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Week8.Duetz.HLTB15.docx

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Department
Health Studies
Course
HLTB15H3
Professor
Iva Zovkic
Semester
Winter

Description
HLTB15 WINTER 2013 Week #7: Differentiating associations with gender and socio-economic status by Margraet Duetz, Thomas Abel, & Steffen Niemann Abstract  Cohort Survey on health related lifestyles, four measures of health and their association with respect to gender, socio-economic status and psychosocial factors  Carried out in Berne Switzerland, with 923 participants aged 56-66 years  4 self report health measures – self rated health, physical fitness, number of medical conditions, restrictions caused by medical conditions  Regression analysis was used to investigate and compare their associations with gender, SES and psychosocial factors  Gender statistically significantly associated with physical fitness, number of medical conditions and subsequent restrictions  Education and income showed statistically significant associations with self-rated health and fitness  Psychological factors were statistically associated with all health measures  Gender showed to interact with education  Income interacted with internal locus of control  The choice of health measures in a population study should comply with the intention to analyze its associations with any of those related factors or in reverse with the wish to prevent their confounding properties Introduction  Gender, SES and psycho social factors are important determinants of health  Gender is preferred over sex especially when social processes and gender-specific social roles rather than biological differences are assumed to result in different health states  Social structural factors were most important to health in women than in men, whereas health behavior was more closely associated wit health in men than in women  Health behavior more closely associated with health in men than in women  Differential employment conditions contribute to gender differences in health  Low SES known to be associated with ill health and mortality and morbidity  Social classes and political conditions also influences inequalities in health  Ill health may also impair the individual SES reversing direction of causality  Weakened social cohesion also plays a role  Sense of coherence and health locus of control are important psychosocial factors related to health  There is considerable heterogeneity regarding study populations  High SES is associated with enlarged availability of psychosocial resources  Population study is 923 participants from 56-66  Health indicators o Self rated health – as an indicator of the subjective general state of health o Physical fitness – as a measure of the ability to perform daily tasks o Number of chronic medical conditions – which equals a measure of morbidity o Subjective assessment of ones restrictions due to medical conditions  Two of these measures self rated health and fitness relate to positive aspects of health  Chronic illness and restrictions due to medical conditions are indictors of ill health  Positive measures highlight the predominance of positive judgments of one’s health state  Measures on ill health are indicators for morbidity and functional impairment in a more strictly biomedical sense HLTB15 WINTER 2013 Data and Methods  Data used from second interv
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