Health Technology and Social Services Assessment Unit, Eastern Townships Integrated University Health and Social Services Center, Sherbrooke, Quebec, Canada; Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Research Center on Aging, Eastern Townships Integrated University Health and Social Services Center, Sherbrooke, Quebec, Canada; School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Prev Med. 2018 May;110:93-99. doi: 10.1016/j.ypmed.2018.02.014. Epub 2018 Feb 14.
To increase capacities and control over health, it is necessary to foster assets (i.e. factors enhancing abilities of individuals or communities). Acting as a buffer, assets build foundations for overcoming adverse conditions and improving health. However, little is known about the distribution of assets and their associations with social position and health. In this study, we documented the distribution of health assets and examined whether these assets moderate associations between adverse social position and self-reported health. A representative population-based cross-sectional survey of adults in the Eastern Townships, Quebec, Canada (n = 8737) was conducted in 2014. Measures included assets (i.e. resilience, sense of community belonging, positive mental health, social participation), self-reported health (i.e. perceived health, psychological distress), and indicators of social position. Distribution of assets was studied in relation to gender and social position. Logistic regressions examined whether each asset moderated associations between adverse social position and self-reported health. Different distributions of assets were observed with different social positions. Women were more likely to participate in social activities while men were more resilient. Resilience and social participation were moderators of associations between adverse social position (i.e. living alone, lower household income) and self-reported health. Having assets contributes to better health by increasing capacities. Interventions that foster assets and complement current public health services are needed, especially for people in unfavorable situations. Health and social services decision-makers and practitioners could use these findings to increase capacities and resources rather than focusing primarily on preventing diseases and reducing risk factors.
为了增强健康能力和控制力，有必要培养资产（即增强个人或社区能力的因素）。资产作为缓冲，可以为克服不利条件和改善健康奠定基础。然而，对于资产的分布及其与社会地位和健康之间的关系，我们知之甚少。在这项研究中，我们记录了健康资产的分布情况，并检验了这些资产是否会调节不利社会地位与自我报告健康之间的关系。2014 年，在加拿大魁北克省东镇进行了一项针对成年人的代表性基于人群的横断面调查（n=8737）。测量包括资产（即韧性、社区归属感、积极心理健康、社会参与）、自我报告的健康（即感知健康、心理困扰）和社会地位指标。研究了资产的分布与性别和社会地位的关系。逻辑回归检验了每个资产是否调节了不利社会地位与自我报告健康之间的关系。不同的社会地位存在不同的资产分布。女性更有可能参与社会活动，而男性则更有韧性。韧性和社会参与是调节不利社会地位（即独居、家庭收入较低）与自我报告健康之间关系的因素。拥有资产可以通过增强能力来提高健康水平。需要促进资产的干预措施，并补充当前的公共卫生服务，特别是针对处于不利处境的人。卫生和社会服务决策者和从业者可以利用这些发现来增强能力和资源，而不是主要侧重于预防疾病和减少风险因素。
