Psychosocial and material pathways in the relation between income and health: a response to Lynch et al

Psychosocial and material pathways in the relation between income and health: a response to Lynch et al
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DOI:
10.1136/bmj.322.7296.1233
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发表时间:
2001-05-19
影响因子:
105.7
通讯作者:
Wilkinson, RG
Wilkinson, RG
中科院分区:
医学1区
文献类型:
--
作者:
Marmot, M;Wilkinson, RG

文献摘要

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经济和社会环境通过其情感和社会意义的生理效应以及物质环境的直接效应影响健康。物质条件并不能充分解释富裕国家的健康不平等。收入不平等较小与人口健康状况较好之间的关系反映了心理社会福祉的增加。在富裕国家,福祉与相对收入的关系比与绝对收入的关系更密切。自主性和社会关系的质量对社会心理健康有影响,是对富裕国家人口健康模式最有力的解释。
Economic and social circumstances affect health through die physiological effects of their emotional and social meanings and the direct effects of material circumstancesMaterial conditions do not adequately explain health inequalities in rich countriesThe relation between smaller inequalities in income and better population health reflects increased psychosocial wellbeingIn rich countries wellbeing is more closely related to relative income than absolute incomeSocial dominance, inequality, autonomy, and the quality of social relations have an impact on psychosocial wellbeing and are among the most powerful explanations for the pattern of population health in rich countries.