{"title":"The Unequal Loop: Socioeconomic Status and the Dynamic Bidirectional Relationship between Physical and Mental Health","authors":"Yajie Xiong, Yaqiang Qi","doi":"10.1177/00221465241300303","DOIUrl":null,"url":null,"abstract":"This study draws on longitudinal data from the Health and Retirement Study (2008–2020) to investigate the dynamic bidirectional relationship between physical and mental health, focusing on socioeconomic disparities. Dynamic panel models reveal significant bidirectional associations between measures of physical and mental health for both positive and negative health indicators, but the magnitude varies by education and wealth. Specifically, the interconnection between indicators of negative physical and mental health (i.e., functional limitations and depression symptoms) is stronger among the socioeconomically disadvantaged, whereas the relationship between indicators of positive physical and mental health (i.e., physical activity and positive affect) is stronger at higher levels of wealth (although not education). By disentangling the bidirectional association between physical and mental health, these results imply an important process of the reproduction and perpetuation of health inequalities.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"4 1","pages":""},"PeriodicalIF":6.3000,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health and Social Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00221465241300303","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
引用次数: 0
Abstract
This study draws on longitudinal data from the Health and Retirement Study (2008–2020) to investigate the dynamic bidirectional relationship between physical and mental health, focusing on socioeconomic disparities. Dynamic panel models reveal significant bidirectional associations between measures of physical and mental health for both positive and negative health indicators, but the magnitude varies by education and wealth. Specifically, the interconnection between indicators of negative physical and mental health (i.e., functional limitations and depression symptoms) is stronger among the socioeconomically disadvantaged, whereas the relationship between indicators of positive physical and mental health (i.e., physical activity and positive affect) is stronger at higher levels of wealth (although not education). By disentangling the bidirectional association between physical and mental health, these results imply an important process of the reproduction and perpetuation of health inequalities.
本研究利用《健康与退休研究》（Health and Retirement study, 2008-2020）的纵向数据，研究身心健康之间的动态双向关系，重点关注社会经济差异。动态面板模型揭示了积极和消极健康指标的身心健康测量之间的显著双向关联，但其程度因教育和财富而异。具体而言，消极身心健康指标（即功能限制和抑郁症状）之间的相互联系在社会经济上处于不利地位的人群中更为强烈，而积极身心健康指标（即身体活动和积极影响）之间的关系在财富水平较高的人群中更为强烈（尽管教育程度不高）。通过解开生理和心理健康之间的双向联系，这些结果意味着健康不平等的再现和延续的一个重要过程。
期刊介绍：
Journal of Health and Social Behavior is a medical sociology journal that publishes empirical and theoretical articles that apply sociological concepts and methods to the understanding of health and illness and the organization of medicine and health care. Its editorial policy favors manuscripts that are grounded in important theoretical issues in medical sociology or the sociology of mental health and that advance theoretical understanding of the processes by which social factors and human health are inter-related.
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