身心健康调查指标之间关系中的收入群体差异。
Income group differences in relationships among survey measures of physical and mental health.
作者信息
Johnston S A, Ware J E
出版信息
Health Serv Res. 1976 Winter;11(4):416-29.
The present research tested the hypothesis that the experience of health is hierarchically organized such that gratification of physical health needs must precede gratification of mental health needs. It was reasoned that because the nondisadvantaged possess greater resources for the gratification of health needs in general, symptoms of mental illness would be more salient for this group and thus better able to explain variance in both mental and physical illness. On the other hand, it was reasoned that symptoms of physical illness would be more salient and thus better able to explain variance in both mental and physical illness for the disadvantaged. Results of the study indicate income group differences in patterns of relationships among health variables, supporting the hypothesis and suggesting important differences in the validity of health measures across income groups. The results are related to previous findings in medical sociology, and suggestions for future research are made.
本研究检验了这样一种假设，即健康体验是分层组织的，以至于身体健康需求的满足必须先于心理健康需求的满足。据推断，由于一般而言非弱势群体拥有更多满足健康需求的资源，精神疾病症状对该群体来说会更显著，因此更能解释精神疾病和身体疾病的差异。另一方面，据推断身体疾病症状对弱势群体来说会更显著，因此更能解释精神疾病和身体疾病的差异。研究结果表明，健康变量之间的关系模式存在收入群体差异，支持了这一假设，并表明不同收入群体健康测量有效性存在重要差异。研究结果与医学社会学先前的发现相关，并提出了未来研究的建议。
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