Caputo Richard K
Yeshiva University, Wurzweiler School of Social Work, Belfer Hall, 2495 Amsterdam Avenue, New York, NY 10033-3299, USA.
Soc Work Health Care. 2003;37(2):17-42. doi: 10.1300/J010v37n02_02.
This study examined the influence of socioeconomic status, perceived discrimination, and sense of mastery over one's life on the health status of a sub-sample of a US cohort of youth (N = 969). When controlling for a variety of social characteristics and personal attributes, only sense of mastery over one's life, measured by the Pearlin Mastery Scale, affected physical and mental health statuses. Perceived discrimination affected only mental health status, while SES over the life course affected only physical health. Findings affirmed the efforts of professions like social work that stress self-determination and empowerment enabling individuals to enhance their own social functioning and improve conditions in their communities and in society at large. They also suggested that in regard to mental health advocacy efforts to decrease health disparities can find social justice related grounds based on gender.
本研究考察了社会经济地位、感知到的歧视以及对自己生活的掌控感对美国一组青年亚样本（N = 969）健康状况的影响。在控制了各种社会特征和个人属性后，只有通过皮尔林掌控量表衡量的对自己生活的掌控感影响身心健康状况。感知到的歧视仅影响心理健康状况，而整个生命历程中的社会经济地位仅影响身体健康。研究结果肯定了社会工作等职业所做的努力，这些职业强调自决和赋权，使个人能够增强自身的社会功能，并改善其社区乃至整个社会的状况。研究结果还表明，在心理健康方面，为减少健康差距所做的宣传努力可以基于性别找到与社会正义相关的依据。
