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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

    ()
    (IRDES institut for research and information in health economics)

  • Michel Grignon

    ()
    (Departments of Economics and Health, Aging and Society, McMaster University, Hamilton, Ontario)

  • Paul Dourgnon

    ()
    (IRDES institut for research and information in health economics)

Abstract

We study the psychosocial determinants of self-assessed health in order to explain 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, social support, and sense of control, controlling for standard socio-demographic factors (SES, income, education, age and gender). The survey is unique in that it provides a variety of measures of self-perceived psychosocial resources (trust and civic engagement, social support, sense of control, and self-esteem. We find empirical support for the link between the subjective perception of psychosocial resources and health. Sense of control at work is the most important correlate of health status after income. 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 psychosocial resources is not equally distributed in the population, these findings suggest that psychosocial factors can partially explain of social inequalities in health in France.

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File URL: http://www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT6PsychosocialSocialHealthFrance.pdf
File Function: First version, 2007
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Bibliographic Info

Paper provided by IRDES institut for research and information in health economics in its series Working Papers with number DT6.

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Length: 28 pages
Date of creation: Nov 2007
Date of revision: Nov 2007
Handle: RePEc:irh:wpaper:dt6

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Keywords: social capital; social support; relative deprivation; sense of control; social health inequalities; France;

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References

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  1. 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.
  2. 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.
  3. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
  4. 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.
  5. 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.
  6. Miller, Douglas L. & Paxson, Christina, 2006. "Relative income, race, and mortality," Journal of Health Economics, Elsevier, vol. 25(5), pages 979-1003, September.
  7. 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.
  8. 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..
  9. 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.
  10. Veenstra, Gerry, 2000. "Social capital, SES and health: an individual-level analysis," Social Science & Medicine, Elsevier, vol. 50(5), pages 619-629, March.
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Cited by:
  1. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 269-293, July.
  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. 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.

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