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Socioeconomic and Health Inequality in Two Regions of Turkey

Journal of Community Health volume 34, pages 346–352 (2009)Cite this article

Abstract

This study investigated health inequalities between two areas within the city of Bursa, Turkey from a socioeconomic perspective. Information was gathered from 582 subjects >15 years old using self-assessed health of the respondents, a general health questionnaire, and disability records. Health service access and health inequalities with respect to demographic and socioeconomic data are reported. The study indicates that the health of people living in socioeconomically less advantaged neighborhoods of Bursa is worse than that of people in more affluent areas. However, socioeconomic status has no effect on disability, as ascertained with a Brief Disability Questionnaire. The results of this large-scale study provide a contemporary view of regional health disparity in a major urban setting in Turkey.

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References

  1. Navarro, V. (1999). Health and equity in the world in the era of globalization. International Journal of Health Services, 29, 215–226.

    PubMed  Article  CAS  Google Scholar 

  2. Regidor, E., Gutierrez-Fisac, J. L., Dominguez, V., Calle, M. E., & Navarro, P. (2002). Comparing social inequalities in health in Spain: 1987 and 1995/97. Social Science & Medicine, 54, 1323–1332.

    Article  Google Scholar 

  3. Whitehead, M. (1992). The concepts and principles of equity and health. International Journal of Health Services, 22, 429–445.

    PubMed  Article  CAS  Google Scholar 

  4. Haynes, R., & Gale, S. (2000). Deprivation and poor health in rural areas: Inequalities hidden by averages. Health & Place, 6, 275–285.

    Article  CAS  Google Scholar 

  5. Gold, R., Kennedy, B., Connell, F., & Kawachi, I. (2002). Teen births, income inequality, and social capital: Developing an understanding of the causal pathway. Health & Place, 8, 77–83.

    Article  Google Scholar 

  6. Bossuyt, N., Gadeyne, S., Deboosere, P., & Van Oyen, H. (2004). Socio-economic inequalities in health expectancy in Belgium. Public Health, 118, 3–10.

    PubMed  Article  CAS  Google Scholar 

  7. Marmot, M., & Wilkınson, R. (2001). Psychosocial and material pathways in the relation between income and health: A response to Lynch et al. British Medical Journal, 322, 1233–1236.

    PubMed  Article  CAS  Google Scholar 

  8. Bartley, M. (2001). Health inequalities in France. International Journal of Epidemiology, 30, 628–631.

    Article  Google Scholar 

  9. Chapman, P. H. (2002). Housing and inequalities in health. Journal of Epidemiology and Community Health, 56, 645–646.

    Article  Google Scholar 

  10. Coburn, D. (2004). Beyond the income inequality hypothesis; class, neoliberalism and health inequalities. Social Science & Medicine, 58, 41–56.

    Article  Google Scholar 

  11. Kawachi, I., & Kennedy, B. P. (1997). Socioeconomic determinants of health: Health and social cohesion: Why care about income inequality? British Medical Journal, 314, 1037.

    PubMed  CAS  Google Scholar 

  12. Sacker, A., Firth, D., Fitzpatrick, R., Lynch, K., & Bartley, M. (2000). Comparing health inequality in men and women: Prospective study of mortality 1986–96. British Medical Journal, 320, 1303–1307.

    PubMed  Article  CAS  Google Scholar 

  13. Wagstaff, A. (2001). Poverty and health. Commission on Macroeconomics and Health, paper no. WG1 5.

  14. Safaei, J. (2007). Income and health inequality across Canadian provinces. Health & Place, 13, 629–638.

    Article  Google Scholar 

  15. Adler, N., & Ostrove, J. (1999). Socioeconomic status and health: What we know and what we don’t. Annals of the New York Academy of Sciences, 896, 3–15.

    PubMed  Article  CAS  Google Scholar 

  16. Wilkinson, R., & Marmot, M. (2003). Social determinants of health: The solid facts. Denmark: WHO Regional Office for Europe.

