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dc.contributor.authorvan der Wel, Kjetil A.
dc.contributor.authorSaltkjel, Therese
dc.contributor.authorChen, Wen-Hao
dc.contributor.authorDahl, Espen
dc.contributor.authorHalvorsen, Knut
dc.date.accessioned2019-01-03T10:06:19Z
dc.date.accessioned2019-01-18T09:14:41Z
dc.date.available2019-01-03T10:06:19Z
dc.date.available2019-01-18T09:14:41Z
dc.date.issued2018-03-02
dc.identifier.citationvan der Wel Kaw, Saltkjel T, Chen W, Dahl E, Halvorsen K. European health inequality through the Great Recession: Social policy matters.. Sociology of Health and Illness. 2018;40(4):750-768en
dc.identifier.issn0141-9889
dc.identifier.issn0141-9889
dc.identifier.issn1467-9566
dc.identifier.urihttps://hdl.handle.net/10642/6522
dc.description.abstractThis paper investigates the association between the Great Recession and educational inequalities in self-rated general health in 25 European countries. We investigate four different indicators related to economic recession: GDP; unemployment; austerity and a ‘crisis’ indicator signifying severe simultaneous drops in GDP and welfare generosity. We also assess the extent to which health inequality changes can be attributed to changes in the economic conditions and social capital in the European populations. The paper uses data from the European Social Survey (2002–2014). The analyses include both cross-sectional and lagged associations using multilevel linear regression models with country fixed effects. This approach allows us to identify health inequality changes net of all timeinvariant differences between countries. GDP drops and increasing unemployment were associated with decreasing health inequalities. Austerity, however, was related to increasing health inequalities, an association that grew stronger with time. The strongest increase in health inequality was found for the more robust ‘crisis’ indicator. Changes in trust, social relationships and in the experience of economic hardship of the populations accounted for much of the increase in health inequality. The paper concludes that social policy has an important role in the development of health inequalities, particularly during times of economic crisis.en
dc.description.sponsorshipThe work with this article was financed by the Norwegian Research Council (Grant no. 217145 and 221037). Norges forskningsråd 217145 Norges forskningsråd 221037en
dc.language.isoenen
dc.publisherWileyen
dc.relation.ispartofseriesSociology of Health and Illness;Volume 40, Issue 4 - May 2018
dc.rights© 2018 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectSocial health determinantsen
dc.subjectSocial changesen
dc.subjectSocial capitalen
dc.subjectInequalitiesen
dc.subjectHealth statusesen
dc.subjectWelfare statesen
dc.titleEuropean health inequality through the Great Recession: Social policy matters.en
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-01-03T10:06:19Z
dc.description.versionpublishedVersionen
dc.identifier.doihttp://dx.doi.org/10.1111/1467-9566.12723
dc.identifier.cristin1522606
dc.source.journalSociology of Health and Illness
dc.subject.nsiVDP::Samfunnsvitenskap: 200
dc.subject.nsiVDP::Social sciences: 200
dc.relation.projectIDNorges forskningsråd: 217145
dc.relation.projectIDNorges forskningsråd: 221037


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© 2018 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as © 2018 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.