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Socioeconomic status, social capital and self-reported unmet health care needs: A population-based study.
LindstrÓ§m, Christine; Rosvall, Maria; LindstrÓ§m, Martin.
Afiliación
  • LindstrÓ§m C; 1 Social Medicine and Health Policy, Department of Clinical Sciences, Malmö University Hospital, Lund University, Sweden.
  • Rosvall M; 1 Social Medicine and Health Policy, Department of Clinical Sciences, Malmö University Hospital, Lund University, Sweden.
  • LindstrÓ§m M; 2 Institute of Medicine, Gothenburg University, Sweden.
Scand J Public Health ; 45(3): 212-221, 2017 May.
Article en En | MEDLINE | ID: mdl-28443488
AIMS: The aim of this study was to investigate the associations between socioeconomic status (SES) and self-reported unmet health care needs, taking economic stress, generalized trust in other people and trust in the health care system into account. METHODS: The 2012 public health survey in Scania was conducted using a postal questionnaire and included 28,029 participants aged 18-80 years. The study was cross-sectional. Associations between SES and unmet health care needs were investigated, adjusting for economic stress and trust in logistic regressions. RESULTS: SES was significantly associated with unmet health care needs. The SES categories of unemployed, on long-term sick leave and unskilled manual workers reported particularly high levels of unmet health care needs. SES differences in unmet needs were attenuated when economic stress and the two dimensions of trust and self-rated health were introduced in multiple analyses. The working population gave a lack of time as the reason for unmet health care needs, whereas those on sick leave or unemployed reported a lack of money. CONCLUSIONS: SES differences in self-reported unmet health care needs were observed and these associations were attenuated when economic stress during the past year, generalized trust in other people, trust in the health care system and self-rated health were introduced into the multiple models.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clase Social / Autoinforme / Capital Social / Necesidades y Demandas de Servicios de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Aged / Aged80 / Humans / Middle aged País/Región como asunto: Europa Idioma: En Revista: Scand J Public Health Asunto de la revista: MEDICINA SOCIAL / SAUDE PUBLICA Año: 2017 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Suecia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clase Social / Autoinforme / Capital Social / Necesidades y Demandas de Servicios de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Aged / Aged80 / Humans / Middle aged País/Región como asunto: Europa Idioma: En Revista: Scand J Public Health Asunto de la revista: MEDICINA SOCIAL / SAUDE PUBLICA Año: 2017 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Suecia