Relative income inequality and selected health outcomes in urban Chinese youth.

Relative income inequality and selected health outcomes in urban Chinese youth.
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DOI:
10.1016/j.socscimed.2011.10.010
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发表时间:
2012-01
影响因子:
5.4
通讯作者:
Johnson, C. Anderson
Johnson, C. Anderson
中科院分区:
医学2区
文献类型:
--
作者:
Sun, Ping;Unger, Jennifer B.;Palmer, Paula;Ma, Huiyan;Xie, Bin;Sussman, Steve;Johnson, C. Anderson

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本研究采用2002年中国7个主要城市12,449名中学生的自我报告横断面数据,探讨自我感觉相对收入不平等(SPRII)与总体健康状况、抑郁、压力和吸烟的关系。两种类型的自我感知的相对收入进行了评估:家庭收入相对于同龄人(SPRII-S)和相对于自己的过去(SPRII-P)。SPRII-S和SPRII-P被编码为三个水平的分类变量:较低、相等和较高。正如假设的那样,“较低”SPRII-S或SPRII-P组的青年报告了最差的一般健康状况和最高水平的抑郁和压力;“较高”组的青年报告了最好的一般健康状况。出乎意料的是,“更高”组的年轻人并没有报告最低水平的抑郁和压力,SPRII和吸烟之间的关系甚至更不直接。SPRII与总体健康状况之间的预期正相关关系与之前的研究一致,但SPRII与抑郁、压力和吸烟行为之间的关系则不然。需要进一步的研究来阐明SPRII与中国等快速转型经济体的健康结果之间的复杂关联。
Self reported cross-sectional data gathered in 2002 from 12,449 middle and high school students from seven major cities in China were examined to explore the association of self-perceived relative income inequality (SPRII) with general health status, depression, stress, and cigarette smoking. Two types of self-perceived relative income were evaluated: household income relative to peers (SPRII-S) and relative to their own past (SPRII-P). SPRII-S and SPRII-P were coded as three-level categorical variables: lower, equal, and higher. As hypothesized, the youth in the “Lower” SPRII-S or SPRII-P groups reported the worst general health and the highest levels of depression and stress; the youth in the “Higher” groups reported the best general health. Unexpectedly, the youth in the “Higher” groups did not report the lowest levels of depression and stress, and the relationship between SPRII and cigarette smoking was even less straightforward. The expected positive relationship between SPRII and the general health status is consistent with previous research, but the relationships between SPRII and depression, stress, and cigarette smoking behavior are not. Further studies are needed to elucidate the complex associations between SPRII and health outcomes in rapidly transforming economies such as China.
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