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Welfare state regimes, health and health inequalities in adolescence: A multilevel study in 32 countries

机译：福利国家制度，青春期的健康和健康不平等：对32个国家的多层次研究

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Comparative research on health and health inequalities has recently started to establish a welfare regime perspective. The objective of this study was to determine whether different welfare regimes are associated with health and health inequalities among adolescents. Data were collected from the 'Health Behaviour in School-aged Children' study in 2006, including 11- to 15-year-old students from 32 countries (N=141,091). Prevalence rates and multilevel logistic regression models were calculated for self-rated health (SRH) and health complaints. The results show that between 4 per cent and 7 per cent of the variation in both health outcomes is attributable to differences between countries. Compared to the Scandinavian regime, the Southern regime had lower odds ratios for SRH, while for health complaints the Southern and Eastern regime showed high odds ratios. The association between subjective health and welfare regime was largely unaffected by adjusting for individual socioeconomic position. After adjustment for the welfare regime typology, the country-level variations were reduced to 4.6 per cent for SRH and to 2.9 per cent for health complaints. Regarding cross-level interaction effects between welfare regimes and socioeconomic position, no clear regime-specific pattern was found. Consistent with research on adults this study shows that welfare regimes are important in explaining variations in adolescent health across countries.
机译：关于健康和健康不平等的比较研究最近开始确立福利制度的观点。这项研究的目的是确定不同的福利制度是否与青少年的健康和健康不平等有关。数据收集自2006年的“学龄儿童健康行为”研究，其中包括来自32个国家的11至15岁的学生（N = 141,091）。计算了自评健康（SRH）和健康投诉的患病率和多级Logistic回归模型。结果表明，两种卫生成果之间差异的4％至7％可归因于国家之间的差异。与斯堪的纳维亚政权相比，南部政权的SRH比值率较低，而对于健康投诉，南部和东部政权的比值率较高。通过调整个人的社会经济地位，主观健康与福利制度之间的联系在很大程度上不受影响。在对福利制度类型进行调整之后，SRH的国家/地区差异降低到4.6％，健康投诉的国家/地区差异降低到2.9％。关于福利制度与社会经济地位之间的跨层次互动影响，未发现明确的制度特定模式。与对成年人的研究一致，本研究表明，福利制度对于解释各国青少年健康状况的差异很重要。

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