Department of Sociology, University of Surrey, Guildford, Surrey, UK.
Department of Sociology, University of Surrey, Guildford, Surrey, UK.
Soc Sci Med. 2014 Jan;100:12-20. doi: 10.1016/j.socscimed.2013.10.016. Epub 2013 Oct 30.
The relationship between health and income is well established, but the link between subjective financial well-being and self-reported health has been relatively ignored. This study investigates the relationship between income, subjective financial well-being and health in mid-life and later life in Britain. Analysis of the General Household Survey for 2006 examined these relationships at ages 45-64 (n = 4639) and 65 and over (n = 3104). Logistic regression analysis was used to adjust for income and other socio-economic factors associated with self-reported health. Both income and subjective financial well-being are independently associated with health in mid-life; those with lower incomes and greater subjective financial difficulties had higher risk of reporting 'less than good' health. In contrast in later life, subjective financial well-being was associated with health, but the effect of income on health was mediated entirely through subjective financial well-being. The poorer health of the divorced/separated was also entirely mediated by differences in subjective financial well-being. Research on health inequalities should pay greater attention to the link between subjective financial hardship and ill-health, especially during periods of greater economic difficulties and financial austerity.
健康和收入之间的关系已得到充分证实,但主观财务幸福感与自我报告健康之间的联系相对被忽视。本研究调查了英国中年和晚年的收入、主观财务幸福感与健康之间的关系。对 2006 年全国家庭调查的分析研究了 45-64 岁(n=4639)和 65 岁及以上(n=3104)人群中的这些关系。使用逻辑回归分析调整了与自我报告健康相关的收入和其他社会经济因素。收入和主观财务幸福感都与中年人的健康状况独立相关;收入较低和主观财务困难较大的人报告“健康状况不佳”的风险更高。相比之下,在晚年,主观财务幸福感与健康相关,但收入对健康的影响完全通过主观财务幸福感来调节。离婚/分居者较差的健康状况也完全是通过主观财务幸福感的差异来调节的。健康不平等方面的研究应更加关注主观经济困难与健康不佳之间的联系,尤其是在经济困难和财政紧缩时期。