Self-Perceived Social Status and Health in Older Hong Kong Chinese Women Compared with Men
Self-Perceived Social Status and Health in Older Hong Kong Chinese Women Compared with Men
复制标题
与男性相比，香港老年华人女性的自我认知社会地位和健康状况
作者：
J. Woo;H. Lynn;J. Leung;S. Y. Wong
经济和社会因素是健康的决定因素，心理社会因素也是如此。本研究比较了自我感知的社会地位及其与健康的关系，健康相关的生活质量和生活方式在老年妇女与男子，调整年龄，教育水平和最高终身收入。在中国香港特别行政区东北部的一个社区，对4，000名65岁及以上的男性和女性进行了一项横断面研究。参与者被要求在两个阶梯上评估他们的社区地位，教育，收入和职业，每个阶梯有十个梯级。两个阶梯分数的分布不同，表明尽管参与者在金钱、教育和工作体面方面的排名可能不高，但他们可能对自己的社区地位有很高的排名。妇女和老年参与者倾向于将其社区地位排在很高的位置，尽管在客观衡量标准中的评分较低。自我感知的社会地位的社会梯度，独立于客观的社会经济措施，注意到身体表现和健康相关的生活质量，而不是与特定的慢性疾病或生活方式的存在。然而，两个阶梯的不同评级表明，梯度运作的机制在男女之间可能不同。需要进一步的研究来探讨自我评价社会地位的性别差异对健康和心理社会的影响。
ABSTRACT Economic and social factors are determinants of health, as are psychosocial factors. The present study compared self-perceived social status and its relation to health, health related quality of life and lifestyle in older women with men, adjusting for age, education level and maximum lifetime income. A cross-sectional study was conducted of 4,000 men and women aged 65 years and over in a community in the North Eastern part of Hong Kong, a Special Administrative Region in China. Participants were asked to rate their community status, education, income and occupation, on two ladders, each with ten rungs. The distributions of the two ladder scores differed, showing that although participants may not have been ranked highly in terms of money, education and job respectability, they may have ranked their community standing highly. Women and older participants tended to rank their community standing highly in spite of lower ratings in the objective measures. A social gradient in self-perceived social status, independent of objective socioeconomic measures, was noted for physical performance and health-related quality of life, rather than related to presence of specific chronic diseases or lifestyle. However, the different ratings of the two ladders suggested that mechanisms by which the gradient operates may differ between women and men. Further studies are needed to explore the health and psychosocial consequences of the gender difference in self-rated social status.
影响因子：
4.2
作者：
Ostrove, JM;Adler, NE;Washington, AE
通讯作者：
Washington, AE