2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: Pressing issues, like financial concerns, may outweigh the
|
|
|
|
|
|
|
|
importance people attach to health. This study tested whether health,
|
|
|
|
|
|
|
|
compared to other life domains, was considered more important by people
|
|
|
|
|
|
|
|
in high versus low socioeconomic positions, with future focus and
|
|
|
|
|
|
|
|
financial strain as potential explanatory factors.
|
|
|
|
|
|
|
|
Methods: A cross-sectional survey was conducted in 2019 among N=1,330
|
|
|
|
|
|
|
|
Dutch adults. Participants rated the importance of two health-related
|
|
|
|
|
|
|
|
domains (not being ill, living a long life) and seven other life domains
|
|
|
|
|
|
|
|
(e.g., work, family) on a five-point scale. A latent class analysis
|
|
|
|
|
|
|
|
grouped participants in classes with similar patterns of importance
|
|
|
|
|
|
|
|
ratings. Differences in class membership according to socioeconomic
|
|
|
|
|
|
|
|
position (indicated by income and education) were examined using
|
|
|
|
|
|
|
|
structural equation modelling, with future focus and financial strain as
|
|
|
|
|
|
|
|
mediators.
|
|
|
|
|
|
|
|
Results: Three classes were identified, which were defined as:
|
|
|
|
|
|
|
|
neutralists, who found all domains neutral or unimportant (3.5\% of the
|
|
|
|
|
|
|
|
sample); hedonists, who found most domains important except living a
|
|
|
|
|
|
|
|
long life, work, and religion (36.2\%); and maximalists, who found
|
|
|
|
|
|
|
|
nearly all domains important, including both health domains (60.3\%). Of
|
|
|
|
|
|
|
|
the neutralists, 38\% considered not being ill important, and 30\%
|
|
|
|
|
|
|
|
considered living a long life important. For hedonists, this was 92\%
|
|
|
|
|
|
|
|
and 39\%, respectively, and for maximalists this was 99\% and 87\%,
|
|
|
|
|
|
|
|
respectively. Compared to belonging to the maximalists class, a low
|
|
|
|
|
|
|
|
income predicted belonging to the neutralists, and a higher educational
|
|
|
|
|
|
|
|
level and unemployment predicted belonging to the hedonists. No
|
|
|
|
|
|
|
|
mediation pathways via future focus or financial strain were found.
|
|
|
|
|
|
|
|
Conclusions: Lower income groups were less likely to consider not being
|
|
|
|
|
|
|
|
ill important. Those without paid employment and those with a higher
|
|
|
|
|
|
|
|
educational level were less likely to consider living a long life
|
|
|
|
|
|
|
|
important. Neither future focus nor financial strain explained these
|
|
|
|
|
|
|
|
inequalities. Future research should investigate socioeconomic
|
|
|
|
|
|
|
|
differences in conceptualisations of health, and if inequalities in the
|
|
|
|
|
|
|
|
perceived importance of health are associated with inequalities in
|
|
|
|
|
|
|
|
health. To support individuals dealing with challenging circumstances in
|
|
|
|
|
|
|
|
daily life, health-promoting interventions could align to the life
|
|
|
|
|
|
|
|
domains perceived important to reach their target group and to prevent
|
|
|
|
|
|
|
|
widening socioeconomic health inequalities.'
|
|
|
|
affiliation: 'Verra, SE (Corresponding Author), Univ Utrecht, Dept Interdisciplinary
|
|
|
|
Social Sci, Padualaan 14, NL-3584 CH Utrecht, Netherlands.
|
|
|
|
|
|
|
|
Verra, Sanne E.; Mudd, Andrea L.; de Wit, John; Kamphuis, Carlijn B. M., Univ Utrecht,
|
|
|
|
Dept Interdisciplinary Social Sci, Padualaan 14, NL-3584 CH Utrecht, Netherlands.
|
|
|
|
|
|
|
|
Poelman, Maartje P.; de Vet, Emely; van Rongen, Sofie, Wageningen Univ \& Res, Chair
|
|
|
|
Grp Consumpt \& Hlth Lifestyles, Hollandseweg 1, NL-6706 KN Wageningen, Netherlands.'
|
|
|
|
article-number: '86'
|
|
|
|
author: Verra, Sanne E. and Poelman, Maartje P. and Mudd, Andrea L. and de Vet, Emely
|
|
|
|
and van Rongen, Sofie and de Wit, John and Kamphuis, Carlijn B. M.
|
|
|
|
author-email: s.e.verra@uu.nl
|
|
|
|
author_list:
|
|
|
|
- family: Verra
|
|
|
|
given: Sanne E.
|
|
|
|
- family: Poelman
|
|
|
|
given: Maartje P.
|
|
|
|
- family: Mudd
|
|
|
|
given: Andrea L.
|
|
|
|
- family: de Vet
|
|
|
|
given: Emely
|
|
|
|
- family: van Rongen
|
|
|
|
given: Sofie
|
|
|
|
- family: de Wit
|
|
|
|
given: John
|
|
|
|
- family: Kamphuis
|
|
|
|
given: Carlijn B. M.
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1186/s12889-022-12508-2
|
|
|
|
eissn: 1471-2458
|
|
|
|
files: []
|
|
|
|
journal: BMC PUBLIC HEALTH
|
|
|
|
keywords-plus: DISENGAGEMENT; CONSEQUENCES; EXPLANATION; MORTALITY; VARIABLES; LIVES
|
|
|
|
language: English
|
|
|
|
month: JAN 13
|
|
|
|
number: '1'
|
|
|
|
number-of-cited-references: '42'
|
|
|
|
orcid-numbers: 'De Vet, Emely/0000-0002-4452-2367
|
|
|
|
|
|
|
|
Verra, Sanne/0000-0003-4963-0153'
|
|
|
|
papis_id: d4ea94ee4d404f746d75caf74fa0838d
|
|
|
|
ref: Verra2022whatsimportant
|
|
|
|
researcherid-numbers: 'De Vet, Emely/B-4896-2014
|
|
|
|
|
|
|
|
'
|
|
|
|
times-cited: '2'
|
|
|
|
title: What's important to you? Socioeconomic inequalities in the perceived importance
|
|
|
|
of health compared to other life domains
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000742366700005
|
|
|
|
usage-count-last-180-days: '1'
|
|
|
|
usage-count-since-2013: '3'
|
|
|
|
volume: '22'
|
|
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
|
|
year: '2022'
|