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Material Deprivation, Health and Well-Being in Older Age: A Comparative Analysis of 14 European Countries

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Book cover Measuring Multidimensional Poverty and Deprivation

Part of the book series: Global Perspectives on Wealth and Distribution ((GPWD))

Abstract

A large number of studies have documented an influence on health of traditional social stratification variables such as income, educational level, and social class. In this perspective, a key dimension is economic resources that we know to be an excellent predictor of health conditions. Unfortunately, despite remarkable economic progress in the twentieth century, European countries still find parts of the population falling behind considerably in quality of life. To complicate matters further, the worst financial crisis since the end of Second World War began in 2008. Crises can have serious social impact, in particular on the most vulnerable individuals of the society (the elderly, young, women), who have less resources to cope with the consequences of rising of prices, eroding savings and asset values, loss of jobs and reduction in core public services such as social welfare, health care and education. In this framework, the aim of this study is to describe the relationship between economic resources, approximate by material deprivation measure, and health and health inequalities among individuals aged 50 and over in 14 European countries, controlling for country-level heterogeneity. In particular, we are interested to analyze the association between households’ economic conditions and three health outcomes: a) poor health (based on self-assessment of health, SAH); b) symptoms of depression based on the EURO-D scale; and c) index for quality of life and well-being, based on CASP-12 measure. We confirm that material deprivation plays a key role in determining the health and well-being conditions of Europe’s elderly population.

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References

  • Adena, M., and M. Myck. 2013. Poverty and Transitions in Key Areas of Quality of Life. In Active Ageing and Solidarity Between Generations in Europe e First Results from SHARE After the Economic Crisis, ed. A. Borsch-Supan, M. Brandt, H. Litwin, and G. Weber. Berlin: De Gruyter.

    Google Scholar 

  • Adena, M., and M. Myck. 2014. Poverty and Transitions in Health in Later Life. Social Science & Medicine 116: 202–210.

    Google Scholar 

  • Adena, M., M. Myck, and M. Oczkowska. 2015. Material Deprivation Items in SHARE Wave 5 Data: A Contribution to a Better Understanding of Differences in Material Conditions in Later Life. In Ageing in Europe-Supporting Policies for an Inclusive Society, ed. A. Börsch-Supan, T. Kneip, H. Litwin, M. Myck, and G. Weber, 25–37. Berlin: De Gruyter.

    Google Scholar 

  • Alkire, S., and J. Foster. 2011. Counting and Multidimensional Poverty Measurement. Journal of Public Economics 95 (7–8): 476–487.

    Article  Google Scholar 

  • Allison, P.D. 2009. Fixed Effects Regression Models. Los Angeles, CA: SAGE.

    Book  Google Scholar 

  • Atkinson, A.B., L. Rainwater, and T.M. Smeeding. 1995. Income Distribution in OECD Countries: Evidence from Luxembourg Income Study. OECD Social Policy Studies 18. Paris: OECD.

    Google Scholar 

  • Bertoni, M., D. Cavapozzi, M. Celidoni, and E. Trevisan. 2015. Development and Validation of a Material Deprivation Index. In Ageing in Europe-Supporting Policies for an Inclusive Society, ed. A. Börsch-Supan, T. Kneip, H. Litwin, M. Myck, and G. Weber, 57–65. Berlin: De Gruyter.

    Google Scholar 

  • Biewen, M. 2000. Income Inequality in Germany During the 1980s and 1990s. Review of Income and Wealth 46: 1–19.

    Article  Google Scholar 

  • Boarini, R., and M. Mira d’Ercole. 2006. Measures of Material Deprivation in OECD Countries. OECD Social Employment and Migration (Working papers n. 37), Paris: OECD.

    Google Scholar 

  • Bryan, M.L., and S.P. Jenkins. 2013. Regression Analysis of Country Effects Using Multilevel Data: A Cautionary Tale. ISER 2013e2014 (Working paper series).

    Google Scholar 

  • Cappellari, L., and S.P. Jenkins. 2007. Summarizing Multiple Deprivation Indicators. In Inequality and Poverty Re-Examined, ed. S.P. Jenkins, and J. Micklewright. Oxford: Oxford University Press.

    Google Scholar 

  • Cora, J., M. Maas, and J.J. Hox. 2005. Sufficient Sample Sizes for Multilevel Modeling. Methodology 1 (3): 86–92.

    Article  Google Scholar 

  • Dahl, E., and G.E. Birkelund. 1997. Health Inequalities in Later Life in a Social Democratic Welfare State. Social Science & Medicine 44 (6): 871–881.

