Dynamics of Russians’ Health Status in 2003–2018: The Relationship Between Objective and Subjective Characteristics
Research Article
How to Cite
Karavay A.V. 2020. Dynamics of Russians’ Health Status in 2003–2018: The Relationship Between Objective and Subjective Characteristics — Sociologicheskaja nauka i social’naja praktika. Vol. 8. No. 4. P. 69-87. DOI: https://doi.org/10.19181/snsp.2020.8.4.7657
Abstract
The article uses data from the Russia Longitudinal Monitoring Survey – Higher School of Economics (RLMS-HSE) from 2003–2018 to analyze the dynamics of the health status of Russians, determined through subjective and objective characteristics. It is shown that, regardless of the chosen indicator, relatively few Russians currently have a good health, and the proportion of people without diagnosed diseases and those who assess their health as good does not differ much. Analysis of the dynamics of various health characteristics has shown that against the background of a decrease in the share of Russians without diagnosed health problems, the number of people with positive self-assessments of their health has increased. However, this growth appeared in the period of 2003–2013, and then stopped. Results of the multinomial regression model demonstrate that having diagnosed diseases leads to a downward bias in self-assessments of individual’s health, the degree of which depends on the nature of the disease. However, the complete absence of such diseases does not mean that an individual evaluates his health as good, since several socioeconomic and demographic factors, including psycho-emotional state, also have a significant impact on this self-assessment of health. The article also shows that objective and subjective health characteristics are associated with the self-care practices, which, although they have become somewhat more popular in the period of 2003–2018, still are used only by a minority of Russians, even among young people.
Keywords:
public health, self-care behaviour, healthy life, health status dynamic
References
Enikolopov R. (2020). Vvedenie. [Introduction]. Ekonomicheskaya politika vo vremena COVID-19. Rossiiskaia ekonomicheskaia shkola. P. 3–10. (In Russ.).
Zhuravleva I. V. (2013). Pochemu ne uluchshaetsya zdorov’e rossiyan? [Why not improve the health of Russians?]. Vestnik instituta sotziologii. Vol. 4. № 1. P. 163–176. (In Russ.).
Itskhoki O. Novyi koronavirus i ekonomika. (2020). [New coronavirus and the economy]. Ekonomicheskaya politika vo vremena COVID-19. Rossiiskaia ekonomicheskaia shkola. P. 11–15. (In Russ.).
Karavay A. V. (2020). Faktory neravenstva zhiznennykh shansov rossiyan (opyt empiricheskogo analiza). [Factors of Inequality of Russians’ Life Chances (Empirical Analysis)]. Sociologicheskaja nauka i social’naja praktika. № 1. P. 63–78. (In Russ.). DOI: 10.19181/snsp.2020.8.1.7095
Kuz’mich O., Roshchin S. (2008). Luchshe li byt’ zdorovym? Ekonomicheskaya otdacha ot zdorov’ya v Rossii. [Is It Better to Be Healthy? The Economic Returns of Health in Russia]. HSE Economic Journal. Vol. 12. № 1. P. 29–56. (In Russ.).
Model’ dohodnoj stratifikacii rossijskogo obshchestva: dinamika, faktory, mezhstranovye sravneniya. (2018). [Model of income stratification of the Russian society: dynamics, factors, crosscountry comparisons]. Ed. by N. E. Tikhonova. M.: Nestor-Istoriya publ., 368 p. (In Russ.). DOI: 0.317544469-1419-7
Nazarova I. B. (1998). Sub”ektivnye i ob”ektivnye otsenki zdorov’ya naseleniya. [Subjective and objective assessment of health status]. Sociological Journal. № 3/4. P. 246–249. (In Russ.).
Nazarova I. B. (2003). Zdorov’e rossiiskogo naseleniya: faktory i kharakteristiki (90-e gody). [Health of the Russian Population: Factors and Characteristics (90s)]. Sotsiologicheskie issledovaniya. № 11. P. 57–69. (In Russ.).
Otnoshenie rossiyan k zdorovomu obrazu zhizni. (2017). [The attitude of Russians to healthy lifestyle]. Institut obschestvennogo mneniia. URL: https://iom.anketolog.ru/2017/08/21/otnoshenie-rossiyan-k-zdorovomu-obrazu-zhizni (data obrascheniia: 30.10.2020).
Radaev V. V. (2002). Ponyatie kapitala, formy kapitalov i ikh konvertatsiya. [Concept of the capital, form of the capitals and their converting]. Ekonomicheskaya sotsiologiya. T. 3. № 4. P. 20–32. (In Russ.).
Rusinova N. L. (2019). Sotsial’nye neravenstva v zdorov’e: posrednicheskaya rol’ material’nykh lishenii i psikhologicheskikh resursov. [Social Inequalities in Health: the Mediating Role of Material Deprivation and Psychological Resources]. Demographic review. № 6 (3). P. 6–30. (In Russ.).
Cookson R., Propper C., Asaria M., Raine R. (2016). Socio‐Economic Inequalities in Health Care in England. Fiscal Studies. Vol. 37. № 3–4. P. 371–403.
Fogel R. W. (2003). Secular trends in physiological capital: implications for equity in health care. Perspectives in Biology and Medicine. Vol. 46. № 3. Suppl. P. 24–38.
