Cusatis Rachel, Garbarski Dana
Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA.
Department of Sociology, Loyola University Chicago, 1032 W. Sheridan Rd., 440 Coffey Hall, Chicago, IL 60660, USA.
SSM Popul Health. 2019 Apr 30;7:100387. doi: 10.1016/j.ssmph.2019.100387. eCollection 2019 Apr.
Inequality in socioeconomic status (SES)-education, income, and occupation-may further exacerbate the health gap between the "haves" and "have nots" by shaping health behaviors such as physical activity. For example, those in higher socioeconomic positions are consistently found to engage in more physical activity according to public health reports that focus on activity. However, previous research investigating the role of SES in shaping engagement in housework, childcare, and paid work suggests different opportunities for physical activity. This discrepancy in how researchers ask questions about physical activity and the pathways people take to healthy activity raises the question: Do socioeconomic differences in physical activity look different when we look at other domains of physical activity beyond leisure? And, does how we measure SES matter? We draw on data from the American Time Use Survey (ATUS) to assess the roles of education, income, and occupation in the amount of time individuals spend in different types of physical activity. Results demonstrate that socioeconomic differences in physical activity change depending on the activity domain and, therefore, when domains of physical activity are accounted for compared to leisure-only. Further, the measurement of SES matters: key indicators of SES (education, income, and occupation) have varying associations with levels and types of physical activity. Findings from this research have important implications for the assessment of physical activity across SES, ultimately impacting survey research and public health.
社会经济地位(SES)——教育、收入和职业——方面的不平等可能会通过塑造诸如体育活动等健康行为,进一步加剧“有产者”和“无产者”之间的健康差距。例如,根据关注体育活动的公共卫生报告,一直发现社会经济地位较高的人从事更多的体育活动。然而,先前关于SES在塑造家务劳动、育儿和有偿工作参与度方面作用的研究表明,体育活动的机会有所不同。研究人员在询问体育活动问题的方式以及人们参与健康活动的途径方面存在这种差异,这就引发了一个问题:当我们审视休闲之外的其他体育活动领域时,体育活动中的社会经济差异看起来会有所不同吗?而且,我们衡量SES的方式重要吗?我们利用美国时间使用调查(ATUS)的数据,来评估教育、收入和职业在个人花费在不同类型体育活动上的时间量方面所起的作用。结果表明,体育活动中的社会经济差异会因活动领域而变化,因此,与仅考虑休闲领域相比,当考虑到体育活动的各个领域时,情况就会有所不同。此外,SES的衡量方式很重要:SES的关键指标(教育、收入和职业)与体育活动的水平和类型有着不同的关联。这项研究的结果对于评估不同社会经济地位人群的体育活动具有重要意义,最终会影响调查研究和公共卫生。