Chandola Tarani, Kuper Hannah, Singh-Manoux Archana, Bartley Mel, Marmot Michael
Department of Epidemiology and Public Health, International Centre for Health and Society, University College London, 1-19 Torrington Place, London WC1E 6BT, UK.
Soc Sci Med. 2004 Apr;58(8):1501-9. doi: 10.1016/S0277-9536(03)00352-6.
Although there has been considerable research on psychosocial working conditions and their effect on physical and mental health, there has been little research into the effects of psychosocial domestic conditions on health. The association between psychosocial working conditions (and control at work in particular) and coronary heart disease (CHD) is not as strong for women compared to men. Other research suggests that household and domestic factors may have an important effect on women's health. Some studies have shown that low control at home affects psychological well being. However, there has been little research into its effects on physical health. Furthermore, similar to results analysing low control at work, low control at home may form part of the pathways underlying social inequalities in health. The study investigates the meaning of control at home, the effect of control at home on incident CHD events and whether this explains some of the social inequalities in CHD events in men and women. Data from phases 3-5 of the Whitehall II study, London, UK, were analysed (N = 7470). The results indicate that low control at home predicts CHD among women but not among men. Furthermore, low control at home may explain part of the association between household social position and CHD among women. There is some evidence suggesting that low control at home among women results from a lack of material and psychological resources to cope with excessive household and family demands. Psychosocial domestic conditions may have a greater effect on the health of women compared with men.
尽管针对心理社会工作条件及其对身心健康的影响已有大量研究，但对于心理社会家庭环境对健康的影响却鲜有研究。与男性相比，心理社会工作条件（特别是工作中的控制权）与冠心病（CHD）之间的关联对女性来说没那么强。其他研究表明，家庭和家务因素可能对女性健康有重要影响。一些研究表明，在家中缺乏控制权会影响心理健康。然而，对于其对身体健康的影响却鲜有研究。此外，与分析工作中缺乏控制权的结果类似，在家中缺乏控制权可能构成健康方面社会不平等背后的部分路径。该研究调查了在家中控制权的意义、在家中控制权对冠心病发病事件的影响，以及这是否能解释男性和女性冠心病事件中的一些社会不平等现象。对英国伦敦白厅II研究第3 - 5阶段的数据（N = 7470）进行了分析。结果表明，在家中缺乏控制权可预测女性患冠心病的情况，但对男性则不然。此外，在家中缺乏控制权可能解释了女性家庭社会地位与冠心病之间关联的部分原因。有证据表明，女性在家中缺乏控制权是由于缺乏应对过多家务和家庭需求的物质和心理资源。与男性相比，心理社会家庭环境可能对女性健康有更大影响。