Kim I. H. et al. (2012). Welfare states, flexible employment, and health: a critical review. Health Policy. Vol. 104. № 2. P. 99–127.
Manning N., Tikhonova N. (ed.). (2009). Health and health care in the new Russia. Ashgate.
Miller T. (2007). Making A Difference In Differences For The Health Inequalities Of Individuals. Health Affairs. Vol. 26. № 5. P. 1235–1237. DOI: 10.1377/hlthaff.26.5.1235
Nyberg ST., Singh-Manoux A, Pentti J. et al. (2020). Association of Healthy Lifestyle With Years Lived Without Major Chronic Diseases. JAMA Intern Med. Published online. DOI:10.1001/jamainternmed.2020.0618
Zhuravleva I. V. (2013). Pochemu ne uluchshaetsya zdorov’e rossiyan? [Why not improve the health of Russians?]. Vestnik instituta sotziologii. Vol. 4. № 1. P. 163–176. (In Russ.).
Itskhoki O. Novyi koronavirus i ekonomika. (2020). [New coronavirus and the economy]. Ekonomicheskaya politika vo vremena COVID-19. Rossiiskaia ekonomicheskaia shkola. P. 11–15. (In Russ.).
Karavay A. V. (2020). Faktory neravenstva zhiznennykh shansov rossiyan (opyt empiricheskogo analiza). [Factors of Inequality of Russians’ Life Chances (Empirical Analysis)]. Sociologicheskaja nauka i social’naja praktika. № 1. P. 63–78. (In Russ.). DOI: 10.19181/snsp.2020.8.1.7095
Kuz’mich O., Roshchin S. (2008). Luchshe li byt’ zdorovym? Ekonomicheskaya otdacha ot zdorov’ya v Rossii. [Is It Better to Be Healthy? The Economic Returns of Health in Russia]. HSE Economic Journal. Vol. 12. № 1. P. 29–56. (In Russ.).
Model’ dohodnoj stratifikacii rossijskogo obshchestva: dinamika, faktory, mezhstranovye sravneniya. (2018). [Model of income stratification of the Russian society: dynamics, factors, crosscountry comparisons]. Ed. by N. E. Tikhonova. M.: Nestor-Istoriya publ., 368 p. (In Russ.). DOI: 0.317544469-1419-7
Nazarova I. B. (1998). Sub”ektivnye i ob”ektivnye otsenki zdorov’ya naseleniya. [Subjective and objective assessment of health status]. Sociological Journal. № 3/4. P. 246–249. (In Russ.).
Nazarova I. B. (2003). Zdorov’e rossiiskogo naseleniya: faktory i kharakteristiki (90-e gody). [Health of the Russian Population: Factors and Characteristics (90s)]. Sotsiologicheskie issledovaniya. № 11. P. 57–69. (In Russ.).
Otnoshenie rossiyan k zdorovomu obrazu zhizni. (2017). [The attitude of Russians to healthy lifestyle]. Institut obschestvennogo mneniia. URL: https://iom.anketolog.ru/2017/08/21/otnoshenie-rossiyan-k-zdorovomu-obrazu-zhizni (data obrascheniia: 30.10.2020).
Radaev V. V. (2002). Ponyatie kapitala, formy kapitalov i ikh konvertatsiya. [Concept of the capital, form of the capitals and their converting]. Ekonomicheskaya sotsiologiya. T. 3. № 4. P. 20–32. (In Russ.).
Rusinova N. L. (2019). Sotsial’nye neravenstva v zdorov’e: posrednicheskaya rol’ material’nykh lishenii i psikhologicheskikh resursov. [Social Inequalities in Health: the Mediating Role of Material Deprivation and Psychological Resources]. Demographic review. № 6 (3). P. 6–30. (In Russ.).
Cookson R., Propper C., Asaria M., Raine R. (2016). Socio‐Economic Inequalities in Health Care in England. Fiscal Studies. Vol. 37. № 3–4. P. 371–403.
Fogel R. W. (2003). Secular trends in physiological capital: implications for equity in health care. Perspectives in Biology and Medicine. Vol. 46. № 3. Suppl. P. 24–38.
Kim I. H. et al. (2012). Welfare states, flexible employment, and health: a critical review. Health Policy. Vol. 104. № 2. P. 99–127.
Manning N., Tikhonova N. (ed.). (2009). Health and health care in the new Russia. Ashgate.
Miller T. (2007). Making A Difference In Differences For The Health Inequalities Of Individuals. Health Affairs. Vol. 26. № 5. P. 1235–1237. DOI: 10.1377/hlthaff.26.5.1235
Nyberg ST., Singh-Manoux A, Pentti J. et al. (2020). Association of Healthy Lifestyle With Years Lived Without Major Chronic Diseases. JAMA Intern Med. Published online. DOI:10.1001/jamainternmed.2020.0618
Article
Received: 18.05.2020
Accepted: 08.12.2020
Citation Formats
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Harvard
Karavay, A. V. (2020) ’Dynamics of Russians’ Health Status in 2003–2018: The Relationship Between Objective and Subjective Characteristics’, Sociologicheskaja nauka i social’naja praktika, 8(4), pp. 69-87. doi: https://doi.org/10.19181/snsp.2020.8.4.7657.
Section
SOCIOLOGY OF HEALTH
Publisher: Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences (FCTAS RAS)