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Psychosocial and neo-material dimensions of SES and health revisited: Predictors of self-rated health in a Canadian national survey

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

Abstract

This study addresses questions concerning psychosocial processes of relative comparison in the production of socio-economic inequalities 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 population in 2000 (n=1331), the paper investigates relationships between self-rated health status (SRHS) and: (1) 'actual' absolute socio-economic standing, (2) perceived relative socio-economic standing (relative to other Canadians and to Canadians of the previous generation), and (3) 'actual' relative socio-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 perceived 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 the previous generation was unrelated to SRHS. Actual relative income was strongly related to SRHS for all reference points (10th, 50th and 90th percentiles) in both reference groups 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' self-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.

Suggested Citation

  • Dunn, James R. & Veenstra, Gerry & Ross, Nancy, 2006. "Psychosocial and neo-material dimensions of SES and health revisited: Predictors of self-rated health in a Canadian national survey," Social Science & Medicine, Elsevier, vol. 62(6), pages 1465-1473, March.
  • Handle: RePEc:eee:socmed:v:62:y:2006:i:6:p:1465-1473
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    References listed on IDEAS

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    1. Veenstra, Gerry & Vanzella-Yang, Adam, 2020. "Family income and self-rated health in Canada: Using fixed effects models to control for unobserved confounders and investigate causal temporality," Social Science & Medicine, Elsevier, vol. 250(C).
    2. Irina, Mozhaeva, 2009. "Multidimensional health modeling: Association between socioeconomic and psychosocial factors and health in Latvia," MPRA Paper 34634, University Library of Munich, Germany, revised 01 Aug 2010.
    3. Cox, Matthew & Boyle, Paul J. & Davey, Peter G. & Feng, Zhiqiang & Morris, Andrew D., 2007. "Locality deprivation and Type 2 diabetes incidence: A local test of relative inequalities," Social Science & Medicine, Elsevier, vol. 65(9), pages 1953-1964, November.
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    5. Veenstra, Gerry & Vanzella-Yang, Adam, 2022. "Interactions between parental and personal socioeconomic resources and self-rated health: Adjudicating between the resource substitution and resource multiplication theories," Social Science & Medicine, Elsevier, vol. 292(C).
    6. Wolff, Lisa S. & Subramanian, S.V. & Acevedo-Garcia, Dolores & Weber, Deanne & Kawachi, Ichiro, 2010. "Compared to whom? Subjective social status, self-rated health, and referent group sensitivity in a diverse US sample," Social Science & Medicine, Elsevier, vol. 70(12), pages 2019-2028, June.
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    9. Jean Woo & Ruth Chan & Jason Leung & Moses Wong, 2010. "Relative Contributions of Geographic, Socioeconomic, and Lifestyle Factors to Quality of Life, Frailty, and Mortality in Elderly," PLOS ONE, Public Library of Science, vol. 5(1), pages 1-11, January.
    10. Yang Li & Jan E. Mutchler, 2022. "Poverty and self‐rated health in later life: The mediating role of material hardship," Social Science Quarterly, Southwestern Social Science Association, vol. 103(3), pages 521-533, May.
    11. Schaerer, Michael & Foulk, Trevor & du Plessis, Christilene & Tu, Min-Hsuan & Krishnan, Satish, 2021. "Just because you're powerless doesn't mean they aren't out to get you: Low power, paranoia, and aggression," Organizational Behavior and Human Decision Processes, Elsevier, vol. 165(C), pages 1-20.
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    13. Irina, Mozhaeva, 2009. "Multidimensional health modeling: Association between socioeconomic and psychosocial factors and health in Latvia," MPRA Paper 24626, University Library of Munich, Germany, revised 01 Aug 2010.
    14. Eric TC Lai & Ruby Yu & Jean Woo, 2020. "The Associations of Income, Education and Income Inequality and Subjective Well-Being among Elderly in Hong Kong—A Multilevel Analysis," IJERPH, MDPI, vol. 17(4), pages 1-14, February.
    15. Chunping Han, 2014. "Health Implications of Socioeconomic Characteristics, Subjective Social Status, and Perceptions of Inequality: An Empirical Study of China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 119(2), pages 495-514, November.
    16. Bongki Woo & Kaipeng Wang & David T. Takeuchi, 2018. "Perceived Social Position of Asian Americans: Neighborhood Context and Social Comparison," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 138(3), pages 1075-1087, August.
    17. Yang Li & Dario Spini & Dimitrios Lampropoulos, 2023. "Beyond Geography: Social Quality Environments and Health," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 166(2), pages 365-379, April.
    18. Garbarski, Dana, 2010. "Perceived social position and health: Is there a reciprocal relationship?," Social Science & Medicine, Elsevier, vol. 70(5), pages 692-699, March.
    19. Wilkinson, Richard G. & Pickett, Kate E., 2007. "The problems of relative deprivation: Why some societies do better than others," Social Science & Medicine, Elsevier, vol. 65(9), pages 1965-1978, November.
    20. Ruby Yu & Cecilia Tong & Jason Leung & Jean Woo, 2020. "Socioeconomic Inequalities in Frailty in Hong Kong, China: A 14-Year Longitudinal Cohort Study," IJERPH, MDPI, vol. 17(4), pages 1-16, February.
    21. Präg, Patrick & Mills, Melinda C. & Wittek, Rafael, 2016. "Subjective socioeconomic status and health in cross-national comparison," Social Science & Medicine, Elsevier, vol. 149(C), pages 84-92.

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