TAILIEUCHUNG - Gender inequality in health among elderly people in a combined framework of socioeconomic position, family characteristics and social support

The second domain, environmental pollutants, encompasses exposures that might bring about chronic conditions or exacerbate these conditions. We include in this domain air, water, and other toxic pollutants. For example, repeated exposure to toxic waste sites may result in malignancies later in life (American Cancer Society, 2002), which in turn may lead to functional decline (Teno et al., 2001; Michael et al., 2000). Thus, exposure to water contamination or toxic wastes is likely to affect health status, particularly though cumulated effects in the lifecourse. Similarly, air pollution may make it difficult for someone with chronic obstructive pulmonary disease to climb. | Ageing Society 29 2009 625 647. 2009 Cambridge University Press 001 80144686X08008349 Printed in the United Kingdom 625 Gender inequality in health among elderly people in a combined framework of socioeconomic position family characteristics and social support SILVIA RUEDA and LUCIA ARTAZCOZ ABSTRACT This study analyses gender inequalities in health among elderly people in Catalonia Spain by adopting a conceptual framework that globally considers three dimensions of health determinants socio-economic position family characteristics and social support. Data came from the 2006 Catalonian Health Survey. For the purposes of this study a sub-sample of people aged 65-85 years with no paid job was selected 1 113 men and 1 484 women . The health outcomes analysed were self-perceived health status poor mental health status and long-standing limiting illness. Multiple logistic regression models separated by sex were fitted and a hierarchical model was fitted in three steps. Health status among elderly women was poorer than among the men for the three outcomes analysed. Whereas living with disabled people was positively related to the three health outcomes and confidant social support was negatively associated with all of them in both sexes there were gender differences in other social determinants of health. Our results emphasise the importance of using an integrated approach for the analysis of health inequalities among elderly people simultaneously considering socio-economic position family characteristics and social support as well as different health indicators in order fully to understand the social determinants of the health status of older men and women. KEY WORDS gender inequalities elderly socio-economic factors family characteristics social support. Introduction Demographic changes taking place during the last few decades such as increasing life expectancies and lower fertility rates have generated population ageing in all parts of the world but especially

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