Looking for capacities rather than vulnerabilities: The moderating effect of health assets on the associations between adverse social position and health

PREVENTIVE MEDICINE

卷:110

Article

Roy, Mathieu^1,2  Levasseur, Melanie^3,4  Dore, Isabelle^5,6  St-Hilaire, France⁷  Michallet, Bernard⁸  Couturier, Yves^3,9  Maltais, Danielle¹⁰  Lindstrom, Bengt¹¹  Genereux, Melissa^12,13 

[1] Eastern Townships Integrated Univ Hlth & Social S, Hlth Technol & Social Serv Assessment Unit, Sherbrooke, PQ, Canada

[2] Univ Sherbrooke, Dept Family Med & Emergency Med, Fac Med & Hlth Sci, Sherbrooke, PQ, Canada

[3] Eastern Townships Integrated Univ Hlth & Social S, Res Ctr Aging, Sherbrooke, PQ, Canada

[4] Univ Sherbrooke, Sch Rehabil, Fac Med & Hlth Sci, Sherbrooke, PQ, Canada

[5] Univ Toronto, Fac Kinesiol & Phys Educ, Toronto, ON, Canada

[6] Montreal Hosp Univ Res Ctr, CHUM Res Ctr, Montreal, PQ, Canada

[7] Univ Sherbrooke, Dept Management & Human Resources, Sch Business, Sherbrooke, PQ, Canada

[8] Univ Quebec Trois Rivieres, Dept Speech Language Therapy, Trois Rivieres, PQ, Canada

[9] Univ Sherbrooke, Sch Social Work, Fac Letters & Human Sci, Sherbrooke, PQ, Canada

[10] Univ Quebec Chicoutimi, Dept Human & Social Sci, Saguenay, PQ, Canada

[11] Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, Fac Social Sci & Technol Management, Trondheim, Norway

[12] Eastern Townships Integrated Univ Hlth & Social S, Eastern Townships Publ Hlth Dept, Sherbrooke, PQ, Canada

[13] Univ Sherbrooke, Dept Community Hlth Sci, Fac Med & Hlth Sci, Sherbrooke, PQ, Canada

关键词: Public health;    Health promotion;    Health assets;    Capacities;    Resilience;    Psychological;    Mental health;    Adaptation;    Psychological;    Social participation;   

DOI  :  10.1016/j.ypmed.2018.02.014

来源: Elsevier

【 摘 要 】

To increase capacities and control over health, it is necessary to foster assets (i.e. factors enhancing abilities of individuals or communities). Acting as a buffer, assets build foundations for overcoming adverse conditions and improving health. However, little is known about the distribution of assets and their associations with social position and health. In this study, we documented the distribution of health assets and examined whether these assets moderate associations between adverse social position and self-reported health. A representative population-based cross-sectional survey of adults in the Eastern Townships, Quebec, Canada (n=8737) was conducted in 2014. Measures included assets (i.e. resilience, sense of community belonging, positive mental health, social participation), self-reported health (i.e. perceived health, psychological distress), and indicators of social position. Distribution of assets was studied in relation to gender and social position. Logistic regressions examined whether each asset moderated associations between adverse social position and self-reported health. Different distributions of assets were observed with different social positions. Women were more likely to participate in social activities while men were more resilient. Resilience and social participation were moderators of associations between adverse social position (i.e. living alone, lower household income) and selfreported health. Having assets contributes to better health by increasing capacities. Interventions that foster assets and complement current public health services are needed, especially for people in unfavorable situations. Health and social services decision-makers and practitioners could use these findings to increase capacities and resources rather than focusing primarily on preventing diseases and reducing risk factors.

【 授权许可】

Free