The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group
Recent insights and developments on health and society urge a critical look at the positive relationship between socioeconomic status (SES) and health. We challenge the notions that it is sufficient to distinguish only between two groups of SES (low and high) and that only overall health is taken in...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.849013/full |
| _version_ | 1811182685388800000 |
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| author | John A. J. Dierx Hans D. P. Kasper |
| author_facet | John A. J. Dierx Hans D. P. Kasper |
| author_sort | John A. J. Dierx |
| collection | DOAJ |
| description | Recent insights and developments on health and society urge a critical look at the positive relationship between socioeconomic status (SES) and health. We challenge the notions that it is sufficient to distinguish only between two groups of SES (low and high) and that only overall health is taken into account. A new grouping of SES was developed based on both income and education, resulting in six SES groups. Health was defined in terms of a new positive health concept, operationalized into six health dimensions generating a measure of total general health (TGH). Next, six socioeconomic and demographic determinants of health were included. Linear regression, T-tests and one-way ANOVA were applied to investigate the relationships in a Dutch sample. A subjective way to measure health was applied: self-rated health (SRH). As a result, four out of six dimensions of health determined TGH: bodily functions, daily functioning, quality of life, and social and societal participation. Three out of six socioeconomic and demographic determinants impacted TGH: housing situation, age, and difficulties meeting financial obligations. While this is the general picture for the entire sample, there were interesting similarities and differences between the six SES groups. The similarities lie in the positive impact of the evaluation of bodily functions and daily functioning on TGH in all SES groups. The other dimensions affected TGH in some groups, and some dimensions only in one SES group. None of the socioeconomic and demographic determinants affected TGH in all SES groups. New insights on health inequalities are provided. It is concluded, first that the well-known positive relationship between SES and health is confirmed in this study. Second, further refining the health concept into six dimensions provides more detailed insights on which dimensions impact health the most. The subjective approach applied offers more refined information to better understand which health issues really matter to people. This yields new insights to develop tailor-made interventions aimed at increasing healthy behaviour in specific societal groups. |
| first_indexed | 2024-04-11T09:34:45Z |
| format | Article |
| id | doaj.art-b0b1d5f94fd441a09aaa288fef051ca4 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T09:34:45Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-b0b1d5f94fd441a09aaa288fef051ca42022-12-22T04:31:44ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.849013849013The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic groupJohn A. J. Dierx0Hans D. P. Kasper1Department of Caