1. How Did Employment and Financial Strain Affect the Self-rated Health of Lone Mothers Around the Time of the Economic Crisis? A Cross-sectional Comparison of the United Kingdom and Sweden
- Author
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Bo Burström, Nina Kirk, and Sara Fritzell
- Subjects
Adult ,Employment ,media_common.quotation_subject ,Mothers ,Face (sociological concept) ,Context (language use) ,Affect (psychology) ,Young Adult ,03 medical and health sciences ,Kingdom ,0302 clinical medicine ,Humans ,030212 general & internal medicine ,Self-rated health ,media_common ,Sweden ,030503 health policy & services ,Health Policy ,Self ,Health Status Disparities ,Middle Aged ,Single Parent ,United Kingdom ,Cross-Sectional Studies ,Economic Recession ,Logistic Models ,Policy ,Socioeconomic Factors ,Unemployment ,Income ,Female ,Demographic economics ,0305 other medical science ,Psychology ,Welfare - Abstract
Lone mothers face higher risk of poor self-rated health (SRH) than coupled mothers, partly explained by financial strain, non-employment, and welfare context. Comparing the United Kingdom and Sweden, we sought to determine how the economic crisis of 2008 affected the inequality in lone and coupled mothers SRH and what socioeconomic factors impacted this. Survey data was divided into periods corresponding to before, during, and after the economic crisis. Logistic regression was used to evaluate the impact of socioeconomic factors. Financial strain explained 70%–80% of the excess risk for poor health among Swedish lone mothers and 40% of those in the United Kingdom. Controlling for background and socioeconomic factors eliminated the health inequality among Swedish mothers. In the United Kingdom this inequality remained and may reflect the impact of social mechanisms such as stigma. Converse to what was expected, we did not observe significant variation over time in factors affecting SRH, nor did we find conclusive evidence of the impact of the economic crisis on the SRH of lone mothers. Factors that may account for these counterintuitive results, including retrenchment of the Swedish welfare state, economic lag, and reduction in overall inequality in health, are discussed.
- Published
- 2019