Herd Pamela, Goesling Brian, House James S
Department of Sociology, University of Wisconsin--Madison, 53706, USA.
J Health Soc Behav. 2007 Sep;48(3):223-38. doi: 10.1177/002214650704800302.
This article seeks to elucidate the relationship between socioeconomic position and health by showing how different facets of socioeconomic position (education and income) affect different stages (onset vs. progression) of health problems. The biomedical literature has generally treated socioeconomic position as a unitary construct. Likewise, the social science literature has tended to treat health as a unitary construct. To advance our understanding of the relationship between socioeconomic position and health, and ultimately to foster appropriate policies and practices to improve population health, a more nuanced approach is required--one that differentiates theoretically and empirically among dimensions of both socioeconomic position and health. Using data from the Americans' Changing Lives Study (1986 through 2001/2002), we show that education is more predictive than income of the onset of both functional limitations and chronic conditions, while income is more strongly associated than education with the progression of both.
本文旨在通过展示社会经济地位的不同方面（教育和收入）如何影响健康问题的不同阶段（发病与进展），来阐明社会经济地位与健康之间的关系。生物医学文献通常将社会经济地位视为一个单一的概念。同样，社会科学文献也倾向于将健康视为一个单一的概念。为了增进我们对社会经济地位与健康之间关系的理解，并最终制定适当的政策和措施来改善人群健康，需要一种更细致入微的方法——一种在理论和实证上区分社会经济地位和健康维度的方法。利用“美国人生活变化研究”（1986年至2001/2002年）的数据，我们发现，对于功能受限和慢性病的发病，教育比收入更具预测性，而对于两者的进展，收入比教育的关联性更强。
