Subjective Health Complaints and Self-Rated Health: Are Expectancies More Important Than Socioeconomic Status and Workload?

被引:20
作者
Ree, Eline [1 ,2 ]
Odeen, Magnus [1 ,2 ]
Eriksen, Hege R. [1 ,3 ]
Indahl, Aage [2 ]
Ihlebaek, Camilla [4 ]
Hetland, Jorn [5 ]
Harris, Anette [1 ,3 ]
机构
[1] Uni Res, Uni Hlth, N-5020 Bergen, Norway
[2] Vestfold Hosp Trust, Clin Phys Med & Rehabil, Stavern, Norway
[3] Univ Bergen, Fac Psychol, Dept Hlth Promot & Dev, Bergen, Norway
[4] Norwegian Univ Life Sci, Sect Publ Hlth, ILP, As, Norway
[5] Univ Bergen, Dept Psychosocial Sci, Fac Psychol, Bergen, Norway
关键词
Subjective health complaints; Coping; Helplessness; Hopelessness; Socioeconomic status; TomCats; Physical workload; COPING STYLES; WORKING-CONDITIONS; ASSESSED HEALTH; SOCIAL-CLASS; INEQUALITIES; MORTALITY; GRADIENT; EXPLANATIONS; ENVIRONMENT; PAIN;
D O I
10.1007/s12529-013-9329-7
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The associations between socioeconomic status (SES), physical and psychosocial workload and health are well documented. According to The Cognitive Activation Theory of Stress (CATS), learned response outcome expectancies (coping, helplessness, and hopelessness) are also important contributors to health. This is in part as independent factors for health, but coping may also function as a buffer against the impact different demands have on health. The purpose of this study was to investigate the relative effect of SES (as measured by level of education), physical workload, and response outcome expectancies on subjective health complaints (SHC) and self-rated health, and if response outcome expectancies mediate the effects of education and physical workload on SHC and self-rated health. A survey was carried out among 1,746 Norwegian municipal employees (mean age 44.2, 81 % females). Structural Equation Models with SHC and self-rated health as outcomes were conducted. Education, physical workload, and response outcome expectancies, were the independent 28 variables in the model. Helplessness/hopelessness had a stronger direct effect on self-rated health and SHC than education and physical workload, for both men and women. Helplessness/hopelessness fully mediated the effect of physical workload on SHC for men (0.121), and mediated 30 % of a total effect of 0.247 for women. For women, education had a small but significant indirect effect through helplessness/hopelessness on self-rated health (0.040) and SHC (-0.040), but no direct effects were found. For men, there was no effect of education on SHC, and only a direct effect on self-rated health (0.134). The results indicated that helplessness/hopelessness is more important for SHC and health than well-established measures on SES such as years of education and perceived physical workload in this sample. Helplessness/hopelessness seems to function as a mechanism between physical workload and health.
引用
收藏
页码:411 / 420
页数:10
相关论文
共 50 条
[31]   Trajectories of Subjective Health: Testing Longitudinal Models for Self-rated Health From Adolescence to Midlife [J].
Bollen, Kenneth A. ;
Gutin, Iliya .
DEMOGRAPHY, 2021, 58 (04) :1547-1574
[32]   Sexual Minority Status and Self-Rated Health: The Importance of Socioeconomic Status, Age, and Sex [J].
Thomeer, Mieke Beth .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2013, 103 (05) :881-888
[33]   Socioeconomic Status, Health Behaviors, Obesity and Self-Rated Health among Older Arabs in Israel [J].
Khalaila R.N.R. .
Journal of Cross-Cultural Gerontology, 2017, 32 (1) :115-130
[34]   Socioeconomic Status, Self-Rated Health, and Mortality in a Multiethnic Sample of US Adults [J].
Suresh, Sivaranjani ;
Sabanayagam, Charumathi ;
Shankar, Anoop .
JOURNAL OF EPIDEMIOLOGY, 2011, 21 (05) :337-345
[35]   Socioeconomic status and self-rated health in China Findings from a cross-sectional study [J].
Yu, Tong ;
Jiang, Yan ;
Gamber, Michelle ;
Ali, Gholam ;
Xu, Tan ;
Sun, Wenjie .
MEDICINE, 2019, 98 (12)
[36]   Socioeconomic status, working conditions and self-rated health in Switzerland: explaining the gradient in men and women [J].
Bauer, Georg F. ;
Huber, Carola A. ;
Jenny, Gregor J. ;
Mueller, Frithjof ;
Haemmig, Oliver .
INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 2009, 54 (01) :23-30
[37]   Health burden in chronic disease: multimorbidity is associated with self-rated health more than medical comorbidity alone [J].
Perruccio, Anthony V. ;
Katz, Jeffrey N. ;
Losina, Elena .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2012, 65 (01) :100-106
[38]   Gender, Socioeconomic Status, and Self-Rated Health in a Transitional Middle-Income Setting: Evidence From Thailand [J].
Seubsman, Sam-ang ;
Kelly, Matthew James ;
Studies, B. Asian ;
Yiengprugsawan, Vasoontara ;
Sleigh, Adrian C. .
ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH, 2011, 23 (05) :754-765
[39]   Changes in self-rated health and subjective social status over time in a cohort of healthcare personnel [J].
Thompson, Mark G. ;
Gaglani, Manjusha J. ;
Naleway, Allison ;
Thaker, Swathi ;
Ball, Sarah .
JOURNAL OF HEALTH PSYCHOLOGY, 2014, 19 (09) :1185-1196
[40]   Examining the Impact of Maternal Health, Race, and Socioeconomic Status on Daughter's Self-Rated Health Over Three Decades [J].
Shippee, Tetyana P. ;
Rowan, Kathleen ;
Sivagnanam, Kamesh ;
Oakes, J. Michael .
INTERNATIONAL JOURNAL OF AGING & HUMAN DEVELOPMENT, 2015, 81 (03) :155-175