A prospective cohort study investigating the explanation of socio-economic inequalities in health in The Netherlands
Abstract
In this paper, the objectives, design, data-collection procedures and enrollment rates of the Longitudinal Study on Socio-Economic Health Differences (LS-SEHD) are described. This study started in 1991, and is the first large-scale longitudinal study of the explanation of socio-economic inequalities in health in the Netherlands. The LS-SEHD aims at making a quantitative assessment of the contribution of different mechanisms and factors to the explanation of socio-economic inequalities in health. It is based on a research model incorporating both 'selection' and 'causation' mechanisms, and a wide range of specific factors possibly involved in these mechanisms: health-related life-style factors, structural/environmental factors, psychosocial stress-related factors, childhood environment, cultural factors, psychological factors, and health in childhood. The design of the LS-SEHD is that of a prospective cohort study. An aselect sample, stratified by age, degree of urbanization and socio-economic status, for approx. 27,000 persons was drawn from the population registers in a region in the Southeastern part of The Netherlands. The persons in this sample received a postal questionnaire. An aselect subsample of approx. 3500 persons from the respondents to the postal questionnaire was, in addition, approached for an oral interview. The follow-up of these samples will use routinely collected data (mortality by cause of death, hospital admissions by diagnosis, cancer incidence), as wel…
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Higher morbidity and mortality rates for the socioeconomically disadvantaged are still found.
“In spite of marked health improvements of the overall population and efforts to overcome health inequalities, higher morbidity and mortality rates for the socioeconomically disadvantaged are still found.(1, 2, 3, 4)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [4]
Explanations for socio-economic inequalities in health remain largely unclear.
“Explanations for these inequalities in health are often explored but remain largely unclear.(4, 5)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [4]
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Self-citationHyde, M., Jakub, H., Melchior, M., van Oort, F. V., & Weyers, S. (2006) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2005.043083 · Cited by 55 · see citing works
The Healthy Primary School of the Future: study protocol of a quasi-experimental study
Willeboordse, M., Jansen, M. W., van den Heijkant, S. N., Simons, A., Winkens, B., de Groot, R. H. M., Bartelink, N., Kremers, S. P., van Assema, P., Savelberg, H. H., et al. (2016) · BMC Public Health · doi:10.1186/s12889-016-3301-9 · Cited by 54 · see citing works
“All questions about SES have been derived from previous, large-scale Dutch studies, including those specifically addressing socio-economic inequalities in health [51 – 53].”
Methodvan Lenthe, F. V., Kamphuis, C., Beenackers, M., Jansen, T., Looman, C., Nusselder, W., & Mackenbach, J. (2014) · International Journal of Epidemiology · doi:10.1093/ije/dyt040 · Cited by 54 · see citing works
Self-citationAdverse working conditions and alcohol use in men and women.
José, B. S., van de Mheen, H., van Oers, J. A. V., Mackenbach, J. P., & Garretsen, H. (2000) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.2000.tb02085.x · Cited by 54 · see citing works
Self-citationThe care and course of diabetes: differences according to level of education.
van der Meer, J. V. D., & Mackenbach, J. (1999) · Health Policy · doi:10.1016/s0168-8510(98)00058-x · Cited by 53 · see citing works
“The design and objective of the GLOBE study have been described in detail elsewhere [27].”
MethodSelf-citationMonden, C., van Lenthe, F. V., & Mackenbach, J. (2006) · Health and Place · doi:10.1016/j.healthplace.2005.03.003 · Cited by 52 · see citing works
Self-citationCollyer, T., & Smith, K. E. (2020) · Social Science & Medicine (1967) · doi:10.1016/j.socscimed.2020.113330 · Cited by 49 · see citing works
Low education, high gp consultation rates: the effect of psychosocial factors
van der Meer, J. B. W., & Mackenbach, J. P. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00217-1 · Cited by 45 · see citing works
“The design and objective of this study have been described elsewhere [11].”
MethodSelf-citationHuisman, M., van Lenthe, F. V., Avendano, M., & Mackenbach, J. (2008) · Social Science & Medicine (1967) · doi:10.1016/j.socscimed.2008.01.049 · Cited by 48 · see citing works
Self-citationRole of childhood health in the explanation of socioeconomic inequalities in early adult health.
van de Mheen, H., Stronks, K., Looman, C., & Mackenbach, J. (1998) · Journal of Epidemiology and Community Health · doi:10.1136/jech.52.1.15 · Cited by 48 · see citing works
Self-citationvan Groenou, M. B. V., Deeg, D., & Penninx, B. (2003) · Aging Clinical and Experimental Research · doi:10.1007/bf03324497 · Cited by 46 · see citing works
Dietary intakes of adults in the Netherlands by childhood and adulthood socioeconomic position
Giskes, K., van Lenthe, F. V., Brug, H., & Mackenbach, J. (2004) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601889 · Cited by 45 · see citing works
“Selection of the dietary subsample was conducted by stratifying by the socioeconomic characteristics of GLOBE participants’ neighborhoods in order to increase the degree of contrast between socioeconomic groups (Mackenbach et al, 1994).”
BackgroundMethodSelf-citation
- Authors
- Mackenbach, J. P., van de Mheen, H., & Stronks, K.
- Affiliations
- Erasmus University Rotterdam (NL)
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1994-01
- Volume
- 38
- Issue
- 2
- Pages
- 299-308
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2005980898
- Cited by
- 195
- References
- 0
- Citations by year
- 2026: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 14 · 2018: 4 · 2017: 7 · 2016: 3 · 2015: 4 · 2014: 1 · 2013: 5 · 2012: 5
- FWCI
- 10.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Keywords
- socioeconomic inequalities in health, selection mechanisms, psychosocial stress, childhood environment, cultural factors, psychological factors, research design, response rate
- MeSH terms
- Adolescent, Adult, Aged, Female, Health Status Indicators, Humans, Male, Middle Aged, Netherlands, Prospective Studies, Social Justice, Socioeconomic Factors, Cohort Studies
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