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加拿大的社会地位和经济制度合理性:探索性研究影响经济制度合理性因素对推进健康公平和社会正义的启示。

Social position and economic system justification in Canada: Implications for advancing health equity and social justice from an exploratory study of factors shaping economic system justification.

机构信息

Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.

出版信息

Front Public Health. 2022 Oct 20;10:902374. doi: 10.3389/fpubh.2022.902374. eCollection 2022.

Abstract

OBJECTIVE

Many socio-economic reforms that could reduce health disparities are not implemented because people justify existing systems and fear changes thereto. This study aimed to identify socio-demographic factors associated with system justifying beliefs to better understand how they are maintained in Canada. In doing so, we hypothesized that (1) systems justification is a default cognitive position, buttressed by the palliative benefits of system-justification, (2) lack of success in a given system generally motivates people to doubt the legitimacy of that system, and (3) system-justifying beliefs are rejected only when the costs of doing so are low enough and/or the benefits are high enough to outweigh the innate needs-fulfillment benefits of system-justification.

METHODS

Testing these hypotheses, we recruited participants living in Canada, aged 16+, to complete an online survey after being recruited paid social media advertisements. Multivariable regression models identified factors associated with Economic System Justification Scale (ESJS) scores. Explanatory variables included demographic measures of social position, self-rated health, and patterns of social inclusion.

RESULTS

Among 2,619 participants, system-justifying beliefs were wide-spread, with the average level of support across ESJS scale items exceeding 50%. Lower ESJS scores were associated with worse health, more loneliness, and lower socioeconomic status. Despite the pattern that marginalization erodes system-justification, several historically marginalized characteristics (e.g., non-white ethnicity and non-binary gender) were associated with relatively high system-justification, compared to matching privileged characteristics (e.g., white ethnicity; masculine gender).

CONCLUSION

Supporting our hypotheses, we identify a general trend that social marginalization is associated with less system-justification. Those benefitting from the status quo (e.g., healthier, wealthier, less lonely) were more likely to hold system-justifying beliefs. However, some groups who are disadvantaged within the existing system reported higher system-justification-suggesting that system oppression may be a key moderator of the effect of social position on system justification.

摘要

目的

许多可能减少健康差距的社会经济改革之所以没有实施,是因为人们为现有制度辩护,并对其变革感到恐惧。本研究旨在确定与制度辩护信念相关的社会人口因素,以更好地了解它们在加拿大是如何维持的。为此,我们假设:(1)制度辩护是一种默认的认知立场,由制度辩护的缓解作用支撑;(2)在给定系统中缺乏成功通常会促使人们怀疑该系统的合法性;(3)只有当不这样做的成本足够低,或者收益足够高,足以超过制度辩护的内在需求满足收益时,制度辩护信念才会被拒绝。

方法

为了检验这些假设,我们招募了居住在加拿大的 16 岁以上的参与者,在被招募并支付社交媒体广告费用后,他们在线完成了一项调查。多变量回归模型确定了与经济制度辩护量表(ESJS)评分相关的因素。解释变量包括社会地位、自我报告的健康状况和社会包容模式的人口统计学测量。

结果

在 2619 名参与者中,制度辩护信念普遍存在,ESJS 量表项目的平均支持率超过 50%。ESJS 得分较低与健康状况较差、孤独感较强和社会经济地位较低有关。尽管边缘化模式会削弱制度辩护,但与匹配的特权特征(例如白人种族;男性性别)相比,一些历史上边缘化的特征(例如非白种人种族和非二元性别)与相对较高的制度辩护相关。

结论

支持我们的假设,我们确定了一个普遍趋势,即社会边缘化与较少的制度辩护相关。那些从现状中受益的人(例如,更健康、更富有、更少孤独)更有可能持有制度辩护信念。然而,一些在现有制度中处于不利地位的群体报告了更高的制度辩护,这表明制度压迫可能是社会地位对制度辩护影响的关键调节因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d6a/9633253/97aa29eff5e6/fpubh-10-902374-g0001.jpg

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