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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 University Associate Researcher, IRDES, France)

  • Paul Dourgnon

    (Institut de Recherche et de Documentation en Economie de la Santé (IRDES), Paris, France)

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/Files/Working%20Papers/CHEPA%20WP%2007-05.pdf
File Function: First version, 2007
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Bibliographic 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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Keywords: social capital; social support; relative deprivation; sense of control; social health inequalities;

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References

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  1. 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.
  2. Veenstra, Gerry, 2000. "Social capital, SES and health: an individual-level analysis," Social Science & Medicine, Elsevier, vol. 50(5), pages 619-629, March.
  3. Douglas Miller & Christina Paxson, 2001. "Relative Income, Race, and Mortality," Working Papers 269, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
  4. Angus Deaton, 2001. "Relative deprivation, inequality, and mortality," Working Papers 275, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
  5. Liukkonen, Virpi & Virtanen, Pekka & Kivimäki, Mika & Pentti, Jaana & Vahtera, Jussi, 2004. "Social capital in working life and the health of employees," Social Science & Medicine, Elsevier, vol. 59(12), pages 2447-2458, December.
  6. Rose, Richard, 2000. "How much does social capital add to individual health?A survey study of Russians," Social Science & Medicine, Elsevier, vol. 51(9), pages 1421-1435, November.
  7. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
  8. Veenstra, Gerry & Luginaah, Isaac & Wakefield, Sarah & Birch, Stephen & Eyles, John & Elliott, Susan, 2005. "Who you know, where you live: social capital, neighbourhood and health," Social Science & Medicine, Elsevier, vol. 60(12), pages 2799-2818, June.
  9. Sundquist, Kristina & Lindström, Martin & Malmström, Marianne & Johansson, Sven-Erik & Sundquist, Jan, 2004. "Social participation and coronary heart disease: a follow-up study of 6900 women and men in Sweden," Social Science & Medicine, Elsevier, vol. 58(3), pages 615-622, February.
  10. Lindström, Martin, 2004. "Social capital, the miniaturisation of community and self-reported global and psychological health," Social Science & Medicine, Elsevier, vol. 59(3), pages 595-607, August.
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Cited by:
  1. Zeynep Or & Chantal Cases & Melanie Lisac & Karsten Vrangbaek & Ulrika Winblad & Gwyn Bevan, 2009. "Are Health Problems Systemic? Politics of Access and Choice under Beveridge and Bismarck Systems," Working Papers DT27, IRDES institut for research and information in health economics, revised Sep 2009.
  2. 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.
  3. 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.

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