Health Implications of Socioeconomic Characteristics, Subjective Social Status, and Perceptions of Inequality: An Empirical Study of China

Health Implications of Socioeconomic Characteristics, Subjective Social Status, and Perceptions of Inequality: An Empirical Study of China
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DOI:
10.1007/s11205-013-0514-5
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发表时间:
2014-11-01
影响因子:
3.1
通讯作者:
Han, Chunping
Han, Chunping
中科院分区:
法学2区
文献类型:
--
作者:
Han, Chunping

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本研究探讨了健康如何与社会经济地位,主观社会地位和不平等的看法同时。两个健康的结果(自我报告的健康和心理困扰)进行了检查,并探讨了它们与不平等的三个方面的关系的微妙之处。所用数据来自在中国进行的具有全国代表性的抽样调查。实证分析得出了几个发现:(1)总体而言,社会不平等的三个维度与自我报告的健康和心理困扰以及其他控制变量之间的净关系有关;(2)在焦点社会经济特征中,收入和中国共产党党员身份与两种健康结果显著相关,教育对自我报告的健康表现出强烈的影响,(3)主观社会地位在与社会邻近和广泛参照物的比较中与两种健康结果都相关,并且与向下比较的关联比与向上比较的关联更显著;(4)感知的社会不平等程度和感知的社会不平等来源与两种健康结果之间存在不同的关系。这些发现增加了我们对健康方面社会不平等的多层面性和复杂性的理解。
This study explores how health is associated with socioeconomic status, subjective social status, and perceptions of inequality simultaneously. Two health outcomes (self-reported health and psychological distress) are examined, and the subtlety of their relationships with each of the three dimensions of inequality is probed. Data used come from a nationally representative sample survey conducted in China. Several findings emerge from empirical analyses: (1) Overall, the three dimensions of social inequality are associated with self-reported health and psychological distress net of each other and other control variables; (2) among focal socioeconomic characteristics, income and Chinese Communist Party membership are significantly associated with both health outcomes, education exhibits a robust effect on self-reported health, and rural and migrant statuses are linked to less distress; (3) subjective social status in comparisons with both socially proximal and broad referents is associated with both health outcomes, and the association with downward comparisons is more salient than with upward comparisons; and (4) perceived degree and perceived sources of inequality in society show varying relationships with the two health outcomes. These findings add to our understanding of the multidimensionality and complexity of social inequality in relation to health.