Проблема социальных неравенств в здоровье: сравнительное исследование России в европейском контексте
English title: The Issue of Social Inequality in Terms of Health: A Comparative Study of Russia within the European Context
Author(s): Nina Rusinova - Viacheslav Safronov -
Type: Journal article
The article discusses the problem of social inequalities in health and presents the main results of its empirical study, obtained in the analysis of data from the European Social Survey (ESS) for several dozen countries, including Russia, and statistics on their economy and welfare state using the methods of two-level linear and logistic modeling. Indicators of general health and risks of depression differ markedly in different parts of Europe - in Russia, as in many other relatively less developed countries, the health of the population is clearly worse than in the most developed social democracies. These indicators also vary widely within countries, for individuals occupying different positions in demographic and social structures. Natural health disparities between younger and older age cohorts are particularly pronounced in the less developed European states such as the Russian Federation, while in countries with high levels of welfare and state social guarantees age differences are largely smoothed out. Social capital and psychological resources of personality play an important role in maintaining good health of individuals. Psychosocial resources have a positive impact on the health of people belonging to any social strata, but in developed Europe, the vulnerable individuals with low status benefit most from it. In developed countries, the negative impact on their health is largely due to relative deprivation – the stresses of social comparison with the well-off majority, not just to the lack of material resources and limited access to high-quality health services, as is the case in Russia and less developed Europe. It is in these countries that the reserves of personality and social ties are especially important for people from the lower strata to overcome the negative impact of such stresses on health.
From page no: 139
To page no: 161
Journal: Bulletin of the Institute of Sociology (Vestnik Instituta sotziologii)