The role of psychosocial processes in explaining the gradient between socioeconomic status and health
The role of psychosocial processes in explaining the gradient between socioeconomic status and health
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DOI：
10.1111/1467-8721.01245
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发表时间：
2003-08-01
影响因子：
7.2
通讯作者：
Snibbe, AC
中科院分区：
文献类型：
--
作者：
Adler, NE;Snibbe, AC
社会经济地位（SES）与健康之间的梯度已经确立。许多健康指标表明，随着社会经济地位的提高，健康水平也会提高。然而，这种关联背后的机制尚不清楚。行为、认知和情感倾向的发展，以应对更大的心理社会压力在低社会经济地位的环境中遇到可能部分调解社会经济地位对健康的影响。虽然这些倾向在短期内可能有助于应对，但随着时间的推移，它们可能会导致适应负荷的发展，从而增加对疾病的脆弱性。关于社会经济地位与健康之间的因果关系方向、收入不平等的影响、社会经济地位与种族和性别的相互作用以及社会经济地位对生命历程的影响，仍存在争论。
The gradient between socioeconomic status (SES) and health is well established. Many measures of health show that health increases as SES increases. However, the mechanisms underlying the association are not well understood. Behavioral, cognitive, and affective tendencies that develop in response to the greater psycho-social stress encountered in low-SES environments may partially mediate the impact of SES on health. Although these tendencies might be helpful for coping in the short term, over time they may contribute to the development of allostatic load, which increases vulnerability to disease. Debate remains regarding the direction of causation between SES and health, the impact of income inequality, the interaction of SES with race-ethnicity and gender, and the effects of SES over the life course.