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Social inequality, population health, and housing: Towards a social geography of health.

机译:社会不平等,人口健康和住房:迈向健康的社会地理。

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摘要

This dissertation brings social geography and population health together to argue that the key social and psychosocial factors shaping health status concern power relations, identity, social status, and control over life circumstances in the course of everyday life. Specifically, the social gradient in health status is attributable not only to individuals' absolute material circumstances (e.g., income), but also to their relative material circumstances, or the social meanings they attach to their material circumstances in the course of everyday life. A major contribution of this work, therefore, is the development of a theoretical argument to explain the ways in which. power relations, identity, status, and control could produce social gradients in health status.;This reading of social geography and its potential intersection with population health finds that housing, a significant factor in the generation of social inequality second only to inequalities arising in the realm of work, has been neglected in population health research. Similarly, in the sizable literature on the relationship between housing and health, little consideration is given to housing as a factor in the generation of social inequalities, and as a crucial nexus for the differentially distributed stresses of everyday life.;The dissertation takes on an empirical case study of relationships between housing and health in two Vancouver neighbourhoods to investigate housing as a nexus for the multiple, overlapping stressors of day-to-day life, and their relationship to health status. The results of a social survey of the two neighbourhoods (n = 206 and n = 322), and a series of depth interviews (n = 8 for each neighbourhood) find individuals' social status, social support, coping, and stress measures to be associated with self-reported general and mental health status, in addition to their satisfaction with various aspects of their dwelling, the degree to which they invest their home with meaning, and the degree to which their home is a site for the exercise of control. The depth interview findings contextualize these factors, showing that home is indeed an important site to people for the exercise of control and the investment of meaning, especially as a reflection of their identity. These results are broadly consistent with the theoretical framework for housing and population health proposed, and signal the need for further research that uses longitudinal quantitative, as well as qualitative research to investigate how ordinary, everyday life differs for people of different social status, in different kinds of neighbourhood social environments, and in different kinds of housing situations. (Abstract shortened by UMI.).
机译:本文将社会地理学和人口健康综合起来,认为构成健康状况的关键社会和心理因素涉及到权力关系,身份,社会地位以及在日常生活过程中对生活状况的控制。具体而言,健康状况的社会梯度不仅归因于个人的绝对物质状况(例如收入),还归因于他们的相对物质状况,或他们在日常生活过程中依附于物质状况的社会意义。因此,这项工作的主要贡献是发展了一种理论论据来解释其中的方式。权力关系,身份,地位和控制权可能会在健康状况方面产生社会梯度。这种对社会地理及其与人口健康的潜在交叉的解读发现,住房是造成社会不平等的重要因素,仅次于社会不平等所产生的不平等。工作领域,在人口健康研究中一直被忽略。同样,在有关住房与健康之间关系的大量文献中,很少考虑将住房作为社会不平等产生的一个因素,并且将其作为日常生活中压力分散的重要纽带。温哥华两个居民区住房与健康之间关系的经验案例研究,以调查住房作为日常生活中多重,重叠的压力源及其与健康状况之间关系的纽带。对两个街区(n = 206和n = 322)进行社会调查的结果,以及一系列深度访谈(每个街区n = 8),发现个人的社会地位,社会支持,应对和压力衡量是与自我报告的一般和精神健康状况有关,除了他们对住房的各个方面都感到满意之外,他们对房屋进行有意义的投资的程度以及他们对房屋进行控制的程度。深度访谈的发现将这些因素联系起来,表明家庭确实是人们进行控制和意义投资的重要场所,尤其是反映他们的身份。这些结果与拟议中的住房和人口健康的理论框架大致相符,并表明需要进行进一步的研究,该研究使用纵向定量研究以及定性研究,以调查不同社会地位,不同人群的日常生活如何不同各种邻里社会环境,以及各种住房情况。 (摘要由UMI缩短。)。

著录项

  • 作者

    Dunn, James Roland.;

  • 作者单位

    Simon Fraser University (Canada).;

  • 授予单位 Simon Fraser University (Canada).;
  • 学科 Geography.;Health Sciences Public Health.;Sociology Demography.
  • 学位 Ph.D.
  • 年度 1998
  • 页码 370 p.
  • 总页数 370
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 能源与动力工程;
  • 关键词

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