Anxious? Depressed? You might be suffering from capitalism: contradictory class locations and the prevalence of depression and anxiety in the USA
Anxious? Depressed? You might be suffering from capitalism: contradictory class locations and the prevalence of depression and anxiety in the USA
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DOI：
10.1111/1467-9566.12315
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发表时间：
2015-11-01
影响因子：
2.9
通讯作者：
Muntaner, Carles
中科院分区：
文献类型：
--
作者：
Prins, Seth J.;Bates, Lisa M.;Muntaner, Carles
尽管许多精神障碍的社会梯度已经确立，但有证据表明，接近社会阶层中间的人比处于社会阶层顶端或底端的人患抑郁症和焦虑症的比例更高。虽然主流的社会经济地位指标（SES）无法检测或轻松解释这种模式，但强调政治经济过程和权力维度的社会阶层关系理论可能会。我们测试是否矛盾的阶级位置，体现了所有权和劳动力方面的关系结构，可以解释这种非线性模式。从全国流行病学调查酒精和相关条件（n = 21859）的全职工作者的数据显示，居住者的矛盾类位置有较高的患病率和抑郁症和焦虑的几率比居住者的非矛盾类位置。这些研究结果表明，阶级关系对抑郁和焦虑的影响超出了社会经济地位，指出在社会流行病学研究不足的机制，例如，统治和剥削。
Despite a well-established social gradient for many mental disorders, there is evidence that individuals near the middle of the social hierarchy suffer higher rates of depression and anxiety than those at the top or bottom. Although prevailing indicators of socioeconomic status (SES) cannot detect or easily explain such patterns, relational theories of social class, which emphasise political-economic processes and dimensions of power, might. We test whether the relational construct of contradictory class location, which embodies aspects of both ownership and labour, can explain this nonlinear pattern. Data on full-time workers from the National Epidemiologic Survey on Alcohol and Related Conditions (n = 21859) show that occupants of contradictory class locations have higher prevalence and odds of depression and anxiety than occupants of non-contradictory class locations. These findings suggest that the effects of class relations on depression and anxiety extend beyond those of SES, pointing to under-studied mechanisms in social epidemiology, for example, domination and exploitation.