    Google Scholar 

  • Dalstra, J.A.A., A.E. Kunst, and J.P. Mackenbach. 2005. A Comparative Appraisal of the Relationship of Education, Income and Housing Tenure with Less than Good Health Among the Elderly in Europe. Social Science & Medicine 8: 2046–2060. doi:10.1016/j.socscimed.2005.09.001.

  • Diderichsen, F., T. Evans, and M. Whitehead. 2001. The Social Basis of Disparities in Health. In Challenging Inequities in Health, ed. T. Evans, et al. New York: Oxford UP.

    Google Scholar 

  • Eikemo, T.A., M. Huisman, C. Bambra, and A.E. Kunst. 2008. Health Inequalities According to Educational Level in Different Welfare Regimes: A Comparison of 23 European Countries. Sociology of Health Illness. 30(4): 565e582. doi:http://dx.doi.org/10.1111/j.1467-9566.2007.01073.x.

  • Esping-Andersen, G., 1990. The Three Worlds of Welfare Capitalism. London: Polity Press. Available from: http://ess.nsd.uib.no.

  • Esping-Andersen, G. 1999. Social Foundations of Post-Industrial Economies. Oxford: Oxford University Press.

    Book  Google Scholar 

  • EUROSTAT. 2016. Population Structure and Ageing. Statistics Explained. Accessed October 18, 2016. http://epp.eurostat.ec.europa.eu/statisticsexplained/.

  • Fahey, T. 2007. The Case for an EU-Wide Measure of Poverty. European Sociological Review 23 (1): 35–47.

    Article  Google Scholar 

  • Ferrera, M. 1996. The ‘Southern’ Model of Welfare in Social Europe. Journal of European Social Policy 6: 17–37.

    Article  Google Scholar 

  • Forster, M., and M. Mira d’Ercole. 2005. Income Distribution and Poverty in OECD Countries in the Second Half of the 1990s. OECD Social, Employment and Migration (Working paper 22), Paris: OECD.

    Google Scholar 

  • Fusco, A., A.C. Guio, and E. Marlier. 2010. Characterising the Income Poor and the Materially Deprived in European Countries. In Income and Living Conditions in Europe, ed. A.B. Atkinson, and E. Marlier. Luxembourg: Eurostat Statistical books.

    Google Scholar 

  • Glatt, S.J., P. Chayavichitsilp, C. Depp, N.J. Schork, and D.V. Jeste. 2007. Successful Aging: From Phenotype to Genotype. Biological Psychiatry 62: 282–293.

    Article  Google Scholar 

  • Huisman, M., A. Kunst, and J. Mackenbach. 2003. Socioeconomic Inequalities in Morbidity Among the Elderly: A European Overview. Social Science & Medicine 57 (5): 861–873.

    Google Scholar 

  • Hyde, M., R.D. Wiggins, P. Higgs, and D.B. Blane. 2003. A Measure of Quality of Life in Early Old Age: The Theory, Development and Proprieties of a Needs Satisfaction Model (CASP-19). Ageing & Mental Health 7 (3): 186–194.

    Article  Google Scholar 

  • Kuh, D., S. Karunananthan, H. Bergman, and R. Cooper. 2014. A Life-Course Approach to Healthy Ageing: Maintaining Physical Capability. Proceedings of the Nutrition Society 73: 237–248.

    Article  Google Scholar 

  • Lara, J., A. Godfrey, E. Evans, B. Heaven, L.J.E. Brown, et al. 2013. Towards Measurement of the Healthy Ageing Phenotype in Lifestyle-based Intervention Studies. Maturitas 76: 189–199.

    Article  Google Scholar 

  • Layte, R., and C.T. Whelan . 2002. Moving In and Out of Poverty: The Impact of Welfare Regimes on Poverty Dynamics in the EU. EPAG (Working Paper 2002–2030), Colchester: University of Essex.

    Google Scholar 

  • Link, B.G., and J. Phelan. 1995. Social Conditions as Fundamental Causes of Disease. Journal of Health and Social Behavior 35: 80–94.

    Article  Google Scholar 

  • Mackenbach, J., V. Bos, O. Anderse, M. Cardano, G. Costa, S. Harding, et al. 2003. Widening socioeconomic Inequalities in Mortality in Six Western European Countries. International Journal of Epidemiology 32: 830–837.

