Social and psychosocial determinants of self-rated health in central and eastern Europe / by Hynek Pikhart.

Format:

Book

Author/Creator:

Pikhart, Hynek, 1970-

Language:

English

Subjects (All):

Public health--Social aspects--Europe, Eastern.

Public health.

Public health--Social aspects--Europe.

Self-care, Health--Europe, Eastern.

Self-care, Health.

Self-care, Health--Europe.

Public health--Europe, Eastern--Psychological aspects.

Public health--Social aspects.

Eastern Europe.

Psychological aspects.

Public health--Europe--Psychological aspects.

Europe.

Physical Description:

xvi, 213 pages : illustrations, maps ; 25 cm

Place of Publication:

Boston : Kluwer Academic Publishers, [2002]

Summary:

Life expectancy in countries of Central and Eastern Europe is substantially shorter than in Western Europe, and a similar divide exists in self-rated health. This exhaustive study of populations in seven Central and European countries - Russia, Lithuania, Latvia, Estonia, Poland, Czech Republic and Hungary - examines the social and psychosocial determinants of this divide. Practitioners and graduate students of public health and social psychology will find this an invaluable resource.

Contents:

1. East-West Difference 1

2. Main Interest and Hypo Theses 3

3. Study Design and Data 4

4. Contributors to the Project 5

5. Structure 6

1. Health Status in Countries of Central and Eastern Europe 7

2. Self-Rated Health 8

2.1 Self-rated health as a predictor of mortality 8

2.2 Self-rated health in Central and Eastern Europe 12

3. Socioeconomic Factors 14

3.1 Socioeconomic factors at individual level 14

3.2 Socioeconomic factors in Central and Eastern Europe 16

3.3 Socioeconomic factors at aggregated level 17

4. Psychosocial Factors 18

4.1 Work related factors 19

4.2 Perceived control over own life and health 28

4.3 Social support and social networks 31

Populations and Methods 35

1. Populations 35

1.1 National samples 37

1.2 Community samples 38

2. Description of the Data 44

2.1 Socioeconomic status 45

2.2 Psychosocial factors not related to work 46

2.3 Work-related psychosocial factors 48

2.4 Life-style risk factors 49

3. Statistical Power of the Study 50

4. Statistical Analysis 52

4.1 Strategy of analysis 52

4.2 Restrictions of analysis 53

4.3 Missing values 54

4.4 Software 54

Results 55

1. Descriptive Characteristics of Study Subjects and Populations 56

1.1 Countries 56

1.2 Study subjects 57

1.3 National samples 58

1.4 Community samples 61

2. Socioeconomic Characteristics and Marital Status 64

2.1 The role of socioeconomic variables in national samples 64

2.2 The role of socioeconomic variables in five community samples 80

3. Perceived Control and Other Psycho-Social Factors not Related to Work 90

3.1 The role of perceived control and other psychosocial factors not related to work in seven national samples 90

3.2 The role of perceived control in five community samples 103

4. Measures of Socioeconomic Inequality at the Population Level 110

5. Work Related Psychosocial Factors 117

5.1 Work-related psychosocial factors in national samples 118

5.2 Work-related psychosocial factors in community samples 120

6. Analyses using Other Endpoints 139

6.1 Physical functioning 139

6.2 Other definition of self-rated health 141

6.3 Self-reported history of cardiovascular disease 143

1. Methodological Issues 148

1.1 Representativeness of the sample 148

1.2 Limitations of the cross-sectional character of the study 150

1.3 Random error 151

1.4 Misclassification 151

1.5 Confounding 153

1.6 Relevance of statistical techniques used in the analysis 153

2. Consistency of the Results With Other Studies 157

2.1 Prevalence of self-rated health 157

2.2 Life-style risk factors 157

2.3 Socioeconomic factors on individual level 159

2.4 Psychosocial factors not related to work 165

2.5 Inequalities measured at the aggregated level 167

2.6 Psychosocial factors related to work 171

3. Does This Research Help to Understand the Health Crisis in Ccee? 173

Chewe Questionnaire 191

Physical Functioning 201.

Notes:

Includes bibliographical references (pages [179]-189) and index.

ISBN:

0792376048

OCLC:

48144386