The role of income and social protection for inequalities in health, evidence and policy implications.

The starting point for our work on income and social protection, as for the DRIVERS project as a whole, are the social determinants of health (SDH). Three of the most important resources for health are addressed in DRIVERS, namely childhood conditions/early development, working life/working conditions, and income and economic resources. These areas of life constitute important resources for health and health inequalities, and are at the same time also targets for major policy areas and efforts. Families and individuals draw on economic resources that they generate themselves, but also on collective resources provided through the welfare state. The supply and quality of these collective resources will likely influence people’s ability to sustain their health and wellbeing, and the less people have in terms of individual resources, the more important it is that they can draw on collective resources. The work has therefore been centred on welfare states, social protection policies, incomes and health in different social strata. A general methodological and conceptual issue is how to best capture the types and strengths of welfare state efforts. The empirical research undertaken focuses on two broad issues, namely 1) how income and poverty are related to health and mortality, and 2) the importance of different aspects of social protection policies for health in different social groups over the life course. Also, we address the economic consequences of poor health and the extent to which these consequences can be buffered by the welfare state. New data sources have been employed to assess the importance of poverty, income and income inequalities on health inequalities and to explore how social policy institutions are linked to health inequalities across the EU Member State.

[1]  Peter A Kindle Wealth & Welfare States: Is America a Laggard or Leader? , 2016 .

[2]  Tommy Ferrarini,et al.  Decomposing the effect of social policies on population health and inequalities: An empirical example of unemployment benefits , 2014, Scandinavian journal of public health.

[3]  J. Fritzell,et al.  Welfare states and population health: the role of minimum income benefits for mortality. , 2014, Social science & medicine.

[4]  Tommy Ferrarini,et al.  Unemployment insurance and deteriorating self-rated health in 23 European countries , 2014, Journal of Epidemiology & Community Health.

[5]  O. Lundberg,et al.  Understanding the role of welfare state characteristics for health and inequalities – an analytical review , 2013, BMC Public Health.

[6]  W. Korpi,et al.  Social citizenship rights and social insurance replacement rate validity: pitfalls and possibilities , 2013 .

[7]  A. Abrassart Cognitive skills matter : The employment disadvantage of low-educated workers in comparative perspective , 2013 .

[8]  A. Hammarström,et al.  Unemployment, gender and mental health: the role of the gender regime. , 2013, Sociology of health & illness.

[9]  E. Dahl,et al.  Educational inequalities in health in European welfare states: a social expenditure approach. , 2013, Social science & medicine.

[10]  Thomas Lange,et al.  Scarred from the past or afraid of the future? Unemployment and job satisfaction across European labour markets , 2013 .

[11]  O. Kangas,et al.  Cross-Temporal and Cross-National Poverty and Mortality Rates among Developed Countries , 2012, Journal of environmental and public health.

[12]  K. Thielen,et al.  Social inequalities in 'sickness': European welfare states and non-employment among the chronically ill. , 2011, Social science & medicine.

[13]  Joakim Palme,et al.  Towards a social investment welfare state? : Ideas, policies and challenges , 2011 .

[14]  P. McDonough,et al.  Welfare regimes, population health and health inequalities: a research synthesis , 2011, Journal of Epidemiology & Community Health.

[15]  C. Muntaner,et al.  Politics, welfare regimes, and population health: controversies and evidence. , 2011, Sociology of health & illness.

[16]  D. Blanchflower,et al.  Young People and the Great Recession , 2011, SSRN Electronic Journal.

[17]  Veli-Matti Ritakallio,et al.  Societal shifts and changed patterns of poverty , 2010 .

[18]  O. Lundberg,et al.  The potential power of social policy programmes: income redistribution, economic resources and health , 2010 .

[19]  Joakim Palme,et al.  Public pension institutions and old‐age mortality in a comparative perspective , 2010 .

[20]  O. Kangas One hundred years of money, welfare and death: mortality, economic growth and the development of the welfare state in 17 OECD countries 1900–2000 , 2010 .

[21]  T. Norström,et al.  Family policy, economic development and infant mortality: a longitudinal comparative analysis , 2010 .

[22]  Tommy Ferrarini,et al.  Social policy and health: transition countries in a comparative perspective , 2010 .

[23]  Bruce G. Link,et al.  Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications , 2010, Journal of health and social behavior.

[24]  L. Rainwater,et al.  Wealth and Welfare States: Is America a Laggard or Leader? , 2010 .

[25]  I. Kawachi,et al.  Income inequality, mortality, and self rated health: meta-analysis of multilevel studies , 2009, BMJ : British Medical Journal.

[26]  N. Gilbert The Least Generous Welfare State? A Case of Blind Empiricism , 2009 .

