Subjective socioeconomic status and health: relationships reconsidered.

Subjective socioeconomic status and health: relationships reconsidered.
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DOI:
10.1016/j.socscimed.2013.01.021
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发表时间:
2013-04
影响因子:
5.4
通讯作者:
Adler, Nancy E.
Adler, Nancy E.
中科院分区:
医学2区
文献类型:
--
作者:
Nobles, Jenna;Weintraub, Miranda Ritterman;Adler, Nancy E.

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在许多社会中,主观地位,即个人对其社会经济地位的看法,是身体健康的有力预测因素。迄今为止,对这种相关性的相互竞争的解释仍然没有得到解决。我们使用2000年和2007年印度尼西亚家庭生活调查中8,430名老年人的纵向数据,对这些经常被引用的联系进行了测试。在其他环境中,感知状态是自我评价健康的一个强有力的预测因素,也是身体功能和护士评估的一般健康。这些关系持续存在的控制未观察到的特征,如难以衡量的方面的家庭背景和持久的方面的个性。然而,我们发现证据表明,这些联系可能代表双向效应。伴随老龄化的健康下降是社会经济地位下降的有力预测因素,净观察到的受访者经济状况的变化。因此,结果强调了良好健康状况的社会价值。
Subjective status, an individual’s perception of her socioeconomic standing, is a robust predictor of physical health in many societies. To date, competing interpretations of this correlation remain unresolved. Using longitudinal data on 8,430 older adults from the 2000 and 2007 waves of the Indonesia Family Life Survey, we test these oft-cited links. As in other settings, perceived status is a robust predictor of self-rated health, and also of physical functioning and nurse-assessed general health. These relationships persist in the presence of controls for unobserved traits, such as difficult-to-measure aspects of family background and persistent aspects of personality. However, we find evidence that these links likely represent bi-directional effects. Declines in health that accompany aging are robust predictors of declines in perceived socioeconomic status, net of observed changes to the economic profile of respondents. The results thus underscore the social value afforded good health status.
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