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Gender Disparities and Health Dynamics: Healthcare Access, Gender Gap, and Absenteeism

Brignoli, Sara LU (2025) EKHS42 20251
Department of Economic History
Abstract
This thesis explores two main research areas: how national healthcare financing systems influence gender disparities in healthcare access, and whether these gender disparities contribute to sex-based inequalities in sickness-leave days as a measure of productivity loss. Using a multilevel analysis combining individual-level survey data and macro-institutional indicators across 22 countries, the study examines both entry barriers and labor market consequences. Results show that women are significantly more likely to forgo needed healthcare due to cost, even after adjusting for income and insurance type. Institutional configurations matter, as public spending helps reduce these imbalances, but its effects are non-linear and conditional. A... (More)
This thesis explores two main research areas: how national healthcare financing systems influence gender disparities in healthcare access, and whether these gender disparities contribute to sex-based inequalities in sickness-leave days as a measure of productivity loss. Using a multilevel analysis combining individual-level survey data and macro-institutional indicators across 22 countries, the study examines both entry barriers and labor market consequences. Results show that women are significantly more likely to forgo needed healthcare due to cost, even after adjusting for income and insurance type. Institutional configurations matter, as public spending helps reduce these imbalances, but its effects are non-linear and conditional. A convex relationship emerges between access inequality and the gender health gap, while gendered absenteeism patterns persist across different institutional and social structures. Although public investment and insurance coverage mitigate productivity loss, direct access barriers are more predictive of health-related work absence than broader health disparities. These findings highlight the structural roots of gender inequalities in healthcare and professional environments, pointing out the role of healthcare design in shaping economic inclusion. (Less)
Please use this url to cite or link to this publication:
author
Brignoli, Sara LU
supervisor
organization
course
EKHS42 20251
year
type
H2 - Master's Degree (Two Years)
subject
language
English
id
9208825
date added to LUP
2025-08-18 10:30:01
date last changed
2025-08-18 10:30:01
@misc{9208825,
  abstract     = {{This thesis explores two main research areas: how national healthcare financing systems influence gender disparities in healthcare access, and whether these gender disparities contribute to sex-based inequalities in sickness-leave days as a measure of productivity loss. Using a multilevel analysis combining individual-level survey data and macro-institutional indicators across 22 countries, the study examines both entry barriers and labor market consequences. Results show that women are significantly more likely to forgo needed healthcare due to cost, even after adjusting for income and insurance type. Institutional configurations matter, as public spending helps reduce these imbalances, but its effects are non-linear and conditional. A convex relationship emerges between access inequality and the gender health gap, while gendered absenteeism patterns persist across different institutional and social structures. Although public investment and insurance coverage mitigate productivity loss, direct access barriers are more predictive of health-related work absence than broader health disparities. These findings highlight the structural roots of gender inequalities in healthcare and professional environments, pointing out the role of healthcare design in shaping economic inclusion.}},
  author       = {{Brignoli, Sara}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{Gender Disparities and Health Dynamics: Healthcare Access, Gender Gap, and Absenteeism}},
  year         = {{2025}},
}