[27]  Antonio Spilimbergo,et al.  Growing Up in a Recession: Beliefs and the Macroeconomy , 2009, SSRN Electronic Journal.

[28]  K. Moser,et al.  Unemployment impairs mental health: Meta-analyses , 2009 .

[29]  R. Wilkinson,et al.  The Spirit Level: Why More Equal Societies Almost Always Do Better , 2009 .

[30]  O. Lundberg Commentary: Politics and public health--some conceptual considerations concerning welfare state characteristics and public health outcomes. , 2008, International journal of epidemiology.

[31]  S. Burrows Health inequalities and welfare resources: continuity and change in Sweden , 2007 .

[32]  O. Kangas,et al.  Social Rights, Structural Needs and Social Expenditure : A comparative study of 18 OECD countries 1960-2000 , 2007 .

[33]  O. Lundberg,et al.  Assessing the contribution of relative deprivation to income differences in health , 2006, Health Inequalities and Welfare Resources.

[34]  Hans De Witte,et al.  The impact of job insecurity and contract type on attitudes, well-being and behavioural reports: A psychological contract perspective , 2006 .

[35]  R. Wilkinson,et al.  Income inequality and population health: a review and explanation of the evidence. , 2006, Social science & medicine.

[36]  Eva M. Franzén,et al.  Longer-term Labour-market Consequences of Economic Inactivity during Young Adulthood: A Swedish National Cohort Study , 2005 .

[37]  J. Mackenbach,et al.  The shape of the relationship between income and self-assessed health: an international study. , 2005, International journal of epidemiology.

[38]  R. Pond Growing public – social spending and economic growth since the eighteenth century , 2004 .

[39]  O. Lundberg,et al.  The impact of income: assessing the relationship between income and health in Sweden , 2004, Scandinavian journal of public health.

[40]  M. Sverke,et al.  No security: a meta-analysis and review of job insecurity and its consequences. , 2002, Journal of occupational health psychology.

[41]  S. Johansson Conceptualizing and Measuring Quality of Life for National Policy , 2002 .

[42]  Heike Solga ‘Stigmatization by Negative Selection’: Explaining Less‐Educated People's Decreasing Employment Opportunities , 2002 .

[43]  Angus Deaton,et al.  Health, Inequality, and Economic Development , 2001 .

[44]  Mikael Nordenmark Non-Financial Employment Motivation and Well-Being in different Labour Market Situations: A Longitudinal Study , 1999 .

[45]  Hans De Witte,et al.  Job Insecurity and Psychological Well-being: Review of the Literature and Exploration of Some Unresolved Issues , 1999 .

[46]  R Ecob,et al.  Income and health: what is the nature of the relationship? , 1999, Social science & medicine.

[47]  Richard Taylor,et al.  Unemployment and young people's health , 1998, The Medical journal of Australia.

[48]  W. Darity,et al.  Unemployment, Social Psychology, and Unemployment Hysteresis , 1993 .

[49]  M. Tiggemann,et al.  Social alienation and employment status in young adults , 1991 .

[50]  R. Liem,et al.  The social costs of unemployment: implications for social support. , 1986, Journal of health and social behavior.

[51]  R. Sugden Commodities and Capabilities , 1986 .

[52]  R. Erikson,et al.  8 The Scandinavian Approach to Welfare Research , 1986 .

[53]  J. Fritzell,et al.  Luxembourg Income Study , 2014 .

[54]  Massimiliano Mascherini,et al.  NEETs: young people not in employment, education or training: characteristics, costs and policy responses in Europe , 2012 .

[55]  J. Freese,et al.  Fundamental Causality: Challenges of an Animating Concept for Medical Sociology , 2011 .

[56]  O. Lundberg,et al.  The Nordic Experience: Welfare States and Public Health (NEWS) , 2008 .

[57]  O. Lundberg,et al.  Health inequalities and welfare resources – findings and forecasts , 2007 .

[58]  J. Bradshaw Support for children : a comparison of arrangements in fifteen countries , 1993 .

[59]  R. Erikson,et al.  Descriptions of Inequality : the Swedish Approach to Welfare Research , 1989 .

[60]  P. Warr,et al.  Work, unemployment, and mental health , 1987 .

[61]  D. Metcalf,et al.  Employment and Unemployment , 1959, National Institute Economic Review.

[62]  A. Antonovsky Health, stress, and coping , 1979 .

[63]  B. S. Rowntree,et al.  Poverty, A Study of Town Life , 1901 .

[64]  T. Gross,et al.  For Personal Use. Only Reproduce with Permission from Elsevier Ltd Public Health Inequalities in Health between and within Countries: Poverty and Inequality Social Determinants of Health Inequalities , 2022 .