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Socio-economic influences on self-rated health in Russian men and women--a life course approach

Listed author(s):
  • Nicholson, Amanda
  • Bobak, Martin
  • Murphy, Michael
  • Rose, Richard
  • Marmot, Michael
Registered author(s):

    Socio-economic differentials in health in Russia are not well understood and the life course approach has been relatively neglected. This paper examines the influence of socio-economic risk factors over the life course on the self-rated health of older Russian men and women. A random sample (response rate 61%) of the general population of the Russian Federation in 2002 included 1004 men and 1930 women aged 50 years and over in a cross-sectional study. They provided information concerning their childhood circumstances, including going to bed hungry; education; current social conditions, including per capita household income; health behaviours and self-rated health. There was considerable tracking of adverse social conditions across the life course with men and women who reported hunger in childhood having lower educational achievements, and current household income was strongly influenced by educational attainment. The effect of these socio-economic risk factors on health accumulated with an odds ratio of poor health of 1.87 [1.07-3.28] for men with one risk factor, 3.64 [2.13-6.22] for two risk factors and 4.51 [2.57-7.91] for all three compared to men with no risk factors. For women, the odds ratios were 1.44 [1.05-2.01], 2.88 [2.10-3.93] and 4.27 [3.03-6.00] for one, two and three risk factors, respectively. Current income was the strongest individual predictor for men, and education for women. Adjustment for health behaviours reduced the odds ratios only marginally. The results suggest that self-rated health in older Russians reflects social exposures accumulated over the life course, with the differentials observed only partially explained by current social conditions. Health behaviours were not involved in mediating social differences in self-rated health. Our results indicate that a life course approach may contribute to the understanding of health in Russia.

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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 61 (2005)
    Issue (Month): 11 (December)
    Pages: 2345-2354

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    Handle: RePEc:eee:socmed:v:61:y:2005:i:11:p:2345-2354
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    1. Manderbacka, Kristiina & Lundberg, Olle & Martikainen, Pekka, 1999. "Do risk factors and health behaviours contribute to self-ratings of health?," Social Science & Medicine, Elsevier, vol. 48(12), pages 1713-1720, June.
    2. Bobak, Martin & Pikhart, Hynek & Rose, Richard & Hertzman, Clyde & Marmot, Michael, 2000. "Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries," Social Science & Medicine, Elsevier, vol. 51(9), pages 1343-1350, November.
    3. Lundberg, Olle, 1991. "Causal explanations for class inequality in health--An empirical analysis," Social Science & Medicine, Elsevier, vol. 32(4), pages 385-393, January.
    4. Lundberg, Olle, 1993. "The impact of childhood living conditions on illness and mortality in adulthood," Social Science & Medicine, Elsevier, vol. 36(8), pages 1047-1052, April.
    5. Carlson, Per, 1998. "Self-perceived health in East and West Europe: another European health divide," Social Science & Medicine, Elsevier, vol. 46(10), pages 1355-1366, March.
    6. Carlson, Per, 2000. "Educational differences in self-rated health during the Russian transition. Evidence from Taganrog 1993-1994," Social Science & Medicine, Elsevier, vol. 51(9), pages 1363-1374, November.
    7. Shkolnikov, Vladimir M. & Leon, David A. & Adamets, Sergey & Eugeniy Andreev & Deev, Alexander, 1998. "Educational level and adult mortality in Russia: An analysis of routine data 1979 to 1994," Social Science & Medicine, Elsevier, vol. 47(3), pages 357-369, August.
    8. Bobak, Martin & Pikhart, Hynek & Hertzman, Clyde & Rose, Richard & Marmot, Michael, 1998. "Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey," Social Science & Medicine, Elsevier, vol. 47(2), pages 269-279, July.
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