Macran S, Clarke L, Joshi H
Centre for Population Studies, London School of Hygiene and Tropical Medicine, England.
Soc Sci Med. 1996 May;42(9):1203-16. doi: 10.1016/0277-9536(95)00432-7.
This paper is concerned with the social patterning of ill-health amongst women in Britain. It uses the various health measures available in the Health and Lifestyle Survey (self-assessed health, disease/disability, illness, psycho-social well-being and fitness) to explore whether there are particular aspects of health systematically associated with social advantage and disadvantage, as measured by current or last occupation, employment status, household composition and household income. Among women aged 18-59, after controlling for age, number of psychological symptoms experienced in the past month showed the greatest social variation. Number of physical illness symptoms in the last month showed the least. Lone mothers with dependent children were found to have particularly poor psycho-social health, although this was confined to those in full-time employment. The presence of a long-standing disease/disability proved useful as a control for the influence of health selection in to and out of both employment and motherhood.
本文关注英国女性健康不佳的社会模式。它利用《健康与生活方式调查》中可用的各种健康指标（自我评估健康状况、疾病/残疾、疾病、心理社会幸福感和健康状况），探讨是否存在与社会优势和劣势系统相关的健康特定方面，这些方面通过当前或过去的职业、就业状况、家庭构成和家庭收入来衡量。在18至59岁的女性中，在控制年龄后，过去一个月经历的心理症状数量显示出最大的社会差异。过去一个月身体疾病症状的数量显示出最小的差异。有受抚养子女的单身母亲被发现心理社会健康状况特别差，不过这仅限于全职工作的母亲。长期疾病/残疾的存在被证明有助于控制健康选择对就业和生育进出的影响。
