Social inequalities in health in Poland in in health inequalities Social Social inequalities in health in Poland World Health Organization Regional Offi ce for Europe Scherfi gsvej 8, DK-2100 Copenhagen Ø, Denmark Tel.: +45 39 17 17 17 Fax: +45 39 17 18 18 E-mail:
[email protected] Web site: www.euro.who.int Social inequalities in health in Poland Abstract The study presents a first comprehensive report summarizing current knowledge on the scale of health inequalities in Poland, measurement methods used in assessing these, and the risk of health inequalities in various age groups, populations and regions. Numerous accounts of preventive initiatives in place across the country supplement the numerical data, providing first evidence of interventions aimed at tackling health inequalities. The study comprises four chapters: two on the determinants of inequalities (at macro and individual levels) and two on specific populations (children and adults). The first chapter deals with selected upstream determinants of health in Poland, such as relative poverty, education, and expenditure on health care. Poland belongs to a group of Organisation for Economic Co-operation and Development countries in which the level of health care expenditure is among the lowest in relation to gross domestic product. The country’s level of relative poverty is similar to the European Union average. However, in contrast to many other European Union countries, the risk of poverty among children and adolescents is still very high, although between 2005 and 2008, the ratio fell from 29% to 22%. The level of educational attainment of the Polish population has also been gradually improving, with the percentage of people with higher (university- level) education gradually increasing – between 2002 and 2007, this ratio increased by almost half among people aged 13 years and over.