Nordic paradox in action : The complicated relation between social mobility and health inequalities in an international comparative study

AIMS: Socio-economic inequalities originate from several channels, one of which is family origins, with clear effects on people's health. This paper aims to evaluate the role played by social mobility in determining health inequalities, relying on Blau and Duncan's status attainment model and focusing specifically on two moments of social reproduction of inequalities: one inter-generational, based on the transmission of resources from the family of origin, the other intra-generational, related to the capitalisation of economic resources to maximise well-being.

METHODS: Multi-group models of structural equations were used to examine the direct and indirect effects of parental cultural background, education and economic conditions of respondents on self-perceived health in 28 countries, relying on the European Social Survey (N=38,879).

RESULTS: Overall, the results confirmed the presence of an inter-generational transmission of social and health status. Different models of transmission of health inequalities emerged among the countries considered. Countries characterised by a social democratic welfare regime showed higher social mobility and fewer health inequalities, although in correspondence with a prominent role of economic factors in determining health conditions. On the other hand, in countries where social mobility is lower, health inequalities are more pronounced, yet driven by factors others than economics, such as socio-cultural origins.

CONCLUSIONS: The presence of a higher economic-health gradient in social democratic countries - notwithstanding their egalitarian and universal welfare policies - provides support for the existence of a Nordic paradox in relation to health inequalities.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:52

Enthalten in:

Scandinavian journal of public health - 52(2024), 2 vom: 24. März, Seite 166-174

Sprache:

Englisch

Beteiligte Personen:

Consolazio, David [VerfasserIn]
Sarti, Simone [VerfasserIn]
Terraneo, Marco [VerfasserIn]

Links:

Volltext

Themen:

Health inequalities
Inter-generational inequalities
Journal Article
Nordic paradox
Social mobility
Status attainment

Anmerkungen:

Date Completed 05.03.2024

Date Revised 05.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/14034948221141807

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350621411