Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse
Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse
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DOI：
10.1016/s0277-9536(96)00191-8
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发表时间：
1997-03-01
影响因子：
5.4
通讯作者：
Salonen, JT
中科院分区：
文献类型：
--
作者：
Lynch, JW;Kaplan, GA;Salonen, JT
在试图解释健康方面的社会经济不平等现象时，常常提到以下观察结果：不良的健康行为和心理社会特征集中在社会经济地位低的群体中。社会经济地位，健康行为，心理社会取向和健康不平等之间的关联的因果解释一直受到阻碍，因为这些因素和社会经济地位通常是在同一时间点测量。库奥皮奥缺血性心脏病风险因素研究的数据被用来检查SES的措施之间的关联，反映不同阶段的生命历程，健康行为，在成年期的心理社会特征在一项基于人口的研究2674中年芬兰男性。结果表明，许多对健康有害的成年行为和心理社会倾向始终与不良的童年条件、低教育水平和蓝领就业有关。在父母贫穷的男子中，不良的成人健康行为和心理社会特征更为普遍。收入不平等的加剧使儿童处于社会经济地位低下的状况，这很可能会在未来产生负面的行为和心理社会健康红利。认识到成年人的健康行为和心理社会取向与整个生命周期的社会经济条件相关，意味着减少健康方面的社会经济不平等的努力必须认识到经济政策是公共卫生政策。(C)1997 Elsevier Science Ltd.
Attempts to explain socioeconomic inequalities in health have often made reference to the observation that poor health behaviours and psychosocial characteristics cluster in low socioeconomic status (SES) groups. Causal interpretation of the association between SES, health behaviour, psychosocial orientations, and health inequalities has been hampered because these factors and SES have usually been measured at the same point in time. Data from the Kuopio Ischaemic Heart Disease Risk Factor Study were used to examine the associations between measures of SES reflecting different stages of the lifecourse, health behaviours, and psychosocial characteristics in adulthood in a population-based study of 2674 middle-aged Finnish men. Results show that many adult behaviours and psychosocial dispositions detrimental to health are consistently related to poor childhood conditions, low levels of education, and blue-collar employment. Poor adult health behaviours and psychosocial characteristics were more prevalent among men whose parents were poor. Increases in income inequality which place children into low SES conditions may well produce a negative behavioural and psychosocial health dividend to be reaped in the future. Understanding that adult health behaviour and psychosocial orientations are associated with socioeconomic conditions throughout the lifecourse implies that efforts to reduce socioeconomic inequalities in health must recognize that economic policy is public health policy. (C) 1997 Elsevier Science Ltd.