators among disadvantaged population groups.

Suggested Citation

  • Regidor, E. & Ronda, E. & Pascual, C. & Martínez, D. & Calle, M.E. & Domínguez, V., 2006. "Decreasing socioeconomic inequalities and increasing health inequalities in Spain: A case study," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 102-108.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.053983_0
    DOI: 10.2105/AJPH.2004.053983
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    Cited by:

    1. René Böheim & Käthe Knittler & Helmut Mahringer, 2008. "Einfluss von Erwerbslaufbahn und Nachtschwerarbeit auf die Lebenserwartung. Sterberisiko der Männer der Kohorten 1924 bis 1949 in Österreich," WIFO Studies, WIFO, number 31719, April.
    2. Tannahill, Carol & Sridharan, Sanjeev, 2013. "Getting real about policy and practice needs: Evaluation as a bridge between the problem and solution space," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 157-164.
    3. Aittomäki, Akseli & Martikainen, Pekka & Rahkonen, Ossi & Lahelma, Eero, 2014. "Household income and health problems during a period of labour-market change and widening income inequalities – A study among the Finnish population between 1987 and 2007," Social Science & Medicine, Elsevier, vol. 100(C), pages 84-92.
    4. Kachi, Yuko & Inoue, Mariko & Nishikitani, Mariko & Tsurugano, Shinobu & Yano, Eiji, 2013. "Determinants of changes in income-related health inequalities among working-age adults in Japan, 1986–2007: Time-trend study," Social Science & Medicine, Elsevier, vol. 81(C), pages 94-101.

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