Perceived sexism as a health determinant in Spain

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Title: Perceived sexism as a health determinant in Spain
Authors: Borrell, Carme | Artazcoz, Lucía | Gil-González, Diana | Pérez, Glòria | Rohlfs, Izabella | Pérez, Katherine
Research Group/s: Salud Pública
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Perceived sexism | Women | Discrimination
Knowledge Area: Medicina Preventiva y Salud Pública
Issue Date: 26-Apr-2010
Publisher: Mary Ann Liebert
Citation: BORRELL, Carme, et al. "Perceived sexism as a health determinant in Spain". Journal of Women's Health. Vol. 19, No. 4 (26 Apr. 2010). ISSN 1540-9996, pp. 741-750
Abstract: OBJECTIVES: The goals of the present study are to explore the association between perceived sexism and self-perceived health, health-related behaviors, and unmet medical care needs among women in Spain; to analyze whether higher levels of discrimination are associated with higher prevalence of poor health indicators and to examine whether these relationships are modified by country of origin and social class. MATERIALS AND METHODS: The study is based on a cross-sectional design using data from the 2006 Spanish Health Interview Survey. We included women aged 20-64 years (n = 10,927). Six dependent variables were examined: four of health (self-perceived health, mental health, hypertension, and having had an injury during the previous year), one health behavior (smoking), and another related to the use of the health services (unmet need for medical care). Perceived sexism was the main independent variable. Social class and country of origin were considered as effect modifiers. We obtained the prevalence of perceived sexism. Logistic regression models, adjusted for potential confounders, were fitted to study the association between sexism and poor health outcomes. Results: The prevalence of perceived sexism was 3.4%. Perceived sexism showed positive and consistent associations with four poor health outcomes (poor self-perceived health, poor mental health, injuries in the last 12 months, and smoking). The strength of these associations increased with increased scores for perceived sexism, and the patterns were found to be modified by country of origin and social class. CONCLUSION: This study shows a consistent association between perceived sexism and poor health outcomes in a country of southern Europe with a strong patriarchal tradition.
Sponsor: This study was partially funded by CIBER Epidemiología y Salud Pública, Spain; by the Ministerio de Sanidad y Consumo—Observatorio de Salud de la Mujer, Dirección General de la Agencia de Calidad—y Ministerio de Ciencia e Innovación—Instituto de Salud Carlos III, Spain; and by the project "Analysis of the Effects of Discrimination in the Self-perceived Health in Adult and Children Populations in Spain" from the Fondo de Investigación Sanitaria of the latter institutions (reference PI080782).
URI: http://hdl.handle.net/10045/18148
ISSN: 1540-9996 (Print) | 1931-843X (Online)
DOI: 10.1089/jwh.2009.1594
Language: eng
Type: info:eu-repo/semantics/article
Rights: This is a copy of an article published in the Journal of Women's Health © 2010 copyright Mary Ann Liebert, Inc.; Journal of Women's Health is available online at: http://www.liebertonline.com.
Peer Review: si
Publisher version: http://dx.doi.org/10.1089/jwh.2009.1594
Appears in Collections:INV - SP - Artículos de Revistas
Institucional - IUIEG - Publicaciones

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