Department of Social Work, Child Welfare and Social Policy, Faculty of Social Sciences, Oslo and Akershus University College of Applied Sciences, Post Box 4, St Olavs Plass N-0130 Oslo, Norway.
Int J Equity Health. 2013 Sep 28;12:81. doi: 10.1186/1475-9276-12-81.
The aim of this paper was to investigate the association between health, social position, social participation and the welfare state. Extending recent research on the social consequences of poor health, we asked whether and how welfare generosity is related to the risk of social exclusion associated with combinations of poor health, low education and economic inactivity.
Our analyses are based on data from the European Social Survey, round 3 (2006/7), comprising between 21,205 and 21,397 individuals, aged 25-59 years, within 21 European welfare states. The analyses were conducted by means of multilevel logistic regression analysis in STATA 12.
The results demonstrated that the risk of non-participation in social networks decreased as welfare generosity increased. The risk of social exclusion, i.e. non-participation in social networks among disadvantaged groups, seldom differed from the overall association, and in absolute terms it was invariably smaller in more generous welfare state contexts.
The results showed that there were no indications of higher levels of non-participation among disadvantaged groups in more generous welfare states. On the contrary, resources made available by the welfare state seemed to matter to all individuals in terms of overall lower levels of non-participation. As such, these results demonstrate the importance of linking health related social exclusion to the social policy context.
本文旨在探讨健康、社会地位、社会参与和福利国家之间的关系。扩展了最近关于健康不佳的社会后果的研究，我们询问了福利的慷慨程度是否以及如何与与健康状况不佳、教育程度低和经济不活跃相结合相关的社会排斥风险有关。
我们的分析基于欧洲社会调查第三轮（2006/7 年）的数据，该数据涵盖了 21 个欧洲福利国家的 21,205 至 21,397 名 25-59 岁的个体。分析是在 STATA 12 中通过多层次逻辑回归分析进行的。
结果表明，随着福利慷慨程度的增加，参与社交网络的风险降低。社会排斥的风险（即弱势群体中不参与社交网络）很少与总体关联不同，而且在更慷慨的福利国家背景下，其绝对值始终较小。
结果表明，在更慷慨的福利国家中，弱势群体的参与度并没有更高的迹象。相反，福利国家提供的资源似乎对所有个体都具有总体较低的不参与度至关重要。因此，这些结果表明将与健康相关的社会排斥与社会政策背景联系起来的重要性。
