Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study

Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study
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DOI:
10.1016/s0277-9536(02)00131-4
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发表时间:
2003-03-01
影响因子:
5.4
通讯作者:
Marmot, MG
Marmot, MG
中科院分区:
医学2区
文献类型:
--
作者:
Singh-Manoux, A;Adler, NE;Marmot, MG

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本研究的目的是双重的-(1)调查的主观社会地位的预测不健康的作用,在何种程度上这种关系可以解释传统的社会经济地位的措施进一步探索;(2)检查本研究中使用的一个相对较新的主观社会地位的措施的决定因素。在白厅II研究中,一个10级的自我锚定量表被用来衡量主观社会地位,这是一项对伦敦公务员的前瞻性队列研究。结果表明,主观状态是一个强有力的预测健康状况不佳,教育,职业和收入并不能完全解释这种关系的所有健康措施检查。研究结果进一步支持了社会不平等和健康的多层面性质。多元回归显示,主观地位决定的职业地位,教育,家庭收入,对生活水平的满意度,对未来的经济安全感。结果表明,主观社会地位反映了社会经济状况的标准标记的认知平均值,是免费的心理偏见。(C)2002爱思唯尔科技有限公司。保留所有权利。
The purpose of this study was twofold-(1) investigate the role of subjective social status as a predictor of ill-health, with a further exploration of the extent to which this relationship could be accounted for by conventional measures of socioeconomic position; (2) examine the determinants of a relatively new measure of subjective social status used in this study. A 10 rung self-anchoring scale was used to measure subjective social status in the Whitehall II study, a prospective cohort study of London-based civil service employees. Results indicate that subjective status is a strong predictor of ill-health, and that education, occupation and income do not explain this relationship fully for all the health measures examined. The results provide further support for the multidimensional nature of both social inequality and health. Multiple regression shows subjective status to be determined by occupational position, education, household income, satisfaction with standard of living, and feeling of financial security regarding the future. The results suggest that subjective social status reflects the cognitive averaging of standard markers of socioeconomic situation and is free of psychological biases. (C) 2002 Elsevier Science Ltd. All rights reserved.