IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v123y2014icp55-63.html
   My bibliography  Save this article

The socioeconomic gradient in physical inactivity: Evidence from one million adults in England

Author

Listed:
  • Farrell, Lisa
  • Hollingsworth, Bruce
  • Propper, Carol
  • Shields, Michael A.

Abstract

Understanding the socioeconomic gradient in physical inactivity is essential for effective health promotion. This paper exploits data on over one million individuals (1,002,216 people aged 16 and over) in England drawn from the Active People Survey (2004–11). We identify the separate associations between a variety of measures of physical inactivity with education and household income. We find high levels of physical inactivity. Further, both education and household income are strongly associated with inactivity even when controlling for local area deprivation, the availability of physical recreation and sporting facilities, the local weather and regional geography. Moreover, the gap in inactivity between those living in high and low income households is already evident in early adult life and increases up until about age 85. Overall, these results suggest that England is building up a large future health problem and one that is heavily socially graded.

Suggested Citation

  • Farrell, Lisa & Hollingsworth, Bruce & Propper, Carol & Shields, Michael A., 2014. "The socioeconomic gradient in physical inactivity: Evidence from one million adults in England," Social Science & Medicine, Elsevier, vol. 123(C), pages 55-63.
  • Handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:55-63
    DOI: 10.1016/j.socscimed.2014.10.039
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953614006923
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2014.10.039?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Deaton, Angus S & Paxson, Christina H, 1998. "Aging and Inequality in Income and Health," American Economic Review, American Economic Association, vol. 88(2), pages 248-253, May.
    2. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 10, pages 577-633, Elsevier.
    3. van Kippersluis, Hans & Van Ourti, Tom & O'Donnell, Owen & van Doorslaer, Eddy, 2009. "Health and income across the life cycle and generations in Europe," Journal of Health Economics, Elsevier, vol. 28(4), pages 818-830, July.
    4. Giles-Corti, Billie & Donovan, Robert J., 2002. "The relative influence of individual, social and physical environment determinants of physical activity," Social Science & Medicine, Elsevier, vol. 54(12), pages 1793-1812, June.
    5. Henry Saffer & Dhaval Dave & Michael Grossman & Leigh Ann Leung, 2013. "Racial, Ethnic, and Gender Differences in Physical Activity," Journal of Human Capital, University of Chicago Press, vol. 7(4), pages 378-410.
    6. Tomas Philipson, 2001. "The world‐wide growth in obesity: an economic research agenda," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 1-7, January.
    7. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    8. Powell, L.M. & Slater, S. & Chaloupka, F.J. & Harper, D., 2006. "Availability of physical activity-related facilities and neighborhood demographic and socioeconomic characteristics: A national study," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1676-1680.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Huikari, Sanna & Junttila, Hanna & Ala-Mursula, Leena & Jämsä, Timo & Korpelainen, Raija & Miettunen, Jouko & Svento, Rauli & Korhonen, Marko, 2021. "Leisure-time physical activity is associated with socio-economic status beyond income – Cross-sectional survey of the Northern Finland Birth Cohort 1966 study," Economics & Human Biology, Elsevier, vol. 41(C).
    2. Pedro Gullón & Julia Díez & Paloma Conde & Carmen Ramos & Valentín Márquez & Hannah Badland & Francisco Escobar & Manuel Franco, 2019. "Using Photovoice to Examine Physical Activity in the Urban Context and Generate Policy Recommendations: The Heart Healthy Hoods Study," IJERPH, MDPI, vol. 16(5), pages 1-16, March.
    3. Meneton, Pierre & Hoertel, Nicolas & Wiernik, Emmanuel & Lemogne, Cédric & Ribet, Céline & Bonenfant, Sébastien & Ménard, Joël & Goldberg, Marcel & Zins, Marie, 2018. "Work environment mediates a large part of social inequalities in the incidence of several common cardiovascular risk factors: Findings from the Gazel cohort," Social Science & Medicine, Elsevier, vol. 216(C), pages 59-66.
    4. Grace Lordan & Debayan Pakrashi, 2015. "Do All Activities “Weigh” Equally? How Different Physical Activities Differ as Predictors of Weight," Risk Analysis, John Wiley & Sons, vol. 35(11), pages 2069-2086, November.
    5. Candio, Paolo & Meads, David & Hill, Andrew J. & Bojke, Laura, 2022. "Does providing everyone with free-of-charge organised exercise opportunities work in public health?," Health Policy, Elsevier, vol. 126(2), pages 129-142.
    6. Kadia Saint-Onge & Paquito Bernard & Célia Kingsbury & Janie Houle, 2021. "Older Public Housing Tenants’ Capabilities for Physical Activity Described Using Walk-Along Interviews in Montreal, Canada," IJERPH, MDPI, vol. 18(21), pages 1-19, November.
