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Later life health in Europe: how important are country level influences?

Ploubidis, George, Dale, Caroline and Grundy, Emily ORCID: 0000-0002-9633-1116 (2012) Later life health in Europe: how important are country level influences? European Journal of Ageing, 9 (1). pp. 5-13. ISSN 1613-9372

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Identification Number: 10.1007/s10433-011-0215-3

Abstract

In this article, we examine the extent and pattern of country level differences in later life health in Europe and compare five competing explanations for this variation. We used data from 14 European countries, drawn from Northern (Denmark and Sweden), Western (Austria, France, Ireland, Germany Belgium, the Netherlands and Switzerland), Mediterranean (Spain, Italy and Greece) and Eastern (Poland and Czechia) regions of Europe, N = 33,528. Our results suggest that about a quarter (24%) of the overall variation in later life health in Europe appears to be due to country level differences. The Scandinavian countries along with Germany, the Netherlands and Switzerland appear to have the best health, whereas Spain, Italy and Poland had the lowest health score. Country level influences on health were largely associated with differences in the level of egalitarianism of each country as measured by the Gini coefficient, with more inequality being associated with poorer health. Differences in health-related lifestyle, as approximated by the prevalence of obesity in each country, also had a substantial macrolevel influence on later life health, with a lower national prevalence of obesity being associated with better health. Our results indicate the presence of systematic macrolevel health variation in Europe and suggest that policies to reduce income inequality as well as population interventions to promote healthier lifestyles and decrease the prevalence of obesity have the potential to improve population health and potentially offset some of the challenges posed by population ageing in Europe.

Item Type: Article
Official URL: http://link.springer.com/journal/10433
Additional Information: © 2012 Springer, Part of Springer Science+Business Media
Divisions: Lifecourse, Ageing & Population Health
Date Deposited: 29 Oct 2013 11:39
Last Modified: 06 Jan 2024 05:24
URI: http://eprints.lse.ac.uk/id/eprint/53858

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