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Social determinants of health in middle-aged Russians: A comprehensive analysis

Author

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  • Kislitsyna, O.

    (The Institute of Economics RAS, Moscow, Russia)

Abstract

Health is determined not only by biological but also by social factors - living and working conditions, income, social support, and access to healthcare. Social determinants are particularly important in the middle age - a key period for the preventing chronic diseases and the formation of foundations for active aging. The aim of the study was to identify the relationship between social determinants and health status of Russians aged 45-60. The analysis was based on data from the "Comprehensive Survey of Living Standards of the Population of Russia" (2022), which includes more than 28,000 respondents. The dependent variables were self-rated health and the presence of chronic diseases. The logistic regression model included a wide range of factors: socio-demographic and economic characteristics, parameters of the social and physical environment, behavioral risks, and access to medical care. The study found that poorer self-rated health and a higher risk of chronic diseases were associated with older age, female gender, low income and education, unemployment, social isolation, lack of physical activity, a polluted environment, and limited access to healthcare infrastructure. The results highlight the importance of comprehensive health policies aimed at reducing social inequalities and supporting health in the working-age population.

Suggested Citation

  • Kislitsyna, O., 2025. "Social determinants of health in middle-aged Russians: A comprehensive analysis," Journal of the New Economic Association, New Economic Association, vol. 69(4), pages 274-285.
    • Handle: RePEc:nea:journl:y:2025:i:69:p:274-285
    DOI: 10.31737/22212264_2025_4_274-285
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    References listed on IDEAS

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    4. Fan Wang & Yu Gao & Zhen Han & Yue Yu & Zhiping Long & Xianchen Jiang & Yi Wu & Bing Pei & Yukun Cao & Jingyu Ye & Maoqing Wang & Yashuang Zhao, 2023. "A systematic review and meta-analysis of 90 cohort studies of social isolation, loneliness and mortality," Nature Human Behaviour, Nature, vol. 7(8), pages 1307-1319, August.
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    Keywords

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    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I10 - Health, Education, and Welfare - - Health - - - General
    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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