    Article  Google Scholar 

  • Malter, F., and A. Börsch-Supan (eds.). 2015. SHARE Wave 5: Innovations & Methodology. MEA, Max Planck Institute for Social Law and Social Policy: Munich.

    Google Scholar 

  • Montesanto, A., S. Dato, D. Bellizzi, G. Rose, and G. Passarino. 2012. Epidemiological, Genetic and Epigenetic Aspects of the Research on Healthy Ageing and Longevity. Immunity & Ageing 9: 6.

    Google Scholar 

  • Moring, K. 2012. The Fixed Effect as an Alternative to Multilevel Analysis for Cross-national Analyses. GK Soclife (Working Papers Series).

    Google Scholar 

  • Nolan, B., and C.T. Whelan. 1996. Measuring Poverty Using Income and Deprivation Indicators: Alternative Approaches. Journal of Social Policy 6 (3): 225–240.

    Article  Google Scholar 

  • Nolan, B., and C.T. Whelan. 2007. On the Multidimensionality of Poverty and Social Exclusion. In Inequality and Poverty Re-Examined, ed. S.P. Jenkins, and J. Micklewright. Oxford: Oxford University Press.

    Google Scholar 

  • Nolan, B., and C.T. Whelan. 2010. Using Non-Monetary Deprivation Indicators to Analyze Poverty and Social Exclusion: Lessons from Europe? Journal of Policy Analysis and Management 20 (2): 305–325.

    Article  Google Scholar 

  • Nolan, B., and C.T. Whelan. 2011. Poverty and Deprivation in Europe. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Otker-Robe I., and A.M. Podpiera. 2013. The Social Impact of Financial Crises. Evidence from the Global Financial Crisis. The World Bank Policy (Working Paper 6703).

    Google Scholar 

  • Phelan, J., B.G. Link, and P. Tehranifar. 2010. Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications. Journal of Health and Social Behavior 51: 28–40.

    Article  Google Scholar 

  • Prince, M.J., F. Reischies, A.T. Beekman, R. Furher, C. Jonker et al. 1999. Development of EURO-D scale–A European Union Initiative to Compare Symptoms of Depression in 14 European Centres. British Journal of Psychiatry 174: 330–338.

    Article  Google Scholar 

  • Rigen, S. 1988. Direct and Indirect Measures of Poverty. Journal of Social Policy 17 (3): 351–365.

    Article  Google Scholar 

  • SHARE. 2015. Release Guide 1.0.0 Wave 5. Munich: MEA, Max Planck Institute for Social Law and Social Policy.

    Google Scholar 

  • Solar, O., and A. Irwin. 2010. A conceptual Framework for Action on the Social Determinants of Health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva, Switzerland: WHO. Retrived by: http://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf.

  • Terraneo, M. 2016. A Longitudinal Study of Deprivation in European Countries. International Journal of Sociology and Social policy 36 (5/6): 379–409. doi:10.1108/IJSSP-05-2015-0058.

    Article  Google Scholar 

  • Townsend, P. 1979. Poverty in United Kingdom. Harmondsworth: Penguin.

    Google Scholar 

  • United Nations. 2011. Department of Economic and Social Affairs, Population Division: World Population Prospects: The 2010 Revision, Highlights and Advance Tables. 2011, ESA/P/WP.220.

    Google Scholar 

  • Vaupel, J.W. 2010. Biodemography of Human Ageing. Nature 464 (7288): 536–542.

    Article  Google Scholar 

  • Whelan, C.T., and B. Maitre. 2012. 2 Understanding material deprivation: A comparative European analysis2. Research in Social Stratification and Mobility 30: 489–503.

    Article  Google Scholar 

  • Whitehead, M., B. Burström, and F. Diderichsen. 2000. Social policies and the pathways to inequalities in health: A comparative analysis of lone mothers in Britain and Sweden. Social Science & Medicine 50: 255–270.

    Google Scholar 

  • WHO. 2012. Good health adds life to years. Geneva and Switzerland: WHO.

    Google Scholar 

  • Wilkinson, R.G., and M. Marmot. 2003. Social determinants of health: The solid facts (2nd edn.). Retrieved from http://www.euro.who.int/document/e81384.pdf.

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Terraneo, M. (2017). Material Deprivation, Health and Well-Being in Older Age: A Comparative Analysis of 14 European Countries. In: White, R. (eds) Measuring Multidimensional Poverty and Deprivation. Global Perspectives on Wealth and Distribution. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-58368-6_6

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  • DOI: https://doi.org/10.1007/978-3-319-58368-6_6

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