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In the shadow of the welfare society ill-health and symptoms, psychological exposure and lifestyle habits among social security recipients: a national survey study.

Baigi A, Lindgren EC, Starrin B, Bergh H - Biopsychosoc Med (2008)

Bottom Line: Social security recipients were found to have a significantly higher risk in most of the studied variables.Reduced psychological wellbeing measured by means of the GHQ12 was significantly higher in this group compared to the rest of the population (OR 1.41 CI 1.03-1.94) and their lack of trust was greater (OR 1.96, CI 1.45-2.66).The challenge for the welfare state consists of recognising the significance of both structural and lifestyle factors as a means of reducing the health gap.

View Article: PubMed Central - HTML - PubMed

Affiliation: General Practice and Public Health, Halland County Council, Falkenberg, Sweden. amir.baigi@lthalland.se

ABSTRACT

Background: In Sweden social security is a means-tested financial allowance. The Social Services Act states that an individual is entitled to financial support when his/her needs are not met in any other way. The aim of the present study was to analyse the prevalence and impact of various illness factors and symptoms in social security recipients compared to non-recipients in a welfare state, in this case Sweden.

Methods: A simple random sample of 20 100 individuals was selected from a national survey that covered all individuals in the 18-84 year age group in Sweden. A postal survey was thereafter conducted. Multiple logistic regression was employed as a statistical test. Odds ratio (OR) and a 95% confidence interval (CI) was used.

Results: Social security recipients were found to have a significantly higher risk in most of the studied variables. Reduced psychological wellbeing measured by means of the GHQ12 was significantly higher in this group compared to the rest of the population (OR 1.41 CI 1.03-1.94) and their lack of trust was greater (OR 1.96, CI 1.45-2.66). They reported more sleep disturbances (OR 2.16, CI 1.58-2.94) and suffered from anxiety (OR 1.74, CI 1.28-2.36). Their dental health was worse (OR 2.44, CI 1.82-3.28) and they had more pain in their hands and legs (OR 1.57, CI 1.16-2.12). Social security recipients were more often humiliated (OR 1.79, CI 1.31-2.44) and exposed to threat (OR 1.69, CI 1.09-2.61). They were less physically active (OR 1.56, CI 1.17-2.08), had a poorer diet (OR 1.95, CI 1.45-2.63) and were more often smokers (OR 3.20, CI 2.37-4.33).

Implication: The challenge for the welfare state consists of recognising the significance of both structural and lifestyle factors as a means of reducing the health gap.

No MeSH data available.


Related in: MedlinePlus

Table 1: The health situation of the social security recipients compared to nonrecipients. Multivariate logistic regression with estimation of the odds ratio (OR)and a 95% confidence interval (CI), adjusted for age, sex and nationality.
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Figure 1: Table 1: The health situation of the social security recipients compared to nonrecipients. Multivariate logistic regression with estimation of the odds ratio (OR)and a 95% confidence interval (CI), adjusted for age, sex and nationality.

Mentions: Social security recipients were found to have significantly poorer health than non-recipients in most of the studied variables (Table 1). The majority reported lack of trust, sleep disturbances, tiredness, anxiety, dental ill-health, bodily pain, exposure to humiliation and physical inactivity. The results of the multivariate analysis revealed significantly lower scores for social security recipients in most of the variables analysed in the study, with the exception of high-risk alcohol consumption (Table 1). Ill-health as measured by means of the GHQ 12 was significantly higher in this group compared to non-recipients (OR 1.41, CI 1.03–1.94). They experienced a greater lack of trust (OR 1.96, CI 1.45–2.66) as well as more sleep disturbances (OR 2.16, CI 1.58–2.94) and anxiety (OR 1.74, CI 1.28–2.36). They also exhibited more dental ill-health (OR 2.44, CI 1.82–3.28). All physiological symptoms were significantly more common among social security recipients compared to non-recipients in step I of the analysis, while hand/arm/leg or knee pain was the most frequent symptom when all the variables were taken into account (OR 1.57, CI 1.16–2.12). They had more often been humiliated (OR 1.79, CI 1.31–2.44) and had been exposed to threat to a greater extent (OR 1.69, CI 1.09–2.61). The social welfare recipients were less physically active (OR 1.56, CI 1.17–2.08), had a poorer diet (OR 1.95, CI 1.45–2.63) and were significantly more likely to be regular smokers (OR 3.20, CI 2.37–4.33) (Table 1). These variables were the only significant indicators when all of the variables were combined in the multivariate analysis (Table 1).


