Social determinants of self-rated health : the interaction of gender with socioeconomic status and social relationships in the Yukon

Bonnie Lynn Jeffery
This study addressed the social determinants of health with a specific focus on three factors in the social environment that either individually or collectively have an influence on health status: gender, socioeconomic status (SES), and people's social relationships. The purpose of the study was to examine whether people's social relationships mediate the effects of SES on self-rated health status and to assess whether these effects differ for women and men. The research questions were examined
more » ... by formulating a theoretical model and evaluating the hypothesized relationships through the use of structural equation modelling. The analyses were conducted using LISREL on data from 1,239 non-First Nations Yukon residents who participated in the Territory's 1993 Health Promotion Survey. The results of this study suggest that household income significantly affected women's and men's health by influencing aspects of their social relationships. A higher overall rating of the quality of one's social relationships was associated with positive health ratings for both women and men while the perception that support would be available if needed significantly affected only women's self-ratings of their health. Received social support was negatively associated with women's health, but not men's, suggesting that the context in which support is received has an important influence on women's health. Relationship strain, as measured by care provided to several sources, was not significantly related to women's or men's health-ratings. The analyses also identify important interrelationships among the dimensions of social relationships studied as well as some gender differences among these relationships. For both women and men, positive evaluations of the importance of social relationships for their health and a greater number of social ties significantly influenced ratings of the overall quality of their social relationships. Having more social ties also positively influenced the perception of availability o [...]
doi:10.14288/1.0076828 fatcat:6gao7dbg6vab5ipwbykn5a7gc4