Social inequality, population health, and housing: a study of two Vancouver neighborhoods
Social inequality, population health, and housing: a study of two Vancouver neighborhoods
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DOI：
10.1016/s0277-9536(99)00496-7
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发表时间：
2000-08-01
影响因子：
5.4
通讯作者：
Hayes, MV
中科院分区：
文献类型：
--
作者：
Dunn, JR;Hayes, MV
一个新出现的“人口健康”框架，以了解健康的不平等现象，确定社会关系的结构，在塑造人类健康和福祉的一个关键因素。然而，关于社会关系可能影响个人和人口健康状况的机制，仍有许多未解之谜。住房在现代化的日常生活中起着核心作用，从根本上与一个人对生活环境的控制感密切相关。住房和房地产市场在财富分配方面具有重要意义，是行使权力关系的重要竞技场。居住环境在社会身份和社会地位的产生和再生产中起着至关重要的作用。然而，关于住房和住房市场造成的不平等对健康状况的不同分布的影响，却鲜有著述。本文报告了一项实证研究的结果，社会经济地位，住房和家庭的物质和有意义的方面，健康状况之间的关系。我们的目标是调查与住房有关的物质和有意义的因素，以及社会环境的其他方面，如何运作，以产生系统的不平等，在健康状况的社会阶层。本研究的数据是通过对加拿大温哥华的Mount Pleasant（n = 322）和Sunset（n = 206）社区居民的邮寄调查获得的。他们认为，与常用的社会经济地位衡量标准相一致，住房和家庭的物质和有意义的方面与健康状况相关，其方向与我们的分析模型的预期一致。(C)2000爱思唯尔科技有限公司版权所有。
An emerging 'population health' framework for understanding inequalities in health identifies the structure of social relations as a crucial factor in shaping human health and well-being. However, there remain many unanswered questions about the mechanisms through which social relations might shape the health status of individuals and populations. Housing plays a central role in routinized, everyday life and is fundamentally bound up in one's sense of control over life circumstances. Housing and property markets are significant in the distribution of wealth and are an important arena for the exercise of power relations. Housing circumstance is crucial in the production and reproduction of social identity and social status. Yet little has been written on the influence of inequalities generated by housing and housing markets on the differential distribution of health status. This paper reports the findings of an empirical study of relationships between socioeconomic status, material and meaningful dimensions of housing and home, and health status. Our objective is to investigate ways in which material and meaningful factors related to housing, in conjunction with other dimensions of the social environment, could operate to produce systematic inequalities in health status across social strata. The data for this study were obtained through a mailed survey of residents in the Mount Pleasant (n = 322) and Sunset (n = 206) neighborhoods of Vancouver, Canada. They suggest that, in concert with commonly used measures of socioeconomic status, both material and meaningful dimensions of housing and home are associated with health status in a direction consistent with expectations following from our analytical model. (C) 2000 Elsevier Science Ltd. All rights reserved.