Abstract

Objectives: To explore whether the influence of a partner’s socioeconomic status (SES) on health has an additive or a combined effect with the ego’s SES. Methods: With data on 4533 middle-aged (30–59) different-sex couples from the 2012 Spanish sample of the European Union Statistics on Income and Living Conditions (EU-SILC) survey, we apply separate sex-specific logistic regression models to calculate predicted probabilities of having less than good self-perceived health according to individual and partner’s characteristics separately and combined. Results: Both approaches led to similar results: Having a partner with better SES reduces the probabilities of not having good health. However, the combined approach is more precise in disentangling SES effects. For instance, having a higher educated partner only benefits health among Spanish low-educated men, while men’s health is worse if they have a working spouse. Conversely, women’s health is positively influenced if at least one couple member is economically active. Conclusions: There are significant health differences between individuals according to their own and their partner’s SES in an apparently advantageous population group (i.e., individuals living with a partner). The combinative approach permits obtaining more precise couple-specific SES profiles.

Highlights

  • The protective health effect of living with a partner is well established and has been studied in detail from an individual approach

  • Our study has shown that within an apparently advantageous population group in terms of health status—namely married or cohabiting couples—there are significant health differences between individuals according to their own and their partner’s characteristics

  • Our results indicate that in a context of continuing educational expansion, the health of tertiary educated middle-aged women is less affected by the educational attainment of their partner than in the case of lower educated women

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Summary

Introduction

The protective health effect of living with a partner is well established and has been studied in detail from an individual approach. The literature generally tells us that the healthier profile of individuals who live with a partner is due to a range of factors that promote a healthier lifestyle and discourages individuals from pursuing risky behaviours. This includes a partner and social control through the creation and maintenance of social nets on which individuals can count on in case of economic and/or personal setbacks and material pathways of financial resources and economies of household scale, which may facilitate the purchases of better medical care, better diet, and safer surroundings [1]. The majority of these studies considered living with a partner as a homogeneous situation for all couple members, after controlling for the individual’s characteristics, but without concomitantly taking into account the specific characteristics of the partner or the union [3].

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