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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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“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]
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“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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Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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