Auszug
Sozioökonomische Ungleichheiten in der Gesundheit sind ein beharrliches Phänomen moderner, industrialisierter Gesellschaften. Ein frühes Beispiel ist der Untergang der „Titanic“ im Jahre 1914 (Hall 1986), bei dem nur ein Teil der Passagiere das Unglück überlebte. Nicht nur waren die Überlebenschancen für Frauen viel größer als für Männer, es gab auch deutliche Unterschiede zwischen den Passagierklassen. Während in der ersten Klasse fast alle Frauen das Unglück überlebten, waren es in der dritten Klasse nur sechs von zehn Frauen. Spätere Untersuchungen ergaben, dass viele Passagiere aus der dritten Klasse gestorben waren, weil sie einen schlechteren Zugang zu den Rettungsbooten hatten, kaum Unterstützung durch das Schiffpersonal erhielten, Fluchtmöglichkeiten versperrt waren und andere Umstände vorlagen, die zu einer Benachteiligung dieser Personen führten. Wie bei anderen vermeidbaren Ungleichheiten, wurden diese Ungleichheiten als unakzeptabel empfunden und Empfehlungen formuliert, um eine Wiederholung der Ereignisse zu vermeiden (ebd.).
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Übersetzung aus dem Englischen von Veronika Ottova und Matthias Richter
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Literatur
Avendano M, Kunst AE, Huisman E, et al. (2006). Socioeconomic status and ischaemic heart disease mortality in 10 western European populations during the 1990s. Heart 92: 461–467.
Bemelmans W, Lenthe FV, Hoogeveen R, et al. (2006). Modelling the effects of reducing variation in smoking prevalence on socioeconomic differences in life expectancy. J Clin Epidemiol (in press).
Benach J, Yasui Y, Borrell C, et al. (2003). The public health burden of material deprivation: excess mortality in leading causes of death in Spain. Prev Med 36: 300–308.
Cambois E, Robine JM, Hayward MD (2001). Social inequalities in disability-free life expectancy in the French male population, 1980-1991. Demography 38: 513–524.
Chesterman J, Judge K, Bauld L, Ferguson J (2005). How effective are the English smoking treatment services in reaching disadvantaged smokers? Addiction 100(Suppl 2): 36–45.
Craig P, Forbes J (2005). Social position and health: are old and new occupational classifications interchangeable? J Biosoc Sci 37: 89–106.
Dalstra JAA, Kunst AE, Borrell C, et al. (2005). Socio-economic differences in the prevalence of common chronic diseases: an overview of eight European countries. Int J Epidemiol 34: 316–326.
Dalstra JA, Kunst AE, Mackenbach JP (2005). A comparative appraisal of the relationship of education, income and housing tenure with less than good health among the elderly in Europe. Soc Sci Med 62: 2046–2060.
Davey-Smith G, Dorling D, Mitchell R, Shaw M (2002). Health inequalities in Britain: continuing increases up to the end of the 20th century. J Epidemiol Community Health 56: 434–435.
Diez-Roux AV (2000). Multilevel analysis in public health research. Annu Rev Public Health 21: 171–192.
Drever F, Doran T, Whitehead M (2004). Exploring the relation between class, gender, and self rated general health using the new socioeconomic classification. A study using data from the 2001 census. J Epidemiol Community Health 58(7): 590–596.
Droomers M, Schrijvers CT, Mackenbach JP (2004). Educational differences in the intention to stop smoking: explanations based on the Theory of Planned Behaviour. Eur J Public Health 14: 194–198.
Elstad J (2000). Social inequalities in health and their explanations. Oslo: Norwegian Social Research (NOVA).
Federico B, Costa G, Kunst AE (2006). Educational Inequalities in Initiation, Cessation, and Prevalence of Smoking Among 3 Italian Birth Cohorts. Am J Public Health. (ahead of print)
Giskes K, Kunst AE, Benach J, et al. (2005). Trends in smoking behaviour between 1985 and 2000 in nine European countries by education. J Epidemiol Community Health 59: 395–401.
Graham H (1993). When life’ a drag. London: HMSO publications.
Grundy E, Holt G (2001). The socioeconomic status of older adults: how should we measure it in studies of health inequalities? J Epidemiol Community Health 55: 895–904.
Habicht J, Kunst AE (2005). Social inequalities in health care services utilisation after eight years of health care reforms: A cross-sectional study of Estonia, 1999. Soc Sci Med 60: 777–787.
Hall W (1986). Social class and survival on the S.S. Titanic. Soc Sci Med 22: 687–690.
Hallqvist J, Lynch J, Bartley M, et al. (2004). Can we disentangle life course processes of accumulation, critical period and social mobility? An analysis of disadvantaged socio-economic positions and myocardial infarction in the Stockholm Heart Epidemiology Program. Soc Sci Med 58: 1555–1562.
Huisman M, Kunst AE, Mackenbach JP (2003). Socioeconomic inequalities in morbidity among the elderly; a European overview. Soc Sci Med 57: 861–873.
Huisman M, Kunst AE, Andersen O, et al. (2004). Socioeconomic inequalities in mortality among elderly people in 11 European populations. J Epidemiol Community Health 58: 468–475.