In the shadow of the welfare society ill-health and symptoms, psychological exposure and lifestyle habits among social security recipients: a national survey study.

Baigi A, Lindgren EC, Starrin B, Bergh H - Biopsychosoc Med (2008)

Table 1: The health situation of the social security recipients compared to nonrecipients. Multivariate logistic regression with estimation of the odds ratio (OR)and a 95% confidence interval (CI), adjusted for age, sex and nationality.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2556693&req=5

Figure 1: Table 1: The health situation of the social security recipients compared to nonrecipients. Multivariate logistic regression with estimation of the odds ratio (OR)and a 95% confidence interval (CI), adjusted for age, sex and nationality.
Mentions: Social security recipients were found to have significantly poorer health than non-recipients in most of the studied variables (Table 1). The majority reported lack of trust, sleep disturbances, tiredness, anxiety, dental ill-health, bodily pain, exposure to humiliation and physical inactivity. The results of the multivariate analysis revealed significantly lower scores for social security recipients in most of the variables analysed in the study, with the exception of high-risk alcohol consumption (Table 1). Ill-health as measured by means of the GHQ 12 was significantly higher in this group compared to non-recipients (OR 1.41, CI 1.03–1.94). They experienced a greater lack of trust (OR 1.96, CI 1.45–2.66) as well as more sleep disturbances (OR 2.16, CI 1.58–2.94) and anxiety (OR 1.74, CI 1.28–2.36). They also exhibited more dental ill-health (OR 2.44, CI 1.82–3.28). All physiological symptoms were significantly more common among social security recipients compared to non-recipients in step I of the analysis, while hand/arm/leg or knee pain was the most frequent symptom when all the variables were taken into account (OR 1.57, CI 1.16–2.12). They had more often been humiliated (OR 1.79, CI 1.31–2.44) and had been exposed to threat to a greater extent (OR 1.69, CI 1.09–2.61). The social welfare recipients were less physically active (OR 1.56, CI 1.17–2.08), had a poorer diet (OR 1.95, CI 1.45–2.63) and were significantly more likely to be regular smokers (OR 3.20, CI 2.37–4.33) (Table 1). These variables were the only significant indicators when all of the variables were combined in the multivariate analysis (Table 1).

Bottom Line: Social security recipients were found to have a significantly higher risk in most of the studied variables.Reduced psychological wellbeing measured by means of the GHQ12 was significantly higher in this group compared to the rest of the population (OR 1.41 CI 1.03-1.94) and their lack of trust was greater (OR 1.96, CI 1.45-2.66).The challenge for the welfare state consists of recognising the significance of both structural and lifestyle factors as a means of reducing the health gap.

View Article: PubMed Central - HTML - PubMed

Affiliation: General Practice and Public Health, Halland County Council, Falkenberg, Sweden. amir.baigi@lthalland.se

ABSTRACT

Background: In Sweden social security is a means-tested financial allowance. The Social Services Act states that an individual is entitled to financial support when his/her needs are not met in any other way. The aim of the present study was to analyse the prevalence and impact of various illness factors and symptoms in social security recipients compared to non-recipients in a welfare state, in this case Sweden.

Methods: A simple random sample of 20 100 individuals was selected from a national survey that covered all individuals in the 18-84 year age group in Sweden. A postal survey was thereafter conducted. Multiple logistic regression was employed as a statistical test. Odds ratio (OR) and a 95% confidence interval (CI) was used.

Results: Social security recipients were found to have a significantly higher risk in most of the studied variables. Reduced psychological wellbeing measured by means of the GHQ12 was significantly higher in this group compared to the rest of the population (OR 1.41 CI 1.03-1.94) and their lack of trust was greater (OR 1.96, CI 1.45-2.66). They reported more sleep disturbances (OR 2.16, CI 1.58-2.94) and suffered from anxiety (OR 1.74, CI 1.28-2.36). Their dental health was worse (OR 2.44, CI 1.82-3.28) and they had more pain in their hands and legs (OR 1.57, CI 1.16-2.12). Social security recipients were more often humiliated (OR 1.79, CI 1.31-2.44) and exposed to threat (OR 1.69, CI 1.09-2.61). They were less physically active (OR 1.56, CI 1.17-2.08), had a poorer diet (OR 1.95, CI 1.45-2.63) and were more often smokers (OR 3.20, CI 2.37-4.33).

Implication: The challenge for the welfare state consists of recognising the significance of both structural and lifestyle factors as a means of reducing the health gap.

No MeSH data available.


Related in: MedlinePlus