The association of subjective social status and health in low-income Mexican-origin individuals in Texas

The association of subjective social status and health in low-income Mexican-origin individuals in Texas
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DOI:
10.1016/j.socscimed.2006.01.009
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发表时间:
2006-08-01
影响因子:
5.4
通讯作者:
Fernandez-Esquer, Maria Eugenia
Fernandez-Esquer, Maria Eugenia
中科院分区:
医学2区
文献类型:
--
作者:
Franzini, Luisa;Fernandez-Esquer, Maria Eugenia

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只有有限的研究主观社会地位(SSS)及其对健康的影响,一般和少数民族的美国人口特别。本研究首先探讨了社会支持感的决定因素以及社会支持感与客观社会地位的关系。然后,它探讨了SSS自我报告的身体健康,自我报告的心理健康和自我评价的健康(SRH)的关系。研究人群由生活在德克萨斯州低收入社区的墨西哥裔个人组成,并根据出生和使用西班牙语分为文化适应类别。我们还调查了参考groups.Results的作用表明,在这个人群中的主观和客观状态之间没有脱节,但较少的文化适应群体排名他们的社会地位基于不同的标准比更多的文化适应。不同文化适应群体的平均主观地位准确地反映了该群体的客观地位。社会文化因素,特别是对机会的认识差异,解释了主观和客观地位之间的差异。主观状态与所有健康结果相关。当控制客观状态,主观状态与心理健康和SRH,但不与身体健康。客观状况指标始终与所有健康结果相关,表明客观社会经济地位在影响低收入少数群体健康方面的重要性。社会文化特征似乎介导SSS对健康的影响。特别是,感知受害可能介导SSS对心理健康的影响。(c)2006爱思唯尔有限公司保留所有权利。
There is only limited research on subjective social status (SSS) and its effect on health in general and in minority US populations in particular. This study first investigates the determinants of SSS and the relationship between SSS and objective social status. It then explores the relationships of SSS to self-reported physical health, self-reported mental health, and self-rated health (SRH). The study population consists of Mexican-origin individuals living in low-income neighborhoods in Texas and grouped into acculturation categories based on nativity and use of the Spanish language. We also investigate the role of reference groups.Results indicate that there is no disjuncture between subjective and objective status in this population but that the less acculturated groups rank their social status based on different criteria than the more acculturated. People compare themselves mainly with those similar to them and average subjective status in the different acculturation groups accurately reflects the objective status of the group. Sociocultural factors, in particular perceived differences in opportunities, explain differences between subjective and objective status. Subjective status was associated with all health outcomes. When controlling for objective status, subjective status was associated with mental health and SRH but not with physical health. Objective status indicators were consistently associated with all health outcomes, indicating the prominence of objective socioeconomic status in affecting health in this low-income minority population. Sociocultural characteristics appear to mediate the effect of SSS on health. In particular, perceived victimization might mediate the effect of SSS on mental health. (c) 2006 Elsevier Ltd. All rights reserved.