Working conditions and the social gradient of health in midlife: New explanations based on the CONSTANCES cohort study

健康方面的社会不平等在现代社会中持续存在，中年是社会梯度方面的不平等特别明显的人生阶段。对中年健康的社会梯度的解释远没有定论。鉴于工作和就业在人生这一阶段的突出作用，拟议的项目旨在分析不利的身体和社会心理工作条件在解释社会经济地位与健康之间的关系方面的中介和调节作用。具体的假设将在一项大型纵向研究的框架内进行检验，研究对象是法国的中年就业男性和女性。发展和测试基于理论的职业不平等结构，源自回顾性评估的工作轨迹，并将生物学和行为方面整合到这一社会学分析中，被认为是该项目的创新特征。

Social inequalities of health persist in modern societies, and midlife is a stage of life where these inequalities in terms of a social gradient are particularly pronounced. Explanations of social gradients of midlife health are far from being conclusive. Given a prominent role of work and employment in this stage of life, the proposed project aims at analyzing the mediating and moderating role of adverse physical and psychosocial working conditions in explaining the association of socioeconomic position with health. Specific hypotheses will be examined in the frame of a large longitudinal study of employed middle-aged men and women in France. The development and test of a theory-based construct of occupational inequality, derived from retrospectively assessed work trajectories, and the integration of biological and behavioral aspects into this sociological analysis are considered innovative features of the project.