Processes and contexts influencing health inequalities among women who are mothers

Published on Oct 1, 2019in Journal of Epidemiology and Community Health3.872
· DOI :10.1136/jech-2019-212229
Sara Trujillo-Alemán1
Estimated H-index: 1
Glòria Pérez12
Estimated H-index: 12
+ 2 AuthorsCarme Borrell56
Estimated H-index: 56
This paper presents a conceptual framework that aims to conceptualise the different processes and contexts influencing health inequalities among women who are mothers. On the one hand, four processes are shown: (1) social stratification; (2) route into motherhood; (3) exposure and vulnerability to risk factors; and (4) generation of health inequalities. On the other hand, the role of the socioeconomic and political context, the labour market context, and the social, community and family context, as well as their inter-relationships, are presented. In addition, different family policy models, social values and cultural imperatives are considered.
  • References (20)
  • Citations (0)
📖 Papers frequently viewed together
1 Author (Hilary Graham)
271 Citations
16 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1Sara Trujillo-Alemán (UPF: Pompeu Fabra University)H-Index: 1
#2Glòria Pérez (UPF: Pompeu Fabra University)H-Index: 15
Last. Carme Borrell (UPF: Pompeu Fabra University)H-Index: 56
view all 7 authors...
Abstract Lone mothers report worse health and adopt more risky health behaviours than couple mothers, as largely documented in several European countries, but not deeply in Spain. The primary aim of this study was to identify the possible existence of inequalities in health and health behaviours between couple and lone mothers in Spain by occupational social class and employment status. A second aim was to explore whether any inequalities were influenced by the economic crisis beginning in 2008,...
1 CitationsSource
#1Elena Rousou (CUT: Cyprus University of Technology)H-Index: 2
#2Christiana Kouta (CUT: Cyprus University of Technology)H-Index: 10
Last. Nicos Middleton (CUT: Cyprus University of Technology)H-Index: 21
view all 3 authors...
Background The number of single-parent families headed by mothers is rapidly growing worldwide. A large part of the international literature reveals that single motherhood is associated with increased levels of chronic stress, mainly due to economic distress and reduced levels of social support, which may eventually lead to physical and psychological illness. Most published research comes from Northern Europe and the US, while it is accepted that both social welfare systems and societal factors ...
8 CitationsSource
#1Lisa F. Berkman (Harvard University)H-Index: 107
#2Yuhui Zheng (THU: Tsinghua University)H-Index: 13
Last. Erika L. Sabbath (BC: Boston College)H-Index: 11
view all 6 authors...
Background: Single motherhood is associated with poorer health, but whether this association varies between countries is not known. We examine associations between single motherhood and poor later-life health in the US, England and 13 European countries. Methods: Data came from 25,125 women aged 50+ who participated in the US Health and Retirement Study, the English Longitudinal Study of Ageing, and Survey of Health, Ageing and Retirement in Europe. We tested whether single motherhood at ages 16...
27 CitationsSource
#1Sarah Van de Velde (UGent: Ghent University)H-Index: 11
#2Clare Bambra (Durham University)H-Index: 47
Last. Piet Bracke (UGent: Ghent University)H-Index: 27
view all 5 authors...
This study examines whether health inequalities exist between lone and cohabiting mothers across Europe, and how these may differ by welfare regime. Data from the European Social Survey were used to compare self-rated general health, limiting long-standing illness and depressive feelings by means of a multi-level logistic regression. The 27 countries included in the analyses are classified into six welfare regimes (Anglo-Saxon, Bismarckian, Southern, Nordic, Central East Europe (CEE) (new EU) an...
18 CitationsSource
#1Laia Palència (Ciber)H-Index: 17
#2Davide Malmusi (Ciber)H-Index: 19
Last. Carme BorrellH-Index: 56
view all 7 authors...
Few studies have addressed the effect of gender policies on women's health and gender inequalities in health. This study aims to analyse the relationship between the orientation of public gender equality policies and gender inequalities in health in European countries, and whether this relationship is mediated by gender equality at country level or by other individual social determinants of health.
31 CitationsSource
#1Lucía ArtazcozH-Index: 26
#2Imma Cortès (Ciber)H-Index: 13
Last. Carme BorrellH-Index: 56
view all 6 authors...
Objectives: The objectives of this study were: (i) to analyse the relationship between health status and paid working hours and household composition in the EU-27, and (ii) to examine whether patterns of association differ as a function of family policy typologies and gender. Methods: Cross-sectional study based on data from the 5th European Working Conditions Survey of 2010. The sample included married or cohabiting employees aged 25-64 years from the EU-27 (10,482 men and 8,882 women). The dep...
37 CitationsSource
#1Carme BorrellH-Index: 56
#2Laia PalènciaH-Index: 17
Last. Patricia O'CampoH-Index: 63
view all 6 authors...
Gender inequalities in health have been widely described, but few studies have examined the upstream sources of these inequalities in health. The objectives of this review are 1) to identify empirical papers that assessed the effect of gender equality policies on gender inequalities in health or on women’s health by using between-country (or administrative units within a country) comparisons and 2) to provide an example of published evidence on the effects of a specific policy (parental leave) o...
64 CitationsSource
#1Elena Rousou (CUT: Cyprus University of Technology)H-Index: 2
#2Christiana Kouta (CUT: Cyprus University of Technology)H-Index: 10
Last. Maria Karanikola (CUT: Cyprus University of Technology)H-Index: 12
view all 4 authors...
Aim This study aimed to explore single mothers’ self-assessed level of health status compared to partnered mothers and the relevant factors associated with it. Background The number of single-mother families is increasing worldwide. A large body of international research reveals that single mothers experience poorer physical and mental health than their married counterparts. An important contributory factor for this health disparity appears to be socio-economic disadvantage. Methods A systematic...
32 CitationsSource
#1Sara Fritzell (KI: Karolinska Institutet)H-Index: 6
#2F Vannoni (National Institute of Statistics)H-Index: 6
Last. Johan Fritzell (KI: Karolinska Institutet)H-Index: 28
view all 7 authors...
This study analyses self-rated health and non-employment and potential synergy effects among lone and couple mothers aged 25–59 in Britain, Sweden and Italy, representing different family policy categories using data from national surveys (2000–2005). Synergy effects on health were calculated by synergy index. Non-employment only marginally contributed to the excess risk of poor health among lone mothers but there were synergy effects between lone motherhood and non-employment in all three count...
20 CitationsSource
#1Bo Burström (KI: Karolinska Institutet)H-Index: 30
#2Margaret Whitehead (University of Liverpool)H-Index: 51
Last. Giuseppe CostaH-Index: 36
view all 6 authors...
This study examines the welfare state arrangements and social policy, living conditions and health among lone and couple mothers in three contrasting policy environments: Italy, Sweden and Britain. These countries fall into distinctive family policy categories. Data were drawn from representative national household interview surveys. The findings highlight both similarities and differences. Lone mothers had significantly worse health than couple mothers in all three countries, were more likely t...
68 CitationsSource
Cited By0