Exploring the relation between class, gender, and self rated general health using the new socioeconomic classification. A study using data from the 2001 census

Frances Drever · Tim Doran

54 citations0/0 files storedJournal of Epidemiology & Community Health

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Health disparities and outcomes Public Health and Social Inequalities Gender, Health, and Social Inequality

Abstract

OBJECTIVE: To examine the relation between class, gender, and self rated health in adults in Great Britain. DESIGN: Cross sectional study using data from the 2001 national census. SETTING: Great Britain. PARTICIPANTS: Adults aged between 25 and 64 in Great Britain, enumerated in the 2001 census (n = 30.3 million). MAIN OUTCOME MEASURES: Age standardised rates of self rated general health for men and women in different socioeconomic groupings as defined by the National Statistics classification (NS-SeC), rate ratios and the (modified) relative index of inequality. RESULTS: There was a pronounced gradient in rates of "not good" health among people in different social positions. The rate for people in class 7 (routine occupations) was more than double that for people in class 1 (higher managerial and professional occupations): 95 per 1000 and 37 per 1000 respectively. Health inequalities were larger for men than for women-the rate ratio of class 7 to class 1 was 2.7 for men and 2.2 for women. The nature and size of the gender differences varied by socioeconomic class, with the greatest gap among people in class 1 (higher managerial and professional occupations), where the rate for women was 25% higher than for men. CONCLUSIONS: The NS-SeC shows a pronounced gradient in self rated general health across the population of working age in Great Britain in 2001. It was found that the NS-SeC was a useful measure for women, although it may be better at classifying men. The size of the gender gap in "not good" health varied by NS-SeC class.

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References

1997Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies 1997Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe 2001Self rated health: Is it as good a predictor of subsequent mortality among adults in lower as well as in higher social classes?2001Social inequalities in health disentangling the underlying mechanisms.19991998 Standard Occupational Classification 2000Comparing health inequality in men and women: prospective study of mortality 1986-96 2002Social inequalities in health by individual and household measures of social position in a cohort of healthy people

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