Janzen B L, Muhajarine Nazeem
Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Sask., S7N 5E5, Canada.
Soc Sci Med. 2003 Oct;57(8):1491-503. doi: 10.1016/s0277-9536(02)00544-0.
Social role researchers are increasingly going beyond simply asking whether role occupancy is associated with health status to clarifying the context in which particular social role-health relationships emerge. Building on this perspective, the present study investigates the relationship between social role occupancy and health status over time in a sample of employed Canadian men and women who vary by family role occupancy, life stage, and income adequacy. Results indicated that compared to triple role women (defined as those who are married, have children living at home and are in the workforce), single and double role occupants in 1994/95 were significantly more likely to report poorer self-rated health and the presence of a chronic health condition in 1996/97. This relationship held true for women in varying life stage and economic circumstances. While family role occupancies were not as strongly related to the health status of men as women, one exception emerged: for older men, single and double role occupants reported significantly poorer self-rated health status than triple role men. Methodological limitations of the study are discussed, and the need for added specificity in the study of social roles and health status emphasized.
社会角色研究者越来越多地不再仅仅询问角色占有是否与健康状况相关，而是去阐明特定社会角色与健康关系出现的背景。基于这一观点，本研究调查了加拿大在职男性和女性样本中社会角色占有与健康状况随时间的关系，这些样本在家庭角色占有、生活阶段和收入充足程度方面存在差异。结果表明，与三重角色女性（定义为已婚、有孩子在家且有工作的女性）相比，1994/95年的单身和双重角色者在1996/97年更有可能报告自我评估健康状况较差以及存在慢性健康问题。这种关系在不同生活阶段和经济状况的女性中都成立。虽然家庭角色占有与男性健康状况的关联不如与女性紧密，但出现了一个例外：对于老年男性，单身和双重角色者报告的自我评估健康状况明显比三重角色男性差。讨论了该研究的方法局限性，并强调了在社会角色与健康状况研究中增加特异性的必要性。
