Social inequalities in health in Estonia

Autorid: Kunst A , Leinsalu M , Kasmel A , Habicht J
Väljaandja/tellija: Maailmapank, Sotsiaalministeerium
Märksõnad: ebavõrdsus, tervislik seisund, sotsiaalne kihistumine, haigestumus, suremus, tervisekäitumine, riskikäitumine, tervishoid, arstiabi, tervisepoliitika, tervishoiustatistika, eestlased, venelased, elukoht, tulud
Välja antud: 2002
Avaldamise koht: Tallinn
Tüüp: Raport
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Alamvaldkonnad:Demograafilised näitajad
Sotsiaalmajanduslikud näitajad
Tervisenäitajate siseriiklik ja rahvusvaheline võrdlus
Rahvastiku tervise ajatrendid
Vaimne tervis
Füüsiline aktiivsus
Sõltuvusainete tarvitamine
Tervisepoliitika planeerimine ja juhtimine
Kirjeldus: The principal objective of this report is to give a detailed description of social inequalities in self-reported morbidity, mortality, health-related behaviour and health care utilisation within the Estonian population, and to assess whether these inequalities have diminished or widened since independence. Two secondary objectives are to use this detailed description to (a) formulate implications for health sector policies and (b) make recommendations for future research and monitoring of social inequalities in health in Estonia.
The main results can be summarised into four points.
1. Both morbidity, mortality, health-related behaviours and patterns of health care
utilisation strongly vary between subgroups of the Estonian population.
2. People from lower socioeconomic groups live shorter, more often suffer from health problems, engage more often in health damaging behaviour, and have less favourable health care utilisation patterns.
3. Large differences in some of the outcome indicators are also observed between men and women, between Russians and ethnic Estonians, and by place of residence.
4. During the 1990¿s, social inequalities in mortality and most types of health-related behaviour have widened.

Implications for health policies
The findings presented in this report are expected to provide a rich and solid empirical basis for discussions on equity-oriented health policies in Estonia. In chapter 10, a number of observations are made that aim to further stimulate discussion on the objectives and strategies of such policies.

Future research and monitoring
Equity-oriented health policies can be supported by further research and monitoring in four areas: (a) more in-depth description of current inequalities, (2) research aimed at explaining these inequalities, (3) monitoring of future trends, including policy impact assessment, and (4) improving data availability, e.g. by facilitating linkage between data registries. Chapter 11 gives specific suggestions on each of these areas, with an emphasis on actions to be taken on a short term.