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dc.contributor.authorPaul Pavitra
dc.contributor.authorValtonen Hannu
dc.date.accessioned2017-08-28T09:58:12Z
dc.date.available2017-08-28T09:58:12Z
dc.date.issued2016
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/4247
dc.description.abstractBackground To assess and quantify the magnitude of health inequalities ascribed to socioeconomic strata from 1994 to 2013 in the Russian Federation. Methods A balanced sample of 1,496 adult individuals extracted from the 1994 wave of the Russian Longitudinal Monitoring Survey (RLMS) is followed for stated self-perceived health status until 2013. The socioeconomic strata (SES) index is constructed with a set of variables (adult equivalent household income, ownership of assets and living conditions) by applying principal component analysis (PCA). We use a regression-based concentration index to measure differences in self-perceived health status. Finally, we examine the degree of aversion to inequalities in self-perceived health status between the worse-off and the better-off with the achievement index. Results By 2013, the mean standardized self-perceived health status has improved by 4.6 % compared to 1994. The absolute size of Concentration Index (CI) for non - standardized self-perceived health status is reduced by 44.27 % from 1994 to 2013. No systematic trend emerges in the evolution of CI for self-perceived health status of the Russians over the 19 year period. However, avoidable inequalities in self-perceived health status of the Russian population is reduced by almost 60 % over the two decades (1994–2013). Conclusion SES, as defined with objective indicators, shows little consistency in association with self-perceived health status in the Russian Federation. This study highlights the need for future research that considers the context of stated self-perceived health status in the realm of subjective socioeconomic status (SSS).en
dc.language.isoENen
dc.relation.ispartofseriesInternational Journal for Equity in Healthen
dc.relation.urihttp://dx.doi.org/10.1186/s12939-016-0325-9en
dc.rightsCC BY http://creativecommons.org/licenses/by/4.0/en
dc.subjectAchievementen
dc.subjectAversionen
dc.subjectConcentrationen
dc.subjectDistributionally-sensitiveen
dc.subjectHealth inequalitiesen
dc.subjectPositive-externalityen
dc.subjectSelf-perceiveden
dc.subjectSubjective socioeconomic statusen
dc.subjectRussiaen
dc.titleHealth inequality in the Russian Federation: An examination of the changes in concentration and achievement indices from 1994 to 2013en
dc.description.versionpublished versionen
dc.contributor.departmentSosiaali- ja terveysjohtamisen laitos / Toimintaen
uef.solecris.id39729917en
dc.type.publicationinfo:eu-repo/semantics/articleen
dc.rights.accessrights© Paul and Valtonenen
dc.relation.doi10.1186/s12939-016-0325-9en
dc.description.reviewstatuspeerRevieweden
dc.relation.articlenumber36
dc.relation.issn1475-9276en
dc.relation.volume15en
dc.rights.accesslevelopenAccessen
dc.type.okmA1en
dc.type.versioninfo:eu-repo/semantics/publishedVersionen
uef.solecris.openaccessOpen access -julkaisukanavassa ilmestynyt julkaisu


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