Cairney J, Arnold R
Department of Sociology, University of Western Ontario, London.
Can J Public Health. 1998 May-Jun;89(3):208-12. doi: 10.1007/BF03404476.
Although a sizeable literature documents the link between socioeconomic position and health in Britain and the United States, much less work has been conducted in Canada. Moreover, what work has been done has been limited to single outcomes such as self-rated health or age-adjusted mortality. Very little has been conducted using multiple health outcomes, although doing so has been advocated. Using the 1991 General Social Survey on Health, we extended an earlier analysis to explore whether or not "condition-specific" relationships exist between socioeconomic position, lifestyle, and health among working age Canadians. We distinguished four patterns in terms of education and income adequacy. The effects of occupation did not fit into any simple pattern. Measures of lifestyle appear to mediate the relationship between education and morbidity, but not between income adequacy and morbidity. Findings are discussed in terms of the theoretical, methodological and policy implications of a condition-specific approach.
尽管有大量文献记载了英国和美国社会经济地位与健康之间的联系,但在加拿大开展的相关研究要少得多。此外,已开展的研究仅限于单一结果,如自评健康状况或年龄调整死亡率。尽管有人主张使用多种健康结果进行研究,但这方面的研究却很少。我们利用1991年健康综合社会调查,扩展了早期的一项分析,以探讨在工作年龄的加拿大人中,社会经济地位、生活方式和健康之间是否存在“特定状况”的关系。我们根据教育程度和收入充足程度区分了四种模式。职业的影响不符合任何简单模式。生活方式指标似乎在教育与发病率之间的关系中起中介作用,但在收入充足程度与发病率之间的关系中不起中介作用。我们从特定状况方法的理论、方法和政策影响方面对研究结果进行了讨论。