童年社經地位、成人社經地位與自覺健康的關係

Socioeconomic Status in Childhood and Adulthood, and Self-rated Health

詹宜娟(Yi-Juan Zhan)

指導教授 ： 江東亮

國立臺灣大學/公共衛生學院/衛生政策與管理研究所/碩士(2005年)

https://doi.org/10.6342/NTU.2005.02317

摘要

目的：探討童年社經地位與成人社經地位，各別對成人自覺健康的影響。
方法：本研究主要利用「台灣地區社會變遷基本調查計畫第四期第一次」，選取25至64歲者為研究對象，共計1489人。其中童年社經地位的測量以父親教育程度作為指標，成人社經地位以個人教育程度、全家月收入為代表，成人健康則以身體健康與心理健康（CHQ）進行測量。
結果：成人社經地位對成人自覺健康有著較強烈的影響，但童年社經地位與成人自覺健康的關係則較微弱或無關。此外，我們亦發現成人社經地位與童年社經地位具有高度相關，且成人社經地位對健康的影響有部分會被童年社經地位所解釋。
結論：相較於童年社經地位，成人社經地位為成人健康更重要的預測因子。但童年社經地位的重要性亦不容忽視，因為它與成人社經地位的取得息息相關，將進而影響成人健康。

關鍵字

童年社經地位 ； 成人社經地位 ； 自覺健康

並列摘要

Objective:To examine the associations of childhood and adult socioeconomic status with self-rated health in adulthood.
Methods:Data came from the Taiwan Social Change Survey (Year 1 of Cycle 4), with a national representative sample of 1489 people aged 25-64. Socioeconomic status in childhood was measured by father’s education. Adult socioeconomic status was based on participant’s education and household income. Dependant variable was self-rated health, including physical health and mental health (CHQ).
Results:Self-rated health in adulthood was associated with adult socioeconomic status, but that with childhood socioeconomic status was very weak. In addition, there was a strong relationship between adult and childhood socioeconomic status, so the effects of adult socioeconomic status might be partially explained by socioeconomic status in childhood.
Conclusions:Socioeconomic status in adulthood is a stronger predictor of adult health than that in childhood. However, childhood socioeconomic status is also important in its effects on adult socioeconomic status, which in turn influences adult health.

並列關鍵字

Childhood Socioeconomic Status ； Adult Socioeconomic Status ； Self-rated Health

參考文獻

1. 鍾文慎、張新儀、石曜堂、溫啟邦：國人自覺心理健康：2001年國民健康訪問調查結果。台灣衛誌2003；22：465-473。

1. Araya R, Lewis G, Rojas G, Fritsch R. Education and income: which is more important for mental health? Journal of Epidemiology and Community Health 2003; 57: 501-5.

2. Brunner E, Shipley M, Blane D, Smith G, Marmot M. When does cardiovascular risk start? Past and present socioeconomic circumstances and risk factors in adulthood. Journal of Epidemiology and Community Health 1999; 53: 757-64.

3. Beebe-Dimme J, Lynch J, Turrell G, Lustgarten S, Raghunathan T, Kaplan G. Childhood and Adult Socioeconomic Conditions and 31-Year Mortality Risk in Women. Am J Epidemiol 2004; 159: 481-90.

4. Ben-Shlomo Y, Davey Smith G. Deprivation in infancy or in adult life: which is more important for mortality risk? Lancet 1991; 337:530-34.