Do lower socioeconomic groups use more health services, because they suffer from more illnesses?

Droomers, Mariƫl; Westert, Gert P.
September 2004
European Journal of Public Health;Sep2004, Vol. 14 Issue 3, p311
Academic Journal
Background: The more diseases one suffers from, the higher the number of health care services attended. This study aims to examine the role this association plays in socio-economic differences in multiple health care utilization. Methods: The study population derived from the Netherlands Health Interview Surveys (1990-1998) and was 25 years or older (N=53,339). Socio-economic position was indicated by educational level. Comorbidity was defined as the concurrence of multiple health conditions in the same person. Multiple health care utilization was measured by the number of different health care services contacted in the preceding year. Logistic multiple regression was used, adjusted for age, gender and year of interview. Results: The lower the socioeconomic status, the more often people used multiple health care services (OR 1.46) and the higher the prevalence of comorbidity (OR 2.47). Conclusions: Lower socioeconomic groups use more health care services, partly because they suffer from more illnesses.


Related Articles

  • Acknowledgements. Kaplan, M. S.; McFarland, B. H. // Journal of Epidemiology & Community Health;Jun2004, Vol. 58 Issue 6, p530 

    The article presents information on Eurobarometer and National Health Interview Survey data that were made available through the Inter-university Consortium for Political and Social Research. All the responsibility for the use and interpretation of these data is entirely that of authors.

  • Black leaders' Perceptions of the Year 2000 Public Health Goals for Black Americans. Schneider, Dona; Greenberg, Michael K.; Daiwoo Choi // American Journal of Public Health;Aug1993, Vol. 83 Issue 8, p1171 

    We surveyed 1196 Black health and political leaders on their perceptions about the US Department of Health and Human Services' Healthy People 2000 public health goals. Respondents identified reducing the incidence of acquired immunodeficiency syndrome, improving maternal and infant health, and...

  • Local Health Department Effectiveness in Addressing the Core Functions of Public Health: Essential Ingredients. Turnock, Bernard J.; Handler, Arden S. // Journal of Public Health Policy;1996, Vol. 17 Issue 4, p460 

    Objectives: Objective 8.14 of the U.S. Healthy People 2000 objectives calls for 90% of the population to be served by a local health department (LHD) which is effectively carrying out the core functions of public health (assessment, policy development, assurance). This study seeks to describe...

  • Availability of essential health services in post-conflict Liberia. Kruk, Margaret E.; Rockers, Peter C.; Williams, Elizabeth H,; Varpilah, S. Tornorlah; Macauley, Rose; Saydee, Geetor; Galea, Sandro // Bulletin of the World Health Organization;Jul2010, Vol. 88 Issue 7, p527 

    Objective To assess the availability of essential health services in northern Liberia in 2008, five years after the end of the civil war. Methods We carried out a population-based household survey in rural Nimba county and a health facility survey in clinics and hospitals nearest to study...

  • Evaluating the organisational climate in Italian public healthcare institutions by means of a questionnaire. Wienand, Ulrich; Cinotti, Renata; Nicoli, Augusta; Bisagni, Miriam // BMC Health Services Research;2007, Vol. 7, p73 

    Background: By means of the ICONAS project, the Healthcare Agency of an Italian Region developed, and used a standardised questionnaire to quantify the organisational climate. The aims of the project were (a) to investigate whether the healthcare institutions were interested in measuring...

  • Hypertension Labeling and Sense of Well-Being. Bloom, Joan R.; Monterossa, Susan // American Journal of Public Health;Nov81, Vol. 71 Issue 11, p1228 

    Seventy-one individuals were mislabeled on the basis of a prevalence survey (N - 1.031) conducted in low-income community. They were told by a physician that they were hypertensive but were later judged normotensive on the basis of three blood pressure measures. None of these persons was taking...

  • HEALTH REFORM WANTED.  // Trustee;Apr2009, Vol. 62 Issue 4, p7 

    The article focuses on the findings of a survey that found that majority of citizens believe that the U.S. health care system needs to be fundamentally changed or completely rebuilt released by the Commonwealth Fund Commission on a High Performance Health System. More than 80 percent of...

  • Explaining the disability paradox: a cross-sectional analysis of the Swiss general population. Fellinghauer, Bernd; Reinhardt, Jan D.; Stucki, Gerold; Bickenbach, Jerome // BMC Public Health;2012, Vol. 12 Issue 1, p655 

    Background: Disability can be broken down into difficulties in different components of functioning such as impairments and limitations in activities and participation (A&P). Previous studies have produced the seemingly surprising result that persons with severe impairments tend to report high...

  • The Sickness Impact Profile: Development of an Outcome Measure of Health Care. Gilson, Betty S.; Gilson, John S.; Bergner, Marilyn; Bobbitt, Ruth A.; Kressel, Shirley; Pollard, William E.; Vesselago, Michael // American Journal of Public Health;Dec1975, Vol. 65 Issue 12, p1304 

    The article discusses the development of the Sickness Impact Profile, a behaviorally based measure of sickness-related dysfunction to provide an appropriate and sensitive measure of health status for use in assessing the effects of health care services. The development of methods for evaluating...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics