Do housing tenure and car access predict health because they are simply markers of income or self esteem? A Scottish study
Do housing tenure and car access predict health because they are simply markers of income or self esteem? A Scottish study
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DOI：
10.1136/jech.52.10.657
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发表时间：
1998-10-01
影响因子：
6.3
通讯作者：
Hunt, K
中科院分区：
文献类型：
--
作者：
Macintyre, S;Ellaway, A;Hunt, K
研究健康与（使用一系列措施）和住房保有权或汽车使用权;并检验这一假设，即观察到的这些基于资产的测量和健康之间的关系仅仅是因为它们是收入或自尊的标记。在1991年收集的面对面访谈进行的护士访谈。设置-中央克莱德郊区，在苏格兰西部。对象-785人（354名男性，431名女性），718人（358名男性，359名女性），50多岁，参与了一项纵向研究。测量-一般健康问卷评分，呼吸功能，腰/臀比，长期疾病的数量，在最近一个月的症状数，收缩压;家庭收入调整家庭规模和组成; Rosenberg自尊得分;住房和汽车访问。结果-在双变量分析，所有的健康措施显着相关的住房使用权，除了腰/臀比与汽车访问;除腰臀比与收入有关外，其余均与收入有关;除收缩压与自尊有关外，其余均与自尊有关。在控制了年龄、性别及其相互作用的模型中，腰臀比和收缩压都与任期或汽车使用无关。显着的关系与所有其余的健康措施坚持进一步控制后的收入或self-esteem. Conclusions住房保有权和汽车访问可能不仅与健康，因为他们的收入或心理特征的标志，他们也可能有一些直接的健康促进或破坏性的影响。需要进行更多的研究，以确定它们可能影响健康的机制，并确定它们与健康的关系所涉及的政策问题。
Objective-To investigate relations between health (using a range of measures) and housing tenure or car access; and to test the hypothesis that observed relations between these asset based measures and health are simply because they are markers for income or self esteem.Design-Analysis of data from second wave of data collection of West of Scotland Twenty-07 study, collected in 1991 by face to face interviews conducted by nurse interviewers.Setting-the Central Clydeside Conurbation, in the West of Scotland.Subjects-785 people (354 men, 431 women) in their late 30s, and 718 people (358 men, 359 women) in their late 50s, participants in a longitudinal study.Measures-General Health Questionnaire scores, respiratory function, waist/hip ratio, number of longstanding illnesses, number of symptoms in the last month, and systolic blood pressure; household income adjusted for household size and composition; Rosenberg self esteem score; housing tenure and car access.Results-On bivariate analysis, all the health measures were significantly associated with housing tenure, and all except waist/hip ratio with car access; all except waist/hip ratio were related to income, and all except systolic blood pressure were related to self esteem. In models controlling for age, sex, and their interaction, neither waist/hip ratio nor systolic blood pressure remained significantly associated with tenure or car access. Significant relations with all the remaining health measures persisted after further controlling for income or self esteem.Conclusions-Housing tenure and car access may not only be related to health because they are markers for income or psychological traits; they may also have some directly health promoting or damaging effects. More research is needed to establish mechanisms by which they may influence health, and to determine the policy implications of their association with health.