Social inequality in morbidity, framed within the current economic crisis in Spain

Zapata Moya, A.R.; Buffel, V.; Navarro Yáñez, C.J.; Bracke, P.

doi:10.1186/s12939-015-0217-4

International Journal for Equity in Health

Table 6 Myocardial infarction regressed on education, period, economic context, and change variables, for women and men (y-standardized Odds Ratios)

From: Social inequality in morbidity, framed within the current economic crisis in Spain

	Men								Women
	Model 0		Model 1		Model 2		Model 3b		Model 0		Model 1		Model 2		Model 3a
	OR		OR		OR		OR		OR		OR		OR		OR
Intercept	0.12	***	0.04	***	0.04	***	0.04	***	0.07	***	0.03	***	0.05	***	0.04	***
(1) Individual variables^a
Education Level (ref. University Studies)
Illiterate, no diploma, or primary education			1.29	**	1.28	**	1.44	**			1.49	**	1.40	*	1.74	**
Lower Secondary			1.31	**	1.31	**	1.43	**			1.27		1.20		1.47	*
Upper Secondary			1.16		1.15		1.28	+			1.10		1.06		1.29
Higher technical education			1.03		1.03		1.10				0.93		0.89		0.99
(2) Period Variables
Period (ref. 2003)
2009			1.02		1.04		1.11				1.10		0.75		0.69	+
2011			0.88	+	1.01		1.12				0.94		0.63	+	0.55	*
Change in real GDP growth rate					1.02		1.06						0.83	+	1.02
Change in low work intensity indicator					0.99		0.90	*					0.96		0.96
(3) Context Variables
Mean real GDP growth rate					0.99		1.01						1.02		1.05
Mean low work intensity indicator					1.02		1.02						1.08	**	1.08	***
(1) Education level* (2) Period Variables
Illiterate, no diploma, or primary education* Change in real GDP growth rate															0.77	+
Lower Secondary* Change in real GDP growth rate															0.75	*
Upper Secondary* Change in real GDP growth rate															0.74	+
Illiterate, no diploma, or primary education* Change in Low work intensity indicator							1.11	*
Lower Secondary* Change in Low work intensity indicator							1.12	*
Variance
Region	0.036	(0.035)	0.016	(0.021)	0.019	(0.024)	0.022	(0.031)	0.096	(0.128)	0.069	(0.088)	0.029	(0.043)	0.021	(0.033)
Period	0.011	(0.015)	0.016	(0.017)	0.006	(0.009)	0.016	(0.023)	0.158	(0.121)	0.072	(0.106)	0.039	(0.039)	0.026	(0.032)
VPC
Region^b	1.1 %		0.5 %		0.6 %		0.7 %		2.7 %		2.0 %		0.9 %		0.6 %
Period^c	0.3 %		0.5 %		0.2 %		0.5 %		4.5 %		2.1 %		1.2 %		0.8 %
VPC at higher levels (Region + Period)	1.4 %		1.0 %		0.8 %		1.1 %		7.2 %		4.1 %		2.0 %		1.4 %
DIC:	4047.762		3448.372		3451.007		3450.421		1851.502		1679.942		1670.216		1673.497
Units: Region	17		17		17		17		17		17		17		17
Units: Period	51		51		51		51		51		51		51		51
Units: Individuals	21,257		21,049		21,049		21,049		26,180		25,917		25,917		25,917

***p < 0.001; **p < 0.01; *p < 0.05; +p < 0.1
N_men = 21,260; N_women = 26,182
^aAll analyses controlled for age, work status, marital status, and household type at individual level
Model 3a controlled for cross-level interaction effects: change in real GDP growth rate* education level; Model 3b controlled for cross-level interaction effect: change in low work intensity indicator * education level (See complete models in Additional file 2)
^bVariance Partition Coefficient at region level (σ² region)/ (σ² region + σ² period + 3.29)
^cVariance Partition Coefficient at period level (σ² period)/ (σ² region + σ² period + 3.29)

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