Social inequalities in self-rated health by age: Cross-sectional study of 22 457 middle-aged men and women
2008

Social Inequalities in Self-Rated Health by Age

Sample size: 22457 publication Evidence: high

Author Information

Author(s): Emily McFadden, Robert Luben, Sheila Bingham, Nick Wareham, Ann-Louise Kinmonth, Kay-Tee Khaw

Primary Institution: Institute of Public Health, University of Cambridge, UK

Hypothesis

We investigate the association between occupational social class and self-rated health (SRH) at different ages in men and women.

Conclusion

There is a strong social gradient in self-rated health, with lower ratings associated with manual social classes.

Supporting Evidence

  • Lower self-rated health is more prevalent in manual classes compared to non-manual classes.
  • The odds of poor or moderate self-rated health are greater in manual classes at all ages.
  • Men and women in unskilled occupations are approximately twice as likely to report poor or moderate health compared to professionals.

Takeaway

People's health ratings can be affected by their job type, and those in lower-paying jobs often feel worse about their health, especially as they get older.

Methodology

Cross-sectional population study using logistic regression to examine the relationship between self-rated health and social class.

Potential Biases

Some degree of inaccuracy in reporting or recording information is inevitable, but misclassifications are likely random.

Limitations

The cross-sectional design limits conclusions on causality and does not account for all potential confounding factors.

Participant Demographics

Men and women aged 39–79 years from the general community in Norfolk, UK.

Statistical Information

P-Value

p<0.05

Confidence Interval

95%CI 1.69, 3.50

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-8-230

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