Psychosocial and Neo-Material Dimensions of SES and Health Revisited : Predictors of Self Rated Health in a Canadian National Survey  

Oleh:

Dunn, James R. ; Veenstra, Gerry ; Ross, Nancy

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 6 (Mar. 2006), page 1465-1473.
Topik: health; health inequalitites; socio economic status; self rated health statusm psychosocial comparisons; reference groups; canada

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Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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This study addressed questions concerning psychosocial processes of relative comparison in the production of socio economic inequaltities in health. Specifically, the importance for health of perceptions of status, different reference groups and reference points in such comparisons is problematized and investigated empirically. Using data from a cross sectional telephone survey of the canadian popultion in 2000 (n = 1331), the paper investigates relationships betwen self rated health status (srhs), and : 1. actual absolute socio economic standing 2. perceived relative socio economic - economi standing (relative to oher canadians and to canadiand as the previous geneartion), and 3. actual relative sociao economic standing (relative to others in respondents' province of residence and neighbourhood of residence). Measures of actual absolute socio economic status (SES) (household income, personal income and education) were strongly related to SRHS. Results for perceibed relative SES were mixed. Perceived SES relative to all canadians was a strong predictor of SRHS before and after controlling for age and gender while perceived SES relative to all canadians was a strong related to SRHS. Actual relative income was strongly related of SRHS for all reference points (10 th, 50th and 90th percentiles) in both reference group analysed (neighbourhoods and provinces). Within neighbourhoods, however, comparisons with those at the top of the income ladder appeared to be somewhat more salient for SRHS than were comparisons to other levels. We conclude that there is some evidence of the importance of both psychosocial and neo material aspects of SES for canadians seldf rated health. but that further empirical research is needed that accounts for the numerous ways in which psychosocial processes of relative social comparison may take place.

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