    Google Scholar 

  17. Kawachi, I., Kennedy, B. P., Lochner, K., & Prothrow-Stith, D. (1997). Social capital, income inequality and mortality. American Journal of Public Health, 87, 1491–1498.

    PubMed  Article  CAS  Google Scholar 

  18. Turner, B. (2001). Capitalism, class and illness. Kapitalizm, Sınıf ve Hastalık. Çeviren: Dikmen A. Toplumbilim, 13, 109–118.

    Google Scholar 

  19. Wilkinson, R. G. (1992). Income distribution and life expectancy. British Medical Journal, 304, 165–168.

    PubMed  Article  CAS  Google Scholar 

  20. Sönmez, M. (1998). Bölgesel Eşitsizlik (pp. 226–255). İstanbul. Alan Yayıncılık, Mart Matbaacılık.

  21. Martikainen, P., Adda, J., Ferrie, J. E., Smith, G., & Marmot, M. (2003). Effects of income and wealth on GHQ depression and poor self rated health in white collar women and men in the Whitehall II study. Journal of Epidemiology and Community Health, 57, 718–723.

    PubMed  Article  CAS  Google Scholar 

  22. Gilbert, L., & Soskolne, V. (2003). Self-assessed health—a case study of social differentials in Soweto, South Africa. Health & Place, 9, 193–205.

    Article  Google Scholar 

  23. Scott, W. (2001). Income inequality and the prevalence of common mental disorders in Britain. The British Journal of Psychiatry, 178, 222–227.

    Article  Google Scholar 

  24. Gatrell, A. C., Popay, J., & Thomas, C. (2004). Mapping the determinants of health inequalities in social space: Can Bourdieu help us? Health & Place, 10, 245–257.

    Article  Google Scholar 

  25. Kılıç, C. (1996). Genel Sağlık Anketi: Güvenilirlik ve Geçerlilik Çalışması. Türk Psikiyatri Dergisi, 7, 3–9.

    Google Scholar 

  26. Stewart, A. L., Hays, R. D., & Ware, J. E. J. (1988). The MOS short form general health survey: Reliability and validity in a patient population. Medical Care, 26, 724–735.

    PubMed  Article  CAS  Google Scholar 

  27. Kaplan, I. (1995). Yarı Kırsal Alanda Bir Sağlık Ocağına Başvuran Hastalarda Ruhsal Bozuklukların Yeti Yitimi ile İlişkisi. Türk Psikiyatri Dergisi, 6, 169–179.

    Google Scholar 

  28. Pikhart, H., Bobak, M., Rose, R., & Marmot, M. (2003). Household item ownership and self-rated health: Material and psychosocial explanations. BMC Public Health, 3, 38–44.

    PubMed  Article  Google Scholar 

  29. Turkish Statistical Institute. (2007). Turkey’s statistical yearbook—2006 (pp. 157–163). Ankara: Printing Division.

    Google Scholar 

  30. World Health Organization. (2000). Health 21 (Sağlık 21). Çeviren: Öztürk, Y., Günay, O., Aykut, M., Ceyhan, O., Çetinkaya, F., Öztürk, A., Gün, İ. Kayseri. Erciyes Üniversitesi yayın, 126.

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Affiliations

  1. Uludag Universitesi, Tıp Fakültesi Halk Saglıgı AD, 16059, Gorukle-Bursa, Turkey

    Alpaslan Türkkan & Hamdi Aytekin

Authors
  1. Alpaslan Türkkan
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  2. Hamdi Aytekin
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Correspondence to Alpaslan Türkkan.

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Türkkan, A., Aytekin, H. Socioeconomic and Health Inequality in Two Regions of Turkey. J Community Health 34, 346–352 (2009). https://doi.org/10.1007/s10900-009-9160-x

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  • DOI: https://doi.org/10.1007/s10900-009-9160-x

Keywords

  • Health inequality
  • Income
  • Self-assessed health
  • General health questionnaire
  • Brief disability questionnaire