Norwegian Institute of Public Health, Oslo, Norway.
Statistics Norway, Oslo, Norway.
Scand J Public Health. 2024 Nov;52(7):819-828. doi: 10.1177/14034948231197453. Epub 2023 Sep 13.
Studies of the association between self-rated health and persons' income and education have almost invariably shown that people with higher education and incomes report better health. Less is known of the influence of household members' socioeconomic characteristics on individuals' health. This study thus aimed to assess the extent to which the socioeconomic characteristics of partners may contribute to explaining the variation in the respondents' self-rated health (SRH).
Using an observational design, we analysed cross-sectional Norwegian survey data on SRH (2015 and 2019), linked to register data on education and income for respondents ( = 7082) and their opposite-sex coresident spouse or partner. We employed logistic regression models to assess the associations between respondents' SRH and the relative income and education of their partner. Average marginal effects were calculated to enable cross-model comparisons.
Net of individual characteristics, having a higher-educated partner was positively associated with SRH for both male (OR = 1.56) and female (OR = 1.36) respondents. Having a partner with an above median income (by age and sex) was positively associated with SRH for female (OR = 1.29) respondents only. For education, the positive SRH associations were roughly similar for respondents and partners. For income, the associations were more pronounced for respondents than partners.
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研究自评健康与个人收入和受教育程度之间的关系几乎无一例外地表明，受教育程度和收入较高的人报告的健康状况更好。对于家庭成员的社会经济特征对个人健康的影响知之甚少。因此，本研究旨在评估伴侣的社会经济特征在多大程度上可以解释受访者自评健康（SRH）的变化。
本研究采用观察性设计，分析了 2015 年和 2019 年挪威关于 SRH 的横断面调查数据，将受访者（=7082 人）及其异性核心居住伴侣或配偶的教育和收入登记数据进行了关联。本研究采用逻辑回归模型评估了受访者的 SRH 与其伴侣相对收入和教育程度之间的关系。计算平均边际效应以实现跨模型比较。
在个体特征的基础上，无论男女（OR=1.56 和 OR=1.36），伴侣受教育程度较高与 SRH 呈正相关。只有女性（OR=1.29）的伴侣收入高于中位数（按年龄和性别划分）与 SRH 呈正相关。对于教育程度，受访者和伴侣的正相关关系大致相似。对于收入，受访者的相关性强于伴侣。
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