1. ZHAW digitalcollection
  2. Gesundheit
  3. Publikationen
  4. Publikationen Gesundheit
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dc.contributor.authorVolken, Thomas-
dc.contributor.authorWieber, Frank-
dc.contributor.authorRüesch, Peter-
dc.contributor.authorHuber, Marion-
dc.contributor.authorCrawford, R.J.-
dc.date.accessioned2017-11-15T15:29:23Z-
dc.date.available2017-11-15T15:29:23Z-
dc.date.issued2017-
dc.identifier.issn0033-3506de_CH
dc.identifier.issn1476-5616de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/1497-
dc.description.abstractObjectives: Our study aimed to describe the temporal changes in self-rated health status (SRH) from 1997 to 2012 in adults aged 25 to 84 residing in Switzerland, with a view to identifying groups at risk for declining health. Study design: Secondary analysis of population-based cross-sectional health surveys. Methods: Data were collected from the cross-sectional, population-based, five-year Swiss Health Survey, from 1997, 2002, 2007 and 2012. A total of 63,861 individuals' data were included. Multilevel mixed-effect logistic regression analysis was employed to estimate the probability of very good and good health within the framework of a hierarchical cross-classified age-period-cohort model (HAPC), adjusting for education level, gender, civil status, smoking status and body mass index. Results: Individuals with higher education were substantially more likely than those with primary education to report good SRH (OR = 2.12; 95% CI = 1.93–2.33 for secondary education and OR = 3.79; 95% CI = 3.39–4.23 for tertiary education). The education effect depended on birth cohort and age: higher proportions of good SRH were reported by secondary (8%–17%) and tertiary (10%–22%) compared with primary educated individuals from the 1940 birth cohort onward; the proportion of secondary/tertiary (compared to primary) educated people reporting good SRH increased with age (by 10/11% at 45–50 years and 25/36% at 80–84 years). Gender health equality was achieved by the 1955 (primary educated) and 1960 (secondary educated) birth cohorts, while these women overtook men in reporting good SRH from the 1975 birth cohort onward. Tertiary educated younger women were significantly less likely to report good SRH than men but parity was achieved at around pension age. Similarly, gender inequality in those with primary and secondary education reduced in the younger ages to not be significant at around age 55, with women overtaking men from age 65. Conclusions: Younger birth cohorts with lower education levels appear most vulnerable in terms of their SRH. The education effect cumulatively increases when attaining incrementally higher education levels. While women report lower health than men, gender inequality in SRH has declined and even reversed over time and is substantially linked to differences in educational status. Swiss public health strategies should particularly target the younger adults with only primary school education of both genders; for women, to combat health burdens in their early life, and men, to mitigate issues in their later life.de_CH
dc.language.isoende_CH
dc.publisherElsevierde_CH
dc.relation.ispartofPublic Healthde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectAgeingde_CH
dc.subjectBirth cohortsde_CH
dc.subjectEducation statusde_CH
dc.subjectGender inequalityde_CH
dc.subjectSelf-reported healthde_CH
dc.subjectSwiss health surveyde_CH
dc.subjectSwitzerlandde_CH
dc.subjectAdultde_CH
dc.subjectAge Factorsde_CH
dc.subjectAgedde_CH
dc.subjectAged, 80 and overde_CH
dc.subjectCross-Sectional Studiesde_CH
dc.subjectEducational Statusde_CH
dc.subjectFemalede_CH
dc.subjectHealth Surveysde_CH
dc.subjectHumansde_CH
dc.subjectMalede_CH
dc.subjectMiddle Agedde_CH
dc.subjectSex Factorsde_CH
dc.subjectSwitzerlandde_CH
dc.subjectDiagnostic Self Evaluationde_CH
dc.subjectHealth Status Disparitiesde_CH
dc.subject.ddc610: Medizin und Gesundheitde_CH
dc.titleTemporal change to self-rated health in the Swiss population from 1997 to 2012 : the roles of age, gender, and educationde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
dc.identifier.doi10.1016/j.puhe.2017.07.007de_CH
dc.identifier.pmid28802181de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end165de_CH
zhaw.pages.start152de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume150de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedAngewandte Gerontologiede_CH
zhaw.webfeedBodenökologiede_CH
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Volken, T., Wieber, F., Rüesch, P., Huber, M., & Crawford, R. J. (2017). Temporal change to self-rated health in the Swiss population from 1997 to 2012 : the roles of age, gender, and education. Public Health, 150, 152–165. https://doi.org/10.1016/j.puhe.2017.07.007
Volken, T. et al. (2017) ‘Temporal change to self-rated health in the Swiss population from 1997 to 2012 : the roles of age, gender, and education’, Public Health, 150, pp. 152–165. Available at: https://doi.org/10.1016/j.puhe.2017.07.007.
T. Volken, F. Wieber, P. Rüesch, M. Huber, and R. J. Crawford, “Temporal change to self-rated health in the Swiss population from 1997 to 2012 : the roles of age, gender, and education,” Public Health, vol. 150, pp. 152–165, 2017, doi: 10.1016/j.puhe.2017.07.007.
VOLKEN, Thomas, Frank WIEBER, Peter RÜESCH, Marion HUBER und R.J. CRAWFORD, 2017. Temporal change to self-rated health in the Swiss population from 1997 to 2012 : the roles of age, gender, and education. Public Health. 2017. Bd. 150, S. 152–165. DOI 10.1016/j.puhe.2017.07.007
Volken, Thomas, Frank Wieber, Peter Rüesch, Marion Huber, and R.J. Crawford. 2017. “Temporal Change to Self-Rated Health in the Swiss Population from 1997 to 2012 : The Roles of Age, Gender, and Education.” Public Health 150: 152–65. https://doi.org/10.1016/j.puhe.2017.07.007.
Volken, Thomas, et al. “Temporal Change to Self-Rated Health in the Swiss Population from 1997 to 2012 : The Roles of Age, Gender, and Education.” Public Health, vol. 150, 2017, pp. 152–65, https://doi.org/10.1016/j.puhe.2017.07.007.


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