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生命历程中的社会经济地位与健康:社会因果关系和健康选择假设的检验

Socioeconomic Status and Health across the Life Course: A Test of the Social Causation and Health Selection Hypotheses.

作者信息

Warren John Robert

机构信息

University of Minnesota.

出版信息

Soc Forces. 2009;87(4):2125-2153. doi: 10.1353/sof.0.0219.

Abstract

This research investigates the merits of the "social causation" and "health selection" explanations for associations between socioeconomic status and self-reported overall health, musculoskeletal health and depression. Using data that include information about individuals' SES and health from childhood through late adulthood, I employ structural equation models that account for errors in measured variables and that allow for explicit tests of various hypotheses about how SES and health are related. For each outcome and for both women and men the results provide no support for the health selection hypothesis. SES affects each health outcome at multiple points in the life course, but the reverse is not true.

摘要

本研究探讨了社会经济地位与自我报告的总体健康、肌肉骨骼健康及抑郁之间关联的“社会因果关系”和“健康选择”解释的优点。利用包含从童年到成年后期个体社会经济地位和健康信息的数据,我采用了结构方程模型,该模型考虑了测量变量中的误差,并允许对社会经济地位与健康如何相关的各种假设进行明确检验。对于每种结果以及男性和女性,结果均不支持健康选择假设。社会经济地位在生命历程的多个阶段影响每种健康结果,但反之则不然。

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