Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.

Many people worldwide live with a disability, i.e. limitations in functioning. The prevalence is expected to increase due to demographic change and the growing importance of non-communicable disease and injury. To date, many epidemiological studies have used simple dichotomous measures of disability...

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Autores principales:	Jan D Reinhardt, Erik von Elm, Christine Fekete, Johannes Siegrist
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c878f05f5f074e3ca8380eded1d1b45f
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spelling	oai:doaj.org-article:c878f05f5f074e3ca8380eded1d1b45f2021-11-18T07:15:45ZSocial inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.1932-620310.1371/journal.pone.0038782https://doaj.org/article/c878f05f5f074e3ca8380eded1d1b45f2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22701713/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Many people worldwide live with a disability, i.e. limitations in functioning. The prevalence is expected to increase due to demographic change and the growing importance of non-communicable disease and injury. To date, many epidemiological studies have used simple dichotomous measures of disability, even though the WHO's International Classification of Functioning, Disability, and Health (ICF) provides a multi-dimensional framework of functioning. We aimed to examine associations of socio-economic status (SES) and social integration in 3 core domains of functioning (impairment, pain, limitations in activity and participation) and perceived health. We conducted a secondary analysis of representative cross-sectional data of the Swiss Health Survey 2007 including 10,336 female and 8,424 male Swiss residents aged 15 or more. Guided by a theoretical ICF-based model, 4 mixed effects Poisson regressions were fitted in order to explain functioning and perceived health by indicators of SES and social integration. Analyses were stratified by age groups (15-30, 31-54, ≥55 years). In all age groups, SES and social integration were significantly associated with functional and perceived health. Among the functional domains, impairment and pain were closely related, and both were associated with limitations in activity and participation. SES, social integration and functioning were related to perceived health. We found pronounced social inequalities in functioning and perceived health, supporting our theoretical model. Social factors play a significant role in the experience of health, even in a wealthy country such as Switzerland. These findings await confirmation in other, particularly lower resourced settings.Jan D ReinhardtErik von ElmChristine FeketeJohannes SiegristPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 6, p e38782 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jan D Reinhardt Erik von Elm Christine Fekete Johannes Siegrist Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.
description	Many people worldwide live with a disability, i.e. limitations in functioning. The prevalence is expected to increase due to demographic change and the growing importance of non-communicable disease and injury. To date, many epidemiological studies have used simple dichotomous measures of disability, even though the WHO's International Classification of Functioning, Disability, and Health (ICF) provides a multi-dimensional framework of functioning. We aimed to examine associations of socio-economic status (SES) and social integration in 3 core domains of functioning (impairment, pain, limitations in activity and participation) and perceived health. We conducted a secondary analysis of representative cross-sectional data of the Swiss Health Survey 2007 including 10,336 female and 8,424 male Swiss residents aged 15 or more. Guided by a theoretical ICF-based model, 4 mixed effects Poisson regressions were fitted in order to explain functioning and perceived health by indicators of SES and social integration. Analyses were stratified by age groups (15-30, 31-54, ≥55 years). In all age groups, SES and social integration were significantly associated with functional and perceived health. Among the functional domains, impairment and pain were closely related, and both were associated with limitations in activity and participation. SES, social integration and functioning were related to perceived health. We found pronounced social inequalities in functioning and perceived health, supporting our theoretical model. Social factors play a significant role in the experience of health, even in a wealthy country such as Switzerland. These findings await confirmation in other, particularly lower resourced settings.
format	article
author	Jan D Reinhardt Erik von Elm Christine Fekete Johannes Siegrist
author_facet	Jan D Reinhardt Erik von Elm Christine Fekete Johannes Siegrist
author_sort	Jan D Reinhardt
title	Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.
title_short	Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.
title_full	Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.
title_fullStr	Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.
title_full_unstemmed	Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.
title_sort	social inequalities of functioning and perceived health in switzerland--a representative cross-sectional analysis.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/c878f05f5f074e3ca8380eded1d1b45f
work_keys_str_mv	AT jandreinhardt socialinequalitiesoffunctioningandperceivedhealthinswitzerlandarepresentativecrosssectionalanalysis AT erikvonelm socialinequalitiesoffunctioningandperceivedhealthinswitzerlandarepresentativecrosssectionalanalysis AT christinefekete socialinequalitiesoffunctioningandperceivedhealthinswitzerlandarepresentativecrosssectionalanalysis AT johannessiegrist socialinequalitiesoffunctioningandperceivedhealthinswitzerlandarepresentativecrosssectionalanalysis
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Social inequalities of functioning and perceived health in Switzerland--a representative cross-sectional analysis.

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