A Comparative Analysis of Inequality in Health Across Europe

Abstract

The study of inequality in health concerns the relationship between socially structured characteristics and health outcomes. Howewer, health disparities are also linked to purely individual characteristics and contextual ones. In particular, the contextual effect at a national level may reflect differences in the functioning and performing of national health institutions, that may be conceived as further determinants of health inequalities. In this work we aim at estimating the effect of education on self-assessed health across European countries, taking into account potential confounders like age, gender and family social background. Using a multilevel model with individuals nested in countries, we can achieve two aims. First, we can see whether countries differ in their average self-assessed health score. Second, we can test our hypothesis about the existence of a European social gradient, that is that education exerts a relatively constant effect on self-assessed health. We develop our models using data from European Social Surveys (88,842 interviews).Health Inequalities, Health Policies, Public Health Care Systems, Comparative Studies