Stressors and resources mediate the association of socioeconomic position with health behaviours

Autor: Bob C. Mulder, Erik van Ameijden, Cees van Woerkum, Hanneke Schreurs, Marijn de Bruin
Rok vydání: 2011
Předmět:
Gerontology
Male
Coping (psychology)
Health Status
Health Behavior
WASS
chronic diseases
Surveys and Questionnaires
Medicine
physical-activity
risk-factors
disparities
Aged
80 and over
education.field_of_study
lcsh:Public aspects of medicine
Smoking
Middle Aged
Health equity
Income
Educational Status
Female
Psychosocial
Research Article
Adult
medicine.medical_specialty
Adolescent
Population
Communication Science
perceived control
Social support
Young Adult
inequalities
Environmental health
Humans
education
psychosocial factors
Socioeconomic status
Exercise
Aged
Communicatiewetenschap
business.industry
Public health
Stressor
Public Health
Environmental and Occupational Health
Social Support
lcsh:RA1-1270
Feeding Behavior
mortality
life events
Cross-Sectional Studies
european countries
Social Class
Personal Autonomy
business
Stress
Psychological
Zdroj: BMC Public Health
BMC Public Health, Vol 11, Iss 1, p 798 (2011)
BMC Public Health, 11
BMC Public Health 11 (2011)
ISSN: 1471-2458
Popis: Background Variability in health behaviours is an important cause of socioeconomic health disparities. Socioeconomic differences in health behaviours are poorly understood. Previous studies have examined whether (single) stressors or psychosocial resources mediate the relationship between socioeconomic position and health or mortality. This study examined: 1) whether the presence of stressors and the absence of resources can be represented by a single underlying factor, and co-occur among those with lower education, 2) whether stressors and resources mediated the relation between education and health behaviours, and 3) addressed the question whether an aggregate measure of stressors and resources has an added effect over the use of individual measures. Methods Questionnaire data on sociodemographic variables, stressors, resources, and health behaviours were collected cross-sectionally among inhabitants (n = 3050) of a medium-sized Dutch city (Utrecht). Descriptive statistics and bootstrap analyses for multiple-mediator effects were used to examine the role of stressors and resources in mediating educational associations with health behaviours. Results Higher levels of stressors and lower levels of resources could be represented by a single underlying factor, and co-occurred among those with lower educational levels. Stressors and resources partially mediated the relationship between education and four health- behaviours (exercise, breakfast frequency, vegetable consumption and smoking). Financial stress and poor perceived health status were mediating stressors, and social support a strong mediating resource. An aggregate measure of the stressors and resources showed similar associations with health behaviours compared to the summed individual measures. Conclusions Lower educated groups are simultaneously affected by the presence of various stressors and absence of multiple resources, which partially explain socioeconomic differences in health behaviours. Compared to the direct associations of stressors and resources with health behaviours, the association with socioeconomic status was modest. Therefore, besides addressing structural inequalities, interventions promoting financial management, coping with chronic disease, and social skills training have the potential to benefit large parts of the population, most notably the lower educated. Further research is needed to clarify how stressors and resources impact health behaviours, why this differs between behaviours and how these disparities could be alleviated.
Databáze: OpenAIRE
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