[Show abstract][Hide abstract] ABSTRACT: In Sweden social security is a means-tested financial allowance. The Social Services Act states that an individual is entitled to financial support when his/her needs are not met in any other way. The aim of the present study was to analyse the prevalence and impact of various illness factors and symptoms in social security recipients compared to non-recipients in a welfare state, in this case Sweden.
A simple random sample of 20 100 individuals was selected from a national survey that covered all individuals in the 18-84 year age group in Sweden. A postal survey was thereafter conducted. Multiple logistic regression was employed as a statistical test. Odds ratio (OR) and a 95% confidence interval (CI) was used.
Social security recipients were found to have a significantly higher risk in most of the studied variables. Reduced psychological wellbeing measured by means of the GHQ12 was significantly higher in this group compared to the rest of the population (OR 1.41 CI 1.03-1.94) and their lack of trust was greater (OR 1.96, CI 1.45-2.66). They reported more sleep disturbances (OR 2.16, CI 1.58-2.94) and suffered from anxiety (OR 1.74, CI 1.28-2.36). Their dental health was worse (OR 2.44, CI 1.82-3.28) and they had more pain in their hands and legs (OR 1.57, CI 1.16-2.12). Social security recipients were more often humiliated (OR 1.79, CI 1.31-2.44) and exposed to threat (OR 1.69, CI 1.09-2.61). They were less physically active (OR 1.56, CI 1.17-2.08), had a poorer diet (OR 1.95, CI 1.45-2.63) and were more often smokers (OR 3.20, CI 2.37-4.33).
The challenge for the welfare state consists of recognising the significance of both structural and lifestyle factors as a means of reducing the health gap.
[Show abstract][Hide abstract] ABSTRACT: Previous research demonstrates that the relationship between socio-economic status (SES) and eating disorders is not consistent. The present study compares SES and demographic factors among Swedish women, randomly drawn from the population register and female patients seen for treatment.
223 consecutive eating disorder patients (ED) between 18 and 24 years of age (anorexia, n=26, bulimia, n=127, Eating disorder not otherwise specified, n=70) were compared with 750 normal controls (CONT) between 18 and 24 years of age. Both groups were assessed using the same questionnaire regarding SES and demographic factors.
ED's have a higher SES background and live in more privileged socio-demographic areas than CONT. ED's have lower social status, have more separations, and are more often single than CONT.
These data demonstrate a connection between high socio-economic and demographic data, low social status and eating disorder patients compared to normal controls.
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