Socioeconomic status and health: The role of subjective social status
Socioeconomic status and health: The role of subjective social status
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DOI：
10.1016/j.socscimed.2008.03.038
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发表时间：
2008-07-01
影响因子：
5.4
通讯作者：
Marmot, Michael
中科院分区：
文献类型：
--
作者：
Demakakos, Panayotes;Nazroo, James;Marmot, Michael
研究表明，主观社会地位（SSS）是健康的重要预测因素。本研究考察了社会支持系统与老年健康之间的联系，并调查了社会支持系统是否介导了社会经济地位和健康的客观指标之间的关联。它使用的横截面数据，从第二波（2004-2005年）的英国老龄化纵向研究，这是通过个人访谈和护士访问收集。研究人群包括3368名男性和4065名女性，年龄在52岁或以上。结果指标包括：自测健康、长期疾病、抑郁、高血压、糖尿病、向心性肥胖、高密度脂蛋白胆固醇、甘油三酯、纤维蛋白原和C反应蛋白。主要自变量为SSS，使用代表10级阶梯的量表测量。财富、教育和职业等级被用作协变量，沿着年龄和婚姻状况，在其他分析中也被用作主要自变量。进行了性别特异性logistic和线性回归分析。在年龄调整分析中，SSS与几乎所有健康结局呈正相关。在调整协变量后，这些关系中的许多仍然显着。在男性中，SSS显著（p
Studies have suggested that subjective social status (SSS) is an important predictor of health. This study examined the link between SSS and health in old age and investigated whether SSS mediated the associations between objective indicators of socioeconomic status and health. It used cross-sectional data from the second wave (2004-2005) of the English Longitudinal Study of Ageing, which were collected through personal interviews and nurse visits. The study population consisted of 3368 men and 4065 women aged 52 years or older. The outcome measures included: self-rated health, long-standing illness, depression, hypertension, diabetes, central obesity, high-density lipoprotein cholesterol, triglycerides, fibrinogen, and C-reactive protein. The main independent variable was SSS measured using a scale representing a 10-rung ladder. Wealth, education, and occupational class were employed as covariates along with age and marital status and also, in additional analyses, as the main independent variables. Gender-specific logistic and linear regression analyses were performed. In age-adjusted analyses SSS was related positively to almost all health outcomes. Many of these relationships remained significant after adjustment for covariates. In men, SSS was significantly (p