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The gender gap in self-rated health and education in Spain. A multilevel analysis

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  • Sara Pinillos-Franco
  • Carmen García-Prieto

Abstract

Background: Women tend to report poorer self-rated health than men. It is also well established that education has a positive effect on health. However, the issue of how the benefits of education on health differ between men and women has not received enough attention and the few existing studies which do focus on the subject do not draw a clear conclusion. Therefore, this study aims to analyse whether the positive influence of educational attainment on health is higher for women and whether education helps to overcome the gender gap in self-rated health. Methods: We analyse cross-sectional data from the 2012 European Union statistics on income and living conditions. We use a logit regression model with odds ratios and a multilevel perspective to carry out a study which includes several individual and contextual control variables. We focused our study on the working population in Spain aged between 25 and 65. The final sample considered is composed of 14,120 subjects: 7,653 men and 6,467 women. Results: There is a gender gap in self-rated health only for the less educated. This gap is not statistically significant among more highly educated individuals. Attaining a high level of education has the same positive effect on both women’s and men’s self-rated health. Conclusions: Although we did not find gender disparities when considering the effect of education on health, we show that women’s health is poorer among the less educated, mainly due to labour precariousness and household conditions.

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  • Sara Pinillos-Franco & Carmen García-Prieto, 2017. "The gender gap in self-rated health and education in Spain. A multilevel analysis," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-11, December.
    • Handle: RePEc:plo:pone00:0187823
    DOI: 10.1371/journal.pone.0187823
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    1. Anne Case & Christina Paxson, 2005. "Sex differences in morbidity and mortality," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 189-214, May.
    2. Jylhä, Marja, 2009. "What is self-rated health and why does it predict mortality? Towards a unified conceptual model," Social Science & Medicine, Elsevier, vol. 69(3), pages 307-316, August.
    3. Zajacova, Anna, 2006. "Education, gender, and mortality: Does schooling have the same effect on mortality for men and women in the US?," Social Science & Medicine, Elsevier, vol. 63(8), pages 2176-2190, October.
    4. Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
    5. von dem Knesebeck, Olaf & Verde, Pablo E. & Dragano, Nico, 2006. "Education and health in 22 European countries," Social Science & Medicine, Elsevier, vol. 63(5), pages 1344-1351, September.
    6. Monden, Christiaan W. S. & van Lenthe, Frank & De Graaf, Nan Dirk & Kraaykamp, Gerbert, 2003. "Partner's and own education: does who you live with matter for self-assessed health, smoking and excessive alcohol consumption?," Social Science & Medicine, Elsevier, vol. 57(10), pages 1901-1912, November.
    7. Mackenbach, J.P. & Kunst, A.E. & Groenhof, F. & Borgan, J.-K. & Costa, G. & Faggiano, F. & Józan, P. & Leinsalu, M. & Martikainen, P. & Rychtarikova, J. & Valkonen, T., 1999. "Socioeconomic inequalities in mortality among women and among men: An international study," American Journal of Public Health, American Public Health Association, vol. 89(12), pages 1800-1806.
    8. Gustavo Adolfo García Cruz. & Luís Miguel Tovar Cuevas, 2006. "La Percepción del Estado de Salud: Una Mirada a las Regiones desde la Encuesta de Calidad de Vida 2003," Documentos de Trabajo 3972, Universidad del Valle, CIDSE.
    9. Ross, Catherine E. & Mirowsky, John, 2006. "Sex differences in the effect of education on depression: Resource multiplication or resource substitution?," Social Science & Medicine, Elsevier, vol. 63(5), pages 1400-1413, September.
    10. Koskinen, Seppo & Martelin, Tuija, 1994. "Why are socioeconomic mortality differences smaller among women than among men?," Social Science & Medicine, Elsevier, vol. 38(10), pages 1385-1396, May.
    11. Catherine Ross & Ryan Masters & Robert Hummer, 2012. "Education and the Gender Gaps in Health and Mortality," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1157-1183, November.
    12. Carmen Garcia-Prieto & Patricia Gómez-Costilla, 2017. "Gender wage gap and education: a stochastic frontier approach," International Journal of Manpower, Emerald Group Publishing Limited, vol. 38(3), pages 504-516, June.
    13. Alexander J. Cowell, 2006. "The relationship between education and health behavior: some empirical evidence," Health Economics, John Wiley & Sons, Ltd., vol. 15(2), pages 125-146, February.
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    Cited by:

    1. Jona Schellekens & Anat Ziv, 2020. "The role of education in explaining trends in self-rated health in the United States, 1972–2018," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(12), pages 383-398.
    2. Sara Pinillos-Franco & Noelia Somarriba-Arechavala, 2019. "A Proposal for a Synthetic Health Indicator in the European Union: an Analysis of Gender Health Inequalities," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 14(4), pages 1019-1033, September.
    3. Pinillos-Franco, Sara & Cantarero-Prieto, David & Lera, Javier, 2022. "Feeling discriminated means poor self-perceived health: a gender analysis using SHARE," MPRA Paper 114028, University Library of Munich, Germany.

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