Inequalities in the long‐term impact of the economic recession on preventive healthcare use and health‐related lifestyle in Spain (2006–2017)

Bibliographic Data

ID12289338
AuthorsJesús García-Mayor (0000-0002-7212-1974, San Javier Campus University of Murcia San Javier Spain, corresponding author), Antonio Moreno‐Llama (0000-0003-0168-4806, San Javier Campus University of Murcia San Javier Spain), Ernesto De-La-Cruz-Sánchez (0000-0002-4718-7058, San Javier Campus University of Murcia San Javier Spain)
Year2020
Volume29
Issue1
Pages42-55
Publication date2020-06-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13067
PMID32557930
OpenAlexW3036832965
LanguageEN
Citations received2
References cited31

Study of the long-term impact of economic recession on lifestyle according to socioeconomic groups is scarce. This study examines health-related lifestyle and preventive medical attendance in different socioeconomic groups in the Spanish adult population (18-64 years of age) before, during and after an economic recession. Data were collected from three waves of the Spanish National Health Survey (2006, 2012 and 2017). Self-perceived health, health-related lifestyle and common preventive medical attendance were evaluated by means of multivariate logistic models. The increase in good self-perceived health in 2006-2012 was 7.1%, 6.9% and 8.3% for the high, middle and low group, respectively, and 5.2%, 5.9% and 7.9% for the high, middle and low group, respectively, in 2006-2017. In 2006-2012 and 2006-2017, the gap increased between people of the high and low groups in smoking prevalence (2.8%-4.7%), physical activity (2.0%-4.0%), daily fruit (1.0%-6.3%) and vegetable intake (2.5%-6.1%). The probability of women ́s gynaecological attendance increased statistically significant for cytology in three groups in 2006-2012 and 2006-2017 (OR = 1.35, 95% CI = 1.08-1.67; OR = 1.42, 95% CI = 1.18-1.7; OR = 1.34, 95% CI = 1.21-1.47 for the high, middle and low groups, respectively, in 2006-2012 and OR = 1.34, 95% CI = 1.08-1.67; OR = 1.62, 95% CI = 1.35-1.95; OR = 1.51, 95% CI = 1.37-1.66 for the high, middle and low groups, respectively, in 2006-2017), but not for mammography. This study reveals long-term socioeconomic inequalities in lifestyle behaviours after the economic recession. Health policies must be emphasised in these population subgroups and in more disadvantaged populations

Economic growth · Economics · Environmental health · Great recession · Health care · Inequality · Labour economics · Recession · Term (time · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Medicine · Gerontology

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