Subject The research analyzes the life quality and health of the Kazakh population living in the industrial region – the environmentally-challenged zone. The reseach draws upon the survey and opinion poll of the people living in the Karaganda Oblast in 2014. Objectives The research quantifies how income disparity influences the contentedness with the health-related life quality, which contributes to an increase in the life expectancy. Methods According to the principal hypothesis, there is a negative correlation between the income disparity and health-related life quality. To verify the hypothesis, we use the econometric modeling framework. Results Based on results of logistic regressions of life quality and self-rated health assessment, the life quality of the Kazakh people depends on age, marital status, education, income, parenthood, personal housing conditions, dissatisfaction with life, health and financial status. In Kazakhstan, education and income have a positive impact on self-rated health assessment, thereby empirically corroborating theoretical assumptions of the Grossman model. Conclusions and Relevance The regression models support the principal hypothesis since wealthier citizens reported on both a higher life quality and better health. Whereas the models of education and life satisfaction prove to be statistically significant, this verifies the principal hypothesis of the research. The findings can be used to outline a regional policy for health care and welfare in the Republic of Kazakhstan. Further research may pursue the verification of results from other regions of Kazakhstan.
Keywords: life quality, health, self-rated health assessment, logistic regression, environmental risk
Novik A.A., Ionova T.I., Kind P. Kontseptsiya issledovaniya kachestva zhizni v meditsine [The concept for studying the quality of life in medicine]. St. Petersburg, Elbi Publ., 1999, 140 p.
Staquet M.J. (Ed.). Quality of Life Assessment in Clinical Trials. Oxford, Oxford University Press, 1998, 360 p.
Strumilin S.G. [On national economic efficiency of health care]. Ekonomicheskie nauki = Economic Sciences, 1966, no. 5, pp. 28–32. (In Russ.)
Maksimenko L.L. [Factorial approach to solving a problem of improving health care]. Vestnik Rossiiskoi akademii meditsinskikh nauk = Annals of the Russian Academy of Medical Sciences, 1995, no. 8, pp. 55–58. (In Russ.)
Tapilina V.S. Socioeconomic Stratification of the Rural Population. Sociological Research, 1997, vol. 36, no. 5, pp. 26–44. URL: Link
Beckfield J., Olafsdottir S., Bakhtiari E. Health Inequalities in Global Context. American Behavioral Scientist, 2013, vol. 57, iss. 8, pp. 1014–1039. URL: Link
Beckfield J., Olafsdottir S. Empowering Health: A Comparative Political Sociology of Health Disparities. Perspectives on Europe, 2009, vol. 39, iss. 2, pp. 9–12.
Narskaya N.V. [Health and Social Inequality in the Russian Federation]. Vesnik YuUrGU. Ser. Sotsial'no-gumanitarnye nauki = Bulletin of South Ural State University. Series Social Sciences and Humanities, 2014, vol. 1, no. 1, pp. 179–181. URL: Link (In Russ.)
Kolesniuk J.G., Dickinson H.D. Tracing the Social Gradient in the Health of Canadians: Primary and Secondary Determinants. Social Science and Medicine, 2003, vol. 57, iss. 2, pp. 263–276. URL: Link00345-3
Mackenbach J.P., Stirbu I., Roskam A.-J.R. et al. Socioeconomic Inequalities in Health in 22 European Countries. The New England Journal of Medicine, 2008, vol. 358, iss. 23, pp. 2468–2481. URL: Link
Ross N.A., Wolfson M.C., Dunn J.R. et al. Relation between Income Inequality and Mortality in Canada and the US. BMJ, 2000, vol. 320, pp. 898–902.
Macinko J., Shi L., Starfield B., Wulu J.T.Jr. Income Inequality and Health: A Critical Review of the Literature. Medical Care Research and Review, 2003, vol. 60, iss. 4, pp. 407–452. URL: Link
Grossman M. On the Concept of Health Capital and the Demand for Health. JournalofPoliticalEconomy, 1972, vol. 80, iss. 2, pp. 223–255. Stable URL: Link
Kaneva M.A. [Socio-economic, behavioral and psychological determinants of the Russian population's self-reported health assessment]. Natsional'nye interesy: prioritety i bezopasnost' = National Interests: Priorities and Security, 2016, vol. 12, iss. 6, pp. 158–171. URL: Link (In Russ.)
