Socioeconomic position and health: The differential effects of education versus income on the onset versus progression of health problems
Socioeconomic position and health: The differential effects of education versus income on the onset versus progression of health problems
复制标题
DOI：
10.1177/002214650704800302
复制
发表时间：
2007-09-01
影响因子：
5
通讯作者：
House, James S.
中科院分区：
文献类型：
--
作者：
Herd, Pamela;Goesling, Brian;House, James S.
本文旨在阐明社会经济地位和健康之间的关系，通过展示社会经济地位的不同方面（教育和收入）如何影响健康问题的不同阶段（发病与进展）。生物医学文献通常将社会经济地位视为一个单一的结构。同样，社会科学文献也倾向于将健康视为一个单一的概念。为了促进我们对社会经济地位和健康之间关系的理解，并最终促进适当的政策和实践来改善人口健康，需要一种更细致入微的方法，即在理论和经验上区分社会经济地位和健康之间的维度。使用美国人的生活变化研究（1986年至2001年1 - 2002年）的数据，我们表明，教育比收入更能预测功能限制和慢性疾病的发生，而收入比教育与两者的进展更密切相关。
This article seeks to elucidate the relationship between socioeconomic position and health by showing how different facets of socioeconomic position (education and income) affect different stages (onset vs. progression) of health problems. The biomedical literature has generally treated socioeconomic position as a unitary construct. Likewise, the social science literature has tended to treat health as a unitary construct. To advance our understanding of the relationship between socioeconomic position and health, and ultimately to foster appropriate policies and practices to improve population health, a more nuanced approach is required-one that differentiates theoretically and empirically among dimensions of both socioeconomic position and health. Using data from the Americans' Changing Lives Study (1986 through 200112002), we show that education is more predictive than income of the onset of both functional limitations and chronic conditions, while income is more strongly associated than education with the progression of both.