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首页> 外文期刊>Annals of epidemiology >Socioeconomic determinants of psychological well-being: the role of income, income change, and income sources during the course of 29 years.
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Socioeconomic determinants of psychological well-being: the role of income, income change, and income sources during the course of 29 years.

机译：心理健康的社会经济决定因素：29年间收入，收入变化和收入来源的作用。

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BACKGROUND: Considerable evidence indicates that income and other measures of socioeconomic position are associated with a wide variety of health outcomes. The authors of a few studies have prospectively examined the association between socioeconomic position over the course of decades and health outcomes. The present study, covering almost three decades of the life course, examined the cumulative impact of different income measures on psychological well-being among adults. METHODS: We used data collected over the course of 29 years (1965-1994) from Alameda County Study participants to study the association between average income, income changes, profit and benefit incomes-and five scales of psychological well-being--Purpose in Life, Self-acceptance, Personal Growth, Environmental Mastery, and Autonomy. In age-adjusted models, the psychological well-being measures were each regressed on each of the income measures. Potential confounders (sex, education, race/ethnicity, social isolation, depression, andperceived health) were also examined. RESULTS: Mean income over the course of almost three decades was strongly associated with all five scales of psychological well-being. Psychological well-being increased with the number of waves in which profit income was reported and with income increases over time. For all scales except Autonomy, psychological well-being decreased with the number of waves receiving need-based benefit and with decreasing income over time. CONCLUSIONS: Psychological well-being may reflect the accumulation of socioeconomic advantage and disadvantage over decades.
机译：背景：大量证据表明，收入和其他社会经济地位衡量指标与各种各样的健康结果有关。一些研究的作者前瞻性地研究了几十年来的社会经济状况与健康状况之间的关系。本研究涵盖了生命的将近三十年，研究了不同收入指标对成年人心理健康的累积影响。方法：我们使用了阿拉米达县研究参与者在过去29年（1965-1994年）中收集的数据，研究了平均收入，收入变化，利润和收益收入与五种心理健康量表之间的关系。生活，自我接纳，个人成长，对环境的掌握和自主。在按年龄调整的模型中，心理健康措施分别针对每种收入措施进行回归。还检查了潜在的混杂因素（性别，教育程度，种族/民族，社会隔离，抑郁和可感知的健康状况）。结果：近三十年来的平均收入与所有五个心理健康量表均密切相关。随着报告收入的波动次数的增加以及收入随时间的增加，心理健康程度也随之提高。对于除自治之外的所有规模，心理健康都会随着接受基于需求的收益的浪潮次数的减少以及随着时间的推移收入的减少而下降。结论：心理健康可能反映了数十年来社会经济优势和劣势的积累。

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