Show simple item record

dc.contributor.authorOlsen, Jan Abel
dc.contributor.authorLindberg, Marie Hella
dc.contributor.authorLamu, Admassu Nadew
dc.date.accessioned2021-06-16T06:25:44Z
dc.date.available2021-06-16T06:25:44Z
dc.date.issued2020-07-03
dc.description.abstractMeasures of health-related quality of life are important in health technology assessments, and useful when analysing health inequalities across population sub-groups. This paper provides population norms on health and wellbeing in Norway based on two waves of a comprehensive health survey: Wave 6 of The Tromsø Study conducted in 2007/08 (N = 12,981) and Wave 7 conducted in 2015/16 (N = 21,083). By use of these data, the paper aims to provide new insight on how different measures of health and wellbeing, and different indicators for socio-economic position, will affect the magnitude of a reported social gradient in health.<br><br> We apply validated multi-item instruments for measuring health and subjective well-being; the health state utility instrument EQ-5D, and the satisfaction with life scale, as well as a direct valuation of health on a visual analogue scale. We apply three indicators for socio-economic position; education, occupation and household income, each measured along four levels. After descriptive statistics, regression analyses are performed separately for men and women, adjusted for age, to explain the magnitude of the social gradient along each socio-economic indicator.<br><br> The social gradient in health showed a consistent positive trend, along all three socio-economic indicators; it was strongest with income, and weakest with education. When health had been valued directly on a visual analogue scale, the gradient was steeper than when valued indirectly via the EQ-5D descriptive system. The social gradient in subjective well-being also showed consistent positive trends, except with education as the socio-economic indicator.<br><br> We have shown that the magnitude of the social gradient critically depends on which socio-economic indicator is used, and whether health is being measured indirectly via the EQ-5D descriptive system or directly on a visual analogue scale. The strongest gradient in subjective well-being was observed with income as the socio-economic indicator.en_US
dc.descriptionAccepted manuscript version, licensed <a href=http://creativecommons.org/licenses/by-nc-nd/4.0/> CC BY-NC-ND 4.0. </a>en_US
dc.identifier.citationOlsen, Lindberg, Lamu. Health and wellbeing in Norway: Population norms and the social gradient. Social Science and Medicine. 2020;259en_US
dc.identifier.cristinIDFRIDAID 1819848
dc.identifier.doi10.1016/j.socscimed.2020.113155
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.urihttps://hdl.handle.net/10037/21416
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalSocial Science and Medicine
dc.relation.projectIDNorges forskningsråd: 273812en_US
dc.relation.projectIDNorges forskningsråd: 289440en_US
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/BEDREHELSE/273812/Norway/Tracing causes of inequalities in health and well-being: Analysis of rich longitudinal data//en_US
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/BEDREHELSE/289440/Norway/Healthy choices and the social gradient//en_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holder© 2020 Elsevier Ltd. All rights reserved.en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleHealth and wellbeing in Norway: Population norms and the social gradienten_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record