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Place, social exchange and health: proposed sociological framework


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  • Siegrist, Johannes
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    A sociological framework is proposed to better understand how spatial characteristics translate into people's physical and psychosocial conditions that are relevant to their health. In particular, high susceptibility to poor health among specific adult population groups is analyzed in terms of exclusion from or inadequate participation in a society's structure of opportunities. Acquisition of, and agency through, core social roles, such as the work role, the family and marital role, and civic roles, are essential prerequisites for successful personal self-regulation in adult life, strengthening a sense of self-esteem, self-efficacy, and belonging (self-integration). It is argued that exclusion from, or loss of core social roles, threats to their continuity and confinement to non-reciprocal exchange impair personal self-regulation and trigger a state of 'social reward deficiency'. This state, in turn, elicits prolonged stressful experience, and it may reinforce a person's craving for stress-relieving, potentially addictive health-damaging behavior. This framework is applied to the explanation of the life expectancy gap between Western and Central/Eastern European countries. Although most of the epidemiological evidence reviewed in support of this approach originates from investigations that were conducted in western countries several results reported in the collection of articles published in this Special Issue of Social Science and Medicine are in line with the proposed framework.

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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 51 (2000)
    Issue (Month): 9 (November)
    Pages: 1283-1293

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    Handle: RePEc:eee:socmed:v:51:y:2000:i:9:p:1283-1293

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    Keywords: Eastern Europe Russia Social roles East-West mortality Social Exclusion Health lifestyles Social stress Addictive behavior;


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    Cited by:
    1. Lackó, Mária, 2010. "A magyarországi rossz egészségi állapot lehetséges magyarázó tényezői. Összehasonlító makroelemzés magyar és osztrák adatok alapján, 1960-2004
      [The poor health status of Hungarians:
      ," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(9), pages 753-778.
    2. Vladimir Shkolnikov & Evgeny Andreev & Zhen Zhang & James Oeppen & James Vaupel, 2011. "Losses of Expected Lifetime in the United States and Other Developed Countries: Methods and Empirical Analyses," Demography, Springer, vol. 48(1), pages 211-239, February.
    3. Becker, Charles M. & Urzhumova, Dina S., 2005. "Mortality recovery and stabilization in Kazakhstan, 1995-2001," Economics & Human Biology, Elsevier, vol. 3(1), pages 97-122, March.
    4. Vladimir M. Shkolnikov & Evgueni M. Andreev & Zhen Zhang & James E. Oeppen & James W. Vaupel, 2009. "Losses of expected lifetime in the US and other developed countries: methods and empirical analyses," MPIDR Working Papers WP-2009-042, Max Planck Institute for Demographic Research, Rostock, Germany.
    5. Ellen Ek & Anitta Sirviö & Markku Koiranen & Anja Taanila, 2014. "Psychological Well-Being, Job Strain and Education Among Young Finnish Precarious Employees," Social Indicators Research, Springer, vol. 115(3), pages 1057-1069, February.
    6. Maria Lacko, 2011. "The Poor Health Status of the Hungarians; Comparative Macro-Analysis of the Likely Explanatory Factors onHungarian and Austrian Data, 1960-2004," IEHAS Discussion Papers 1106, Institute of Economics, Centre for Economic and Regional Studies, Hungarian Academy of Sciences.
    7. Xuanping Zhang & Sean-Shong Hwang, 2007. "The micro consequences of macro-level social transition: how did Russians survive in the 1990s?," Social Indicators Research, Springer, vol. 82(2), pages 337-360, June.
    8. Billingsley, Sunnee, 2012. "Intragenerational mobility and mortality in Russia: Short and longer-term effects," Social Science & Medicine, Elsevier, vol. 75(12), pages 2326-2336.
    9. Sunnee Billingsley, 2009. "Downward mobility, unemployment and mortality," MPIDR Working Papers WP-2009-015, Max Planck Institute for Demographic Research, Rostock, Germany.
    10. Eggs, Johannes, 2013. "Unemployment benefit II, unemployment and health," IAB Discussion Paper 201312, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].


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