Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, UK.
Int J Behav Med. 2009;16(4):331-8. doi: 10.1007/s12529-008-9018-0.
Socioeconomic status (SES) exhibits a graded relationship with health. Dispositional optimism represents a potential mediator and has been strongly linked to health, but few studies have assessed its association with SES.
To assess the relationship between SES and trait optimism and pessimism in a representative community sample of older British adults.
Community samples of adults (55-64 years) from Scotland (N = 10,650) and England (N = 5,099) registered with Primary Care Practices were mailed self-report questionnaires. Optimism was measured by the Life Orientation Test (LOT), which generates a total score and positive (optimism) and negative (pessimism) subscale scores. SES was assessed with an individual-level index of socioeconomic deprivation based on education, housing tenure, and car ownership.
In both samples, there was a strong SES gradient in the total LOT score, with higher SES being associated with higher scores. However, when pessimism and optimism subscales were analyzed separately, the gradient was strong for pessimism, but minimal for optimism.
The results suggest that lower SES is associated with viewing the future as containing more negative events, but there was little SES difference for positive events. It will be important to distinguish the roles of pessimism and optimism in other determinants of health.
社会经济地位(SES)与健康呈梯度关系。性格乐观代表了一种潜在的中介因素,与健康密切相关,但很少有研究评估其与 SES 的关联。
在英国老年人的代表性社区样本中评估 SES 与特质乐观和悲观之间的关系。
从苏格兰(N=10650)和英格兰(N=5099)的初级保健实践中注册的成年人社区样本中邮寄自我报告问卷。乐观情绪通过生活取向测试(LOT)来衡量,该测试生成总分以及积极(乐观)和消极(悲观)分量表分数。SES 是根据教育、住房所有权和汽车拥有情况评估的个体层面的社会经济剥夺指数。
在两个样本中,LOT 总分的 SES 梯度都很强,SES 越高,得分越高。然而,当分别分析悲观和乐观分量表时,悲观情绪的梯度很强,而乐观情绪的梯度则很弱。
研究结果表明,较低的 SES 与将未来视为包含更多负面事件相关,但对于积极事件,SES 差异很小。区分悲观和乐观在其他健康决定因素中的作用将很重要。