Exceptions to the Rule: Exceptional Health Among the Disadvantaged
Exceptions to the Rule: Exceptional Health Among the Disadvantaged
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DOI：
10.1177/0164027510391988
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发表时间：
2011-03-01
影响因子：
2.6
通讯作者：
George, Linda K.
中科院分区：
文献类型：
--
作者：
Dupre, Matthew E.;George, Linda K.
无数研究表明，社会经济地位（SES）与发病率和死亡率密切相关。然而，很少有研究考虑到社会经济阶层内健康状况的巨大差异。在这篇文章中，作者研究了基于分层的健康不平等理论和社会弱势群体异常健康的经验模式之间的不相容性。使用健康和退休调查（1992-2008）的面板数据，作者测试了各种异常健康（无慢性疾病或身体限制）预测因素对中老年人的中介和调节作用，无论是否受过高中教育。结果表明，人口特征，家庭和宗教因素，社会经济资源，健康行为，心理化妆和生物属性的组合在保护弱势男性和女性的健康发挥不同的作用。这些发现强调了SES，保护机制和健康之间的复杂关联，并为弱势成年人如何对抗健康状况不佳的可能性提供了新的见解。
Countless studies show that socioeconomic status (SES) is strongly related to morbidity and mortality. However, few studies consider the substantial variability in health within socioeconomic strata. In this article, the authors examine the incompatibility between stratification-based theories of health inequality and empirical patterns of exceptional health among the socially disadvantaged. Using panel data from the Health and Retirement Survey (1992-2008), the authors test the mediating and moderating effects of various predictors of exceptional health (no chronic diseases or physical limitations) for middle-aged and older adults with and without a high school education. Results suggest that a combination of demographic characteristics, family and religious factors, socioeconomic resources, health behaviors, psychological makeup, and biological attributes play differing roles in protecting the health of disadvantaged men and women. The findings underscore the complex associations among SES, protective mechanisms, and health and offer new insight into how disadvantaged adults defy their odds of poor health.