Huisman M, Kunst AE, Bopp M, et al. (2005a). Educational inequalities in cause-specific mortality in middle-aged and older men and women in eight western European populations. Lancet 365: 493–500.
Huisman M, Kunst AE, Mackenbach JP (2005b). Educational inequalities in smoking among men and women aged 16 years and older in 11 European countries. Tob Control 14: 106–113.
Krieger N, Williams DR, Moss NE (1997). Measuring social class in US public health research: concepts, methodologies, and guidelines. Annu Rev Public Health 18: 341–378.
Kunst AE, Groenhof F, Andersen O, et al. (1999). Occupational class and ischemic heart disease mortality in the United States and 11 European countries. Am J Public Health 89: 47–53.
Kunst AE, Bos V, Lahelma E, et al. (2005a). Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol 34: 295–305.
Kunst AE, Dalstra JA, Bos V, et al. (2005b). Development and application of socioeconomic indicators for the national Health Statistical Database [in Dutch]. Statistics Netherlands. Voorburg: Erasmus MC.
Kunst AE, Roskam AJ, v Agt H (2006). The European Socioeconomic Classification (ESEC): exploring its potential to describe health differences in 11 European countries. Rotterdam: Erasmus MC, Department of Public Health.
Laaksonen M, Rahkonen O, Karvonen S, Lahelma E (2005). Socioeconomic status and smoking: analysing inequalities with multiple indicators. Eur J Public Health 15: 262–269.
Lahelma E, Lundberg O, Manderbacka K, Roos E (2001). Changing health inequalities in the Nordic countries? Scand J Public Health (Suppl 55): 1–5.
Leinsalu M (2002). Social variation in self-rated health in Estonia: a cross-sectional study. Soc Sci Med 55: 847–861.
Leinsalu M, Vågerö D, Kunst AE (2003). Estonia 1989-2000: enormous increase in mortality differences by education. Int J Epidemiol 32: 1081–1087.
Lynch JW, Kaplan GA, Cohen RD, et al. (1996). Do cardiovascular risk factors explain the relation between socioeconomic status, risk of all-cause mortality, cardiovascular mortality, and acute myocardial infarction? Am J Epidemiol 144: 934–942.
Lynch J, Kaplan G (2000). Socioeconomic position. In: Berkman LF, Kawachi I, eds. Social epidemiology. Oxford: Oxford University Press: 13–35.
Mackenbach JP, Bakker MJ, Sihto M, Diderichsen F (2002). Strategies to reduce socioeconomic inequalities in health. In: Mackenbach JP, Bakker MJ, eds. Reducing inequalities in health: A European perspective. London: Routledge: 25–50.
Mackenbach JP, Bos V, Andersen O, et al. (2003). Widening socioeconomic inequalities in mortality in six Western European countries. Int J Epidemiol 32: 830–837.
Mackenbach JP (2003). Tackling inequalities in health: the need for building a systematic evidencebase. J Epidemiol Community Health 57: 162.
Mackenbach JP, Huisman M, Andersen O, et al. (2004). Inequalities in lung cancer mortality by the educational level in 10 European populations. Eur J Cancer 40: 126–135.
Nusselder WJ, Looman CWN, Mackenbach JP, et al. (2005). The contribution of specific diseases to educational disparities in disability-free life expectancy. Am J Public Health 95: 2035–2041.
Peto R, Lopez AD, Boreham J, et al. (1996). Mortality from smoking worldwide. Br Med Bull 52: 12–21.
Regidor E (2004). Measures of health inequalities: part 1. J Epidemiol Community Health 58: 858–861.
Schaap MM, v Agt H, Kunst AE. Identification of socioeconomic groups at increased risk of smoking in European countries: looking beyond educational level. (submitted)
Smith GD (2000). Learning to live with complexity: ethnicity, socioeconomic position, and health in Britain and the United States. Am J Public Health 90: 1694–1698.
Sykes CM, Marks DF (2001). Effectiveness of a cognitive behaviour therapy self-help programme for smokers in London, UK. Health Promot Int 16: 255–260.
Townsend J, Roderick P, Cooper J (1994). Cigarette smoking by socioeconomic group, sex and age: effects of price, income, and health policy. BMJ 309: 923–927.
van Doorslaer E, Koolman X (2004). Explaining the differences in income-related health inequalities across European countries. Health Econ 13: 609–628.
van Doorslaer E, Masseria C, Koolman X (2006). Inequalities in access to medical care by income in developed countries. CMAJ 174: 177–183.
World Health Organisation (1998). Health 21: the health for all policy for the WHO European Region: 21 targets for the 21st century. Copenhagen: WHO Regional Office for Europe.
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Kunst, A.E. (2006). Herausforderungen bei der Beschreibung gesundheitlicher Ungleichheit in Europa: Ein Überblick aktueller Studien. In: Richter, M., Hurrelmann, K. (eds) Gesundheitliche Ungleichheit. VS Verlag für Sozialwissenschaften. https://doi.org/10.1007/978-3-531-90357-6_21
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