Public Health
Volume 127, Issue 3, 2012, Pages 223-230
Social determinants of self-perceived discrimination in Spain (Article)
Gil-González D. ,
Vives-Cases C. ,
Borrell C. ,
Agudelo-Suárez A.A.* ,
Álvarez-Dardet C.
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a
Preventive Medicine and Public Health Area, University of Alicante, Alicante, Spain, Observatory of Public Policies and Health, University of Alicante, Alicante, Spain, CIBER Epidemiología y Salud Pública, Spain
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b
Preventive Medicine and Public Health Area, University of Alicante, Alicante, Spain, CIBER Epidemiología y Salud Pública, Spain
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c
CIBER Epidemiología y Salud Pública, Spain, Agència de Salut Pública de Barcelona, Spain, Pompeu Fabra University, Spain
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d
Preventive Medicine and Public Health Area, University of Alicante, Alicante, Spain, Faculty of Dentistry, University of Antioquia, Medellín, Colombia
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e
Preventive Medicine and Public Health Area, University of Alicante, Alicante, Spain, Observatory of Public Policies and Health, University of Alicante, Alicante, Spain, CIBER Epidemiología y Salud Pública, Spain
Abstract
Objectives: To analyse the association between self-perceived discrimination and social determinants (social class, gender, country of origin) in Spain, and further to describe contextual factors which contribute to self-perceived discrimination. Methods: Cross-sectional design using data from the Spanish National Health Survey (2006). The dependent variable was self-perceived discrimination, and independent and stratifying variables were sociodemographic characteristics (e.g. sex, social class, country of origin, educational level). Logistic regression was used. Results: The prevalence of self-perceived discrimination was 4.2% for men and 6.3% for women. The likelihood of self-perceived discrimination was higher in people who originated from low-income countries: men, odds ratio (OR) 5.59 [95% confidence interval (CI) 4.55-6.87]; women, OR 4.06 (95% CI 3.42-4.83). Women were more likely to report self-perceived discrimination by their partner at home than men [OR 8.35 (95% CI 4.70-14.84)]. The likelihood of self-perceived discrimination when seeking work was higher among people who originated from low-income countries than their Spanish counterparts: men, OR 13.65 (95% CI 9.62-19.35); women, OR 10.64 (95% CI 8.31-13.62). In comparison with Spaniards, male white-collar workers who originated from low-income countries [OR 11.93 (95% CI 8.26-17.23)] and female blue-collar workers who originated from low-income countries (OR 1.6 (95% CI 1.08-2.39)] reported higher levels of self-perceived discrimination. Conclusions: Self-perceived discrimination is distributed unevenly in Spain and interacts with social inequalities. This particularly affects women and immigrants. © 2012 The Royal Society for Public Health.
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875253273&doi=10.1016%2fj.puhe.2012.11.009&partnerID=40&md5=27b2e3b5721c368893c461b0d13b3310
DOI: 10.1016/j.puhe.2012.11.009
ISSN: 00333506
Cited by: 9
Original Language: English