    7. Ana Sofia Sousa & Joana Mendes & Rita S. Guerra & Patrícia Padrão & Pedro Moreira & Alejandro Santos & Nuno Borges & Cláudia Afonso & Cátia Martins & Graça Ferro & Teresa F. Amaral, 2020. "Sitting time and associated factors among Portuguese older adults: results from Nutrition UP 65," European Journal of Ageing, Springer, vol. 17(3), pages 321-330, September.
    8. Candio, Paolo & Meads, David & Hill, Andrew J. & Bojke, Laura, 2021. "Taking a local government perspective for economic evaluation of a population-level programme to promote exercise," Health Policy, Elsevier, vol. 125(5), pages 651-657.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lisa Farrell & Bruce Hollingsworth & Carol Propper & Michael A Shields, 2013. "The Socioeconomic Gradient in Physical Inactivity in England," The Centre for Market and Public Organisation 13/311, The Centre for Market and Public Organisation, University of Bristol, UK.
    2. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions," Tinbergen Institute Discussion Papers 13-076/V, Tinbergen Institute.
    3. Raquel Fonseca Benito & Yuhui Zheng, 2011. "The Effect of Education on Health Cross-Country Evidence," Working Papers WR-864, RAND Corporation.
    4. Bautista, María Angélica & González, Felipe & Martinez, Luis R. & Muñoz, Pablo & Prem, Mounu, 2020. "Does Higher Education Reduce Mortality? Evidence from a Natural Experiment in Chile," SocArXiv 5s2px, Center for Open Science.
    5. Strulik, Holger, 2018. "The return to education in terms of wealth and health," The Journal of the Economics of Ageing, Elsevier, vol. 12(C), pages 1-14.
    6. Ji, Sisi & Zhu, Zheyi, 2022. "Does higher education matter for health?," Cardiff Economics Working Papers E2022/4, Cardiff University, Cardiff Business School, Economics Section.
    7. Pınar Mine Güneş, 2016. "The effects of teenage childbearing on long-term health in the US: a twin-fixed-effects approach," Review of Economics of the Household, Springer, vol. 14(4), pages 891-920, December.
    8. Gathmann, Christina & Jürges, Hendrik & Reinhold, Steffen, 2015. "Compulsory schooling reforms, education and mortality in twentieth century Europe," Social Science & Medicine, Elsevier, vol. 127(C), pages 74-82.
    9. Baltagi, Badi H. & Flores-Lagunes, Alfonso & Karatas, Haci M., 2019. "The effect of education on health: Evidence from the 1997 compulsory schooling reform in Turkey," Regional Science and Urban Economics, Elsevier, vol. 77(C), pages 205-221.
    10. Braakmann, Nils, 2011. "The causal relationship between education, health and health related behaviour: Evidence from a natural experiment in England," Journal of Health Economics, Elsevier, vol. 30(4), pages 753-763, July.
    11. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "The socioeconomic health gradient across the life cycle: What role for selective mortality and institutionalization?," Social Science & Medicine, Elsevier, vol. 97(C), pages 66-74.
    12. Oscar Erixson, 2017. "Health responses to a wealth shock: evidence from a Swedish tax reform," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(4), pages 1281-1336, October.
    13. Leuven, Edwin & Plug, Erik & Rønning, Marte, 2016. "Education and cancer risk," Labour Economics, Elsevier, vol. 43(C), pages 106-121.
    14. Jürges, Hendrik & Reinhold, Steffen & Salm, Martin, 2011. "Does schooling affect health behavior? Evidence from the educational expansion in Western Germany," Economics of Education Review, Elsevier, vol. 30(5), pages 862-872, October.
    15. Anderberg, Dan & Chevalier, Arnaud & Wadsworth, Jonathan, 2011. "Anatomy of a health scare: Education, income and the MMR controversy in the UK," Journal of Health Economics, Elsevier, vol. 30(3), pages 515-530, May.
    16. van Kippersluis, Hans & Van Ourti, Tom & O'Donnell, Owen & van Doorslaer, Eddy, 2009. "Health and income across the life cycle and generations in Europe," Journal of Health Economics, Elsevier, vol. 28(4), pages 818-830, July.
    17. van Kippersluis, Hans & O'Donnell, Owen & van Doorslaer, Eddy & Van Ourti, Tom, 2010. "Socioeconomic differences in health over the life cycle in an Egalitarian country," Social Science & Medicine, Elsevier, vol. 70(3), pages 428-438, February.
    18. Johnston, David W. & Lordan, Grace & Shields, Michael A. & Suziedelyte, Agne, 2015. "Education and health knowledge: Evidence from UK compulsory schooling reform," Social Science & Medicine, Elsevier, vol. 127(C), pages 92-100.
    19. Miller, Ray & Bairoliya, Neha & Canning, David, 2019. "Health disparities and the socioeconomic gradient in elderly life-cycle consumption," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    20. Gong, Jie & Lu, Yi & Xie, Huihua, 2020. "The average and distributional effects of teenage adversity on long-term health," Journal of Health Economics, Elsevier, vol. 71(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:123:y:2014:i:c:p:55-63. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.