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Political Regimes, Political Ideology, and Self-Rated Health in Europe: A Multilevel Analysis

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  • Tim Huijts
  • Jessica M Perkins
  • S V Subramanian

Abstract

Background: Studies on political ideology and health have found associations between individual ideology and health as well as between ecological measures of political ideology and health. Individual ideology and aggregate measures such as political regimes, however, were never examined simultaneously. Methodology/Principal Findings: Using adjusted logistic multilevel models to analyze data on individuals from 29 European countries and Israel, we found that individual ideology and political regime are independently associated with self-rated health. Individuals with rightwing ideologies report better health than leftwing individuals. Respondents from Eastern Europe and former Soviet republics report poorer health than individuals from social democratic, liberal, Christian conservative, and former Mediterranean dictatorship countries. In contrast to individual ideology and political regimes, country level aggregations of individual ideology are not related to reporting poor health. Conclusions/Significance: This study shows that although both individual political ideology and contextual political regime are independently associated with individuals' self-rated health, individual political ideology appears to be more strongly associated with self-rated health than political regime.

Suggested Citation

  • Tim Huijts & Jessica M Perkins & S V Subramanian, 2010. "Political Regimes, Political Ideology, and Self-Rated Health in Europe: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 5(7), pages 1-5, July.
    • Handle: RePEc:plo:pone00:0011711
    DOI: 10.1371/journal.pone.0011711
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    References listed on IDEAS

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    1. Eikemo, Terje Andreas & Bambra, Clare & Judge, Ken & Ringdal, Kristen, 2008. "Welfare state regimes and differences in self-perceived health in Europe: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(11), pages 2281-2295, June.
    2. Navarro, Vicente & Shi, Leiyu, 2001. "The political context of social inequalities and health," Social Science & Medicine, Elsevier, vol. 52(3), pages 481-491, February.
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    1. Kannan, Viji Diane & Brown, Theodore M. & Kunitz, Stephen J. & Chapman, Benjamin P., 2019. "Political parties and mortality: The role of social status and personal responsibility," Social Science & Medicine, Elsevier, vol. 223(C), pages 1-7.
    2. Valtonen, Jussi & Ilmarinen, Ville-Juhani & Lönnqvist, Jan-Erik, 2023. "Political orientation predicts the use of conventional and complementary/alternative medicine: A survey study of 19 European countries," Social Science & Medicine, Elsevier, vol. 331(C).
    3. Backhaus, Insa & Hoven, Hanno & Kawachi, Ichiro, 2023. "Far-right political ideology and COVID-19 vaccine hesitancy: Multilevel analysis of 21 European countries," Social Science & Medicine, Elsevier, vol. 335(C).
    4. François, Abel & Gergaud, Olivier & Noury, Abdul, 2023. "Can health passport overcome political hurdles to COVID-19 vaccination?," European Journal of Political Economy, Elsevier, vol. 80(C).

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