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Psychosocial Resources and Social Health Inequalities in France: Exploratory Findings from a General Population Survey

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Author Info
Florence Jusot () (Institut de Recherche et de Documentation en Economie de la Santé (IRDES), Paris, France)
Michel Grignon (Departments of Economics and Health, Aging, & Society, Centre for Health Economics and Policy Analysis, McMaster Universitym Associate Researcher, IRDES, France)
Paul Dourgnon (Institut de Recherche et de Documentation en Economie de la Santé (IRDES), Paris, France)

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Abstract

We study the psychosocial determinants of health, and their impact on social inequalities in health in France. We use a unique general population survey to assess the respective impact on self-assessed health status of subjective perceptions of social capital controlling for standard sociodemographic factors (occupation, income, education, age and gender). The survey is unique for two reasons: First, we use a variety of measures to describe self-perceived social capital (trust and civic engagement, social support, sense of control, and self-esteem). Second, we can link these measures of social capital to a wealth of descriptors of health status and behaviours. We find empirical support for the link between the subjective perception of social capital and health. Sense of control at work is the most important determinant of health status. Other important ones are civic engagement and social support. To a lesser extent, sense of being lower in the social hierarchy is associated with poorer health status. On the contrary, relative deprivation does not affect health in our survey. Since access to social capital is not equally distributed in the population, these findings suggest that psychosocial factors can explain a substantial part of social inequalities in health in France.

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File URL: http://www.chepa.org/Portals/0/pdf/CHEPA%20WP%2007-05.pdf
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File Function: First version, 2007
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Publisher Info
Paper provided by Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada in its series Centre for Health Economics and Policy Analysis Working Paper Series with number 2007-05.

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Length: 27 pages
Date of creation: 2007
Date of revision:
Handle: RePEc:hpa:wpaper:200705

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Postal: Faculty of Health Sciences, Mc Master University, 1200 Main Street West, Hamilton, Ontario, L8N 3Z5
Phone: (905) 525-9140, extension 22122
Fax: (905) 546-5211
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Web page: http://www.chepa.org/
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Related research
Keywords: social capital; social support; relative deprivation; sense of control; social health inequalities;

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References listed on IDEAS
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  1. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3). [Downloadable!] (restricted)
  2. Miller, Douglas L. & Paxson, Christina, 2006. "Relative income, race, and mortality," Journal of Health Economics, Elsevier, vol. 25(5), pages 979-1003, September. [Downloadable!] (restricted)
    Other versions:
  3. Angus Deaton, 2001. "Relative Deprivation, Inequality, and Mortality," NBER Working Papers 8099, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  4. Christine E. Eibner & William N. Evans, 2001. "Relative Deprivation, Poor Health Habits and Mortality," Working Papers 265, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing.. [Downloadable!]
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