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dc.contributor.authorOlsen, Jan Abel
dc.contributor.authorChen, Gang
dc.contributor.authorLamu, Admassu Nadew
dc.date.accessioned2023-11-06T12:19:45Z
dc.date.available2023-11-06T12:19:45Z
dc.date.issued2023-10-11
dc.description.abstractBackground - Indicators of socioeconomic position (SEP) and health behaviours (HB) are widely used predictors of health variations. Their relative importance is hard to establish, because HB takes a mediating role in the link between SEP and health. We aim to provide new knowledge on how SEP and HB are related to health and wellbeing.<p> <p>Methods - The analysis considered 14,713 Norwegians aged 40–63. Separate regressions were performed using two outcomes for health-related quality of life (EQ-5D-5 L; EQ-VAS), and one for subjective wellbeing (Satisfaction with Life Scale). As predictors, we used educational attainment and a composite measure of HB – both categorized into four levels. We adjusted for differences in childhood financial circumstances, sex and age. We estimated the percentage share of each predictor in total explained variation, and the relative contributions of HB in the education-health association.<p> <p>Results - The reference case model, excluding HB, suggests consistent stepwise education gradients in health-related quality of life. The gap between the lowest and highest education was 0.042 on the EQ-5D-5 L, and 0.062 on the EQ-VAS. When including HB, the education effects were much attenuated, making HB take the lion share of the explained health variance. HB contributes 29% of the education-health gradient when health is measured by EQ-5D-5 L, and 40% when measured by EQ-VAS. For subjective wellbeing, we observed a strong HB-gradient, but no education gradient.<p> <p>Conclusion - In the institutional context of a rich egalitarian country, variations in health and wellbeing are to a larger extent explained by health behaviours than educational attainment.en_US
dc.identifier.citationOlsen, Chen, Lamu. The relative importance of education and health behaviour for health and wellbeing. BMC Public Health. 2023;23(1)en_US
dc.identifier.cristinIDFRIDAID 2190905
dc.identifier.doi10.1186/s12889-023-16943-7
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/10037/31682
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalBMC Public Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleThe relative importance of education and health behaviour for health and wellbeingen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)