Socioeconomic position. Lifestyle and health among Canadians aged 18 to 64: a multi-condition approach
- PMID: 9654809
- PMCID: PMC6990309
- DOI: 10.1007/BF03404476
Socioeconomic position. Lifestyle and health among Canadians aged 18 to 64: a multi-condition approach
Abstract
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.
Alors que le lien entre le statut socioéconomique et la santé a fait l’objet de très nombreuses études tant au Royaume-Uni qu’aux États-Unis, on ne peut pas en dire autant pour le Canada. En outre, les quelques études qui ont été faites ont été limitées à des résultats spécifiques comme l’auto-évaluation de la santé ou la mortalité ajustée selon l’âge. Peu d’études ont été faites pour mesurer de multiples résultats de santé en dépit du fait qu’on l’ait préconisé. Sur base de l’Enquête sociale générale sur la santé de 1991, nous avons élargi le champ d’une analyse antérieure pour voir s’il existe ou non des relations «propres à des conditions spécifiques» entre la position socio-économique, le style de vie et la santé au sein de la population active du Canada. Nous avons observé quatre schémas en termes d’éducation et de niveau suffisant de revenu. Les effets de l’activité professionnelle ne cadraient avec aucun schéma. Les mesures relatives au style de vie sont apparus comme constituant une variable intermédiaire dans la relation entre l’éducation et la morbidité, mais pas entre le niveau suffisant de revenu et la morbidité. Les résultats sont présentés en termes d’implications théoriques, méthodologiques et politiques d’une approche propre à une condition spécifique.
Similar articles
-
Social class, health and aging: socioeconomic determinants of self-reported morbidity among the noninstitutionalized elderly in Canada.Can J Public Health. 1996 May-Jun;87(3):199-203. Can J Public Health. 1996. PMID: 8771926
-
Early socioeconomic position and self-rated health among civil servants in Brazil: a cross-sectional analysis from the Pró-Saúde cohort study.BMJ Open. 2014 Nov 21;4(11):e005321. doi: 10.1136/bmjopen-2014-005321. BMJ Open. 2014. PMID: 25416056 Free PMC article.
-
The mediating effects of lifestyle factors on the relationship between socioeconomic status and self-rated health among middle-aged and older adults in Korea.Int J Aging Hum Dev. 2011;73(2):153-73. doi: 10.2190/AG.73.2.c. Int J Aging Hum Dev. 2011. PMID: 22010362
-
Determinants of self rated health for Canadians with chronic disease and disability.J Epidemiol Community Health. 1999 Nov;53(11):731-6. doi: 10.1136/jech.53.11.731. J Epidemiol Community Health. 1999. PMID: 10656104 Free PMC article. Review.
-
Health disparities in Canada today: some evidence and a theoretical framework.Health Policy. 2006 Dec;79(2-3):132-43. doi: 10.1016/j.healthpol.2005.12.010. Epub 2006 Mar 7. Health Policy. 2006. PMID: 16519957 Review.
Cited by
-
Trends in risk factors for cardiovascular disease in Canada: temporal, socio-demographic and geographic factors.CMAJ. 2009 Aug 4;181(3-4):E55-66. doi: 10.1503/cmaj.081629. Epub 2009 Jul 20. CMAJ. 2009. PMID: 19620271 Free PMC article.
-
Prognostic relevance of census-derived individual respondent incomes versus household incomes.Can J Public Health. 2006 Mar-Apr;97(2):114-7. doi: 10.1007/BF03405327. Can J Public Health. 2006. PMID: 16619997 Free PMC article.
References
-
- Black D, Morris JN, Smith C, Townsend P. The Black Report. London: Pelican; 1982.
-
- Whitehead M. The Health Divide. London: Penguin; 1988.
-
- Townsend P, Phillimore P, Beattie A. Health and Deprivation: Inequality and the North. Beckenham, Kent: Croom Heim; 1988.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources