Division of Social Sciences, Research Institute of the University of Bucharest, Bucharest, Romania.
Faculty of Sociology and Social Work, University of Bucharest, Bucharest, Romania.
Curr Hypertens Rep. 2018 Oct 25;20(12):102. doi: 10.1007/s11906-018-0902-y.
The aim of the paper is to test the influence of social status and psychological well-being (independent variables) on hypertensive condition (dependent variable), when adjusting for traditional risk factors of cardiovascular disease (control variables). The analysis is based on data collected from SEPHAR III, a nationally representative epidemiologic study of the Romanian adult population.
Understanding the social roots of health issues is of considerable importance in developing effective strategies and policies. In this context, most studies explain the influence of social and psychological indicators on hypertension by considering the mediating effects of class-based lifestyle practices, i.e., the full range of economic, social, or symbolic resources available to particular social classes. However, the effect of traditional risk factors of cardiovascular disease in shaping the relationship between psychosocial status and hypertension has remained mostly unexplored. The influence of socioeconomic status and psychological well-being on hypertensive condition is assimilated by age as a variable with both biological and social foundations. Age appears not only as a risk factor for high blood pressure but also as an emergent component of psychosocial status. Furthermore, people without higher education are more likely to be known hypertensives with uncontrolled blood pressure values. Social and economic vulnerabilities (e.g., age, education) are interrelated with several health conditions, which support the necessity to develop and implement integrated public policies based on interventions coordinated across several domains. Moreover, social and psychological determinants that predispose to certain health risks should be considered in medical practice.
本文旨在检验社会地位和心理健康（自变量）对高血压状况（因变量）的影响，同时调整心血管疾病的传统风险因素（控制变量）。该分析基于罗马尼亚成人人口全国代表性流行病学研究 SEPHAR III 收集的数据。
了解健康问题的社会根源对于制定有效策略和政策具有重要意义。在这种情况下，大多数研究通过考虑基于阶级的生活方式实践的中介效应来解释社会和心理指标对高血压的影响，即特定社会阶级可获得的全部经济、社会或象征资源。然而，心血管疾病传统风险因素在塑造心理社会状况与高血压之间关系方面的影响在很大程度上仍未得到探索。社会经济地位和心理健康对高血压状况的影响被年龄同化，年龄既是生物学因素也是社会因素。年龄不仅是高血压的一个风险因素，也是心理社会状况的一个新出现的组成部分。此外，没有高等教育的人更有可能被确认为血压控制不良的高血压患者。社会和经济脆弱性（例如，年龄、教育）与多种健康状况相互关联，这支持了有必要制定和实施基于跨多个领域协调干预的综合公共政策。此外，易患某些健康风险的社会和心理决定因素应在医疗实践中加以考虑。
