Socioeconomic status, smoking, and health: A test of competing theories of cumulative advantage
Socioeconomic status, smoking, and health: A test of competing theories of cumulative advantage
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DOI：
10.1177/002214650404500305
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发表时间：
2004-09-01
影响因子：
5
通讯作者：
Rogers, RG
中科院分区：
文献类型：
--
作者：
Pampel, FC;Rogers, RG
虽然低社会经济地位和吸烟都增加了健康问题和死亡率，但它们可能的联合或相互作用的影响尚不清楚。一方面，地位低的群体的健康可能受到吸烟等不健康行为的损害最小，因为考虑到有限的资源产生的巨大健康风险，他们从破坏性的生活方式中损失较少。另一方面，地位低下群体的健康可能受到吸烟的最大伤害，因为生活方式的选择加剧了物质条件匮乏造成的健康问题。或者，地位低下和吸烟的危害可能是累加的，而不是倍增的。我们用1990年美国的数据来检验这些论点。全国健康访谈调查，并与发病率和死亡率的措施。对于归因的状态，如性别，种族和民族，以及死亡率的结果测量，结果有利于添加剂的论点，而实现的状态和发病率，结果支持脆弱性假设。吸烟对弱势群体的危害更大。
Although both low socioeconomic status and cigarette smoking increase health problems and mortality, their possible combined or interactive influence is less clear. On one hand, the health of low status groups may be harmed least by unhealthy behavior such as smoking because, given the substantial health risks produced by limited resources, they have less to lose from damaging lifestyles. On the other hand, the health of low status groups may be harmed most by smoking because lifestyle choices exacerbate the health problems created by deprived material conditions. Alternatively, the harm of low status and smoking may accumulate additively rather than multiplicatively. We test these arguments with data from the 1990 US. National Health Interview Survey, and with measures of morbidity and mortality. For ascribed statuses such as gender, race, and ethnicity, and for the outcome measure of mortality, the results favor the additive argument, whereas for achieved status and morbidity, the results support the vulnerability hypothesis-that. smoking inflicts greater harm among disadvantaged groups.