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Subjective assessments of income and social class on health and survival: An enigma

机译：收入和社会阶层对健康和生存的主观评估：一个谜

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We examined the association between various measures of subjective social class identification (SSCI) and self-rated health as well as survival using the 2014 General Social Survey-National Death Index dataset (n = 21,108). We used multinomial logistic regression models to assess the association between SSCI and self-rated health and used Cox proportional hazards to assess the association between SSCI and survival. All analyses were adjusted for age, year at interview, race, gender, family income, and educational attainment level. The measures of SSCI that we had available were strongly correlated with self-rated health after controlling for objective measures of social status. For example, those who saw themselves as lower class were nine times as likely to self-report poor rather than excellent health status (odds ratio = 8.69; 95% confidence interval = 5.04–14.98) compared with those saw themselves as upper class. However, no such associations were observed for survival. While our alternative measures of SSCI were important predictors of self-rated health, they were not predictive of survival. This suggests that there may be potential confounding between two perceptions: SSCI and self-rated health.
机译：我们使用2014年一般社会调查-全国死亡指数数据集（n = 21,108）检验了主观社会阶层识别（SSCI）的各种测度与自我评估的健康以及生存之间的关联。我们使用多项式逻辑回归模型评估SSCI与自我评估健康之间的关联，并使用Cox比例风险评估SSCI与生存之间的关联。所有分析均根据年龄，面试年份，种族，性别，家庭收入和受教育程度进行了调整。控制社会地位的客观指标后，我们可用的SSCI指标与自我评估的健康状况密切相关。例如，那些将自己视为下层阶级的人自我报告为贫困而不是健康状况良好的可能性是其上层阶级的九倍（优势比= 8.69; 95％置信区间= 5.04–14.98）。然而，没有观察到这种关联的生存。尽管我们对SSCI的替代测量是自我评估健康状况的重要预测指标，但它们并不能预测生存率。这表明，两种认知之间可能存在混淆：SSCI和自我评价的健康。

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