Addi van Bergen

Cumulation of ill health and low agency 127 6 - Panel 2a. First orange dot: if adults with low education would have the same risk of diabetes as other adults, the prevalence of diabetes would be reduced by 20%. Last orange dot: if adults with low education would have the same risk of low personal control as other adults, the prevalence of low personal control would be reduced by 27%. - Panel 2b. First orange dot: if adults with low education and/or SE would have the same risk of diabetes as other adults, the prevalence of diabetes would be reduced with 16%. Last orange dot: if adults with low education and/or SE would have the same risk of low personal control as other adults, the prevalence of low personal control would be reduced by 45%. Performance of other social factors Table 4 columns 4 to 11 present the RRs and PAFs for each combination of social factors and health indicators. Low educational level showed a strong RR for diabetes (3.83) and moderate RRs for all other health indicators except current smoking, which was not significant. Low labour market position showed strong RRs for inactivity (3.11), low SRH (3.04) and anxiety and depression symptoms (5.79) and moderate RRs for diabetes and obesity. We did not find strong RRs in relation to low household income and non-Western migration background. Moderate RRs were found for inactivity and anxiety and depression symptoms by household income and for diabetes, inactivity, low SRH and anxiety and depression symptoms by non-Western migration background. The RRs for low personal control were strong for low education (3.17) and low labour market position (4.66) and moderate for low income and non-Western migration background. The PAFs showed a similar pattern. SE compared with other social factors Figure 1a confirms that SE had much higher RRs for anxiety and depression symptoms and low personal control than did the four social factors (see also Table 4). These higher RRs resulted in higher PAFs for anxiety and depression symptoms and low personal control (Figure 2a). The RRs of SE were also higher than the RR for smoking by low education; the RRs for diabetes, high blood pressure, obesity, cancer and low SRH by low income; and the RRs for high blood pressure, smoking and cancer by non-Western migration background. The RRs of SE were lower than the RRs for diabetes and high blood pressure by low education. In all other cases, the RRs of SE were not significantly different from those of the other four stratifiers (Figure 1a, Table 4). Dimensions of SE The RRs of the four dimension scales of the SEI-HS were found to be significant at α =0.05 for all health indicators and low personal control, with two exceptions. Only the RRs of the cultural and political dimensions (inadequate access to basic social rights and lack of normative integration) for cancer were not significant. The social and economic dimensions (limited social participation and material deprivation) tended