@article{Charonis2017-cm,
title = {Subjective social status, social network and health disparities:
empirical evidence from Greece},
author = {Antonios Charonis and Ilias-Ioannis Kyriopoulos and Manos Spanakis and Dimitris Zavras and Kostas Athanasakis and Elpida Pavi and John Kyriopoulos},
year = {2017},
date = {2017-02-01},
journal = {Int J Equity Health},
volume = {16},
number = {1},
pages = {40},
abstract = {BACKGROUND: Several studies suggest that socioeconomic status
affects (SES) affects self-rated health (SRH), both in Greece and
internationally. However, prior research mainly uses objective
measures of SES, instead of subjective evaluations of
individuals' social status. Based on this, this paper aims to
examine (a) the impact of the economic dowturn on SRH in Greece
and (b) the relationship between subjective social status (SSS),
social network and SRH. METHODS: The descriptive analysis is
based on four cross-sectional surveys conducted by the National
School of Public Health, Athens, Greece (2002, 2006, 2011, 2015),
while the data for the empirical investigation were derived from
the 2015 survey (Health + Welfare Survey GR). The empirical
strategy is based on an ordinal logistic regression model, aiming
to examine how several variables affect SRH. Size of social
network and SSS are among the independent variables employed for
the empirical analysis RESULTS: According to our findings,
average SRH has deteriorated, and the percentage of the
population that reports very good/good SRH has also decreased.
Moreover, our empirical analysis suggests that age, existence of
a chronic disease, size of social network and SSS affect SRH in
Greece. CONCLUSION: Our findings are consistent with the existing
literature and confirm a social gradient in health. According to
our analysis, health disparities can be largely attributed to
socioeconomic inequalities. The adverse economic climate has
impact on socioeconomic differences which in turn affect health
disparities. Based on these, policy initiatives are necessasy in
order to mitigate the negative impact on health and the
disparities caused by economic dowturn and the occuring
socioeconomic inequalities.},
keywords = {Greece; Ordinal logistic regression; Self-rated health; Social network; Socioeconomic status; Subjective social status},
pubstate = {published},
tppubtype = {article}
}