Contribution of psychosocial factors to socioeconomic differences in health

Contribution of psychosocial factors to socioeconomic differences in health
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DOI:
10.1111/1468-0009.00097
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发表时间:
1998-01-01
期刊:
影响因子:
6.6
通讯作者:
Ryff, CD
Ryff, CD
中科院分区:
医学1区
文献类型:
--
作者:
Marmot, MG;Fuhrer, R;Ryff, CD

文献摘要

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美国国家中年发展调查(MIDUS)是证明中年死亡率的社会经济梯度的几项研究之一。当MIDUS关于自我报告的健康,腰臀比和心理健康的研究结果被分析为它们在健康方面产生社会经济差异的可能作用时,它们揭示了女性和男性的明确教育梯度(即,更高的教育预示着更好的健康)。某些潜在的中介变量,如家庭收入,父母的教育,吸烟行为和社会关系,有助于解释的社会经济梯度。此外,两个基于人口普查的措施,结合到一个地区贫困指数,独立预测健康状况不佳。研究结果表明,早期和当前的生活环境累积起来有助于解释为什么社会经济地位较低的人健康状况较差,心理幸福感较低。
The National Survey of Mid-life Developments in the United States (MIDUS) is one of several studies that demonstrate socioeconomic gradients in mortality during midlife. When MIDUS findings on self-reported health, waist to hip ratio, and psychological wellbeing were analyzed for their possible roles in generating socioeconomic differences in health, they revealed clear educational gradients for women and men (i.e., higher education predicted better health). Certain potential mediating variables, like household income, parents' education, smoking behavior, and social relations, contributed to an explanation of the socioeconomic gradient. In addition, two census-based measures, combined into an area poverty index, independently predicted ill health. The results suggest that a set of both early and current life circumstances cumulatively contribute toward explaining why people of lower soeioeconomic status have worse health and lower psychological well-being.