Macro-level determinants of post-retirement health and health inequalities
A multilevel analysis of 18 European countries
Bibliographic Data
| ID | 14675159 |
|---|---|
| Authors | Sascha de Breij (0000-0002-1970-6041, Amsterdam Neuroscience, corresponding author), Martijn Huisman (0000-0002-9285-6759, Amsterdam University Medical Centers), Dorly J H Deeg, Dorly Deeg (0000-0003-1131-6855, Amsterdam University Medical Centers) |
| Year | 2020 |
| Volume | 245 |
| Pages | 112669 |
| Publication date | 2020-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2019.112669 |
| PMID | 31739142 |
| OpenAlex | W2985136899 |
| Language | EN |
| Citations received | 16 |
| References cited | 36 |
Poor health after retirement may have an important economic and societal impact and may be affected by macro-level factors. Our aim was to examine whether macro-level factors are associated with health and educational differences in health in recent retirees. We used data covering 18 European countries from the Survey on Health, Ageing and Retirement in Europe (SHARE) and the English Longitudinal Study of Ageing (ELSA) on 8867 respondents who had been retired less than 5 years. We performed multi-level linear regression analyses to examine whether social expenditure in nine policy areas, minimum pension replacement rates, and unemployment replacement rates explained cross-country differences in post-retirement self-rated health (SRH) and educational inequalities in SRH. In both men and women, a higher total expenditure as well as higher expenditures on health, old age, housing, and 'other social policy areas' (non-categorical cash benefits to low-income households and other social services) were associated with better SRH. Cross-level interactions showed that in the presence of a higher old age expenditure, a higher unemployment expenditure, and a higher total expenditure, the absolute educational inequalities in post-retirement SRH were smaller than with lower expenditures in these areas, in both men and women. We found the same effect in women only for a higher expenditure on health as well as a higher minimum pension replacement rate. A higher expenditure on survivors pensions, a lower expenditure on family, and a higher unemployment replacement rate had this effect in men only. This study showed that social expenditure and replacement rates were associated with post-retirement health and health inequalities
Demographic economics · Economic growth · Economics · European Social Survey · Inequality · Multilevel model · Pension · Political science · Social inequality · Unemployment · Employment and Welfare Studies · Global Health Care Issues · Retirement, Disability, and Employment
Comparative analysis of health expectancy indicators in older adult men and women in selected European countries
Cross-national Differences in the Association Between Retirement and Memory Decline
Sex and gender differences in depressive symptoms in older workers
Housing characteristics and health in urban China
Welfare States and the Health Impact of Social Capital
Joint Income-Wealth Poverty in a Cross-National Perspective
An Integrated Analysis of Social, Economic, and Environmental Indicators' Effects on Public Health and Health Inequality Globally
Are there diminishing returns to social spending? Social policy, health and health inequalities in European countries. A comparative longitudinal survey data analysis
Social protection expenditure on health in later life in 20 European countries
Macro-contextual determinants of cancer screening participation and inequalities
Intergenerational educational trajectories and inequalities in longevity
Wealth inequalities in physical and cognitive impairments across Japan and Europe
Unplanned costs and benefits
Self-rated Health and Objective Health Status Among Rural-to-Urban Migrants in China
Effect of retirement on loneliness
Attitudes toward government, rich and poor, and support for redistribution
Differential health reporting by education level and its impact on the measurement of health inequalities among older Europeans
The Effect of Small Sample Size on Two-Level Model Estimates
A review of the healthy worker effect in occupational epidemiology
Small Sample Inference for Fixed Effects from Restricted Maximum Likelihood
Understanding the role of welfare state characteristics for health and inequalities – an analytical review
Cohort Profile
When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions.
Data Resource Profile
Whiners, deniers, and self-rated health
The relationship between self-rated health and objective health status
Self-Rated Health and Mortality
An institutional theory of welfare state effects on the distribution of population health
Somatic Multimorbidity and Self-rated Health in the Older Population
The 'Southern Model' of Welfare in Social Europe
Welfare States and Health Inequalities
Health inequalities and welfare state regimes
Welfare regimes, population health and health inequalities
Explaining health marginalisation of the lower educated
Social inequalities in ‘sickness
The impact of social expenditure on health inequalities in Europe
Educational inequalities in health in European welfare states
Socioeconomic inequalities in morbidity among the elderly; a European overview
Social citizenship rights and social insurance replacement rate validity
What is self-rated health and why does it predict mortality? Towards a unified conceptual model
Golden Years? The Labor Market Effects of Caring for Grandchildren
| Unique citing works | 16 |
|---|---|
| Citations per year | 2,67 |
| Citation span | 2020 - 2025 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 15 |