Nazarova I.B. [Russia's population health: Factors and characteristics in the 1990's]. Sotsiologicheskie issledovaniya =Sociological Studies, 2003, no. 11, pp. 57–69. (In Russ.)
Au N., Johnston D.W. Self-Assessed Health: What Does It Mean and What Does It Hide? Social Science and Medicine, 2014, vol. 121, pp. 21–28. URL: Link
Nicholson A., Bobak M., Murphy M. et al. Socio-Economic Influences on Self-Rated Health in Russian Men and Women – A Life Course Approach. Social Science and Medicine, 2005, vol. 61, iss. 11, pp. 2345–2354. URL: Link
Subedi R.P., Rosenberg M.W. Determinants of the Variations in Self-Reported Health Status among Recent and More Established Immigrants to Canada. Social Science and Medicine, 2014, vol. 115, pp. 103–110. URL: Link
Gullemin F., Bombardier C., Beaton D. Cross-Cultural Adaptation of Health-Related Quality of Life Measures: Literature Review and Proposed Guidelines. Journal of Clinical Epidemiology, 1993, vol. 46, iss. 12, pp. 1417–1432.
Siahpush M., Spittal M., Singh G. Happiness and Life Satisfaction Prospectively Predict Self-Rated Health, Physical Health and the Presence of Limiting, Long-Term Conditions. American Journal of Health Promotion, 2008, vol. 23, iss. 1, pp. 18–26. URL: Link
Verme P. Life Satisfaction and Income Inequality. Review of Income and Wealth, 2011, vol. 57, iss. 1, pp. 111–137. URL: Link
Mäntyselskä P.T., Turunen J.H., Ahonen R.S., Kampusalo E.A. Chronic Pain and Self-Rated Health. JAMA, 2003, vol. 290, iss. 18, pp. 2435–2442. URL: Link
McDaid O., Hanley M., Richardson K. et al. The Effect of Multiple Chronic Conditions on Self-Rated Health, Disability and Quality of Life among the Older Population of Northern Ireland and the Republic of Ireland: A Comparison of Two Nationally Representative Cross-Sectional Surveys. BMJ Open, 2013, vol. 3, p. e002571. URL: Link
Cott C.A., Gignac M.A., Badley E.M. Determinants of Self-Rated Health for Canadians with Chronic Diseases and Disability. Journal of Epidemiology and Community Health, 1999, vol. 53, pp. 731–736.
Herman K.M., Hopman W.M., Rosenberg M.W. Self-Rated Health and Life Satisfaction Among Canadian Adults: Associations of Perceived Weight Status vs. BMI. Quality of Life Research, 2013, vol. 22, iss. 10, pp. 2693–2705. URL: Link
Spankulova L.S., Abylay A.B. Methodology of Examination the Effect of Health on Economic Growth. World Applied Sciences Journal, 2013, vol. 28, iss. 3, pp. 364–366.
Ware J.E., Snow K.K., Kosinski K.K., Gandek B. SF-36 Health Survey Manual and Interpretation Guide. New England Medical Center, Health Institute, 1993, 316 p.
Аmirdzhanova V.N., Goryachev D.V., Korshunov N.I et al. [SF-36 questionnaire population quality of life indices Objective]. Nauchno-prakticheskaya revmatologiya =Rheumatology: Science and Practice, 2008, no. 1, pp. 36–48. (In Russ.)
Shmueli A. Reporting Heterogeneity in the Measurement of Health and Health-Related Quality of Life. PharmaEconomics, 2002, vol. 20, iss. 6, pp. 405–412. URL: Link
Sinel'nikov A.B. [Influence of marital status on self-evaluation of health]. Sotsial'nye aspekty zdorov'ya naseleniya, 2001, vol. 20, no. 4, p. 9. (In Russ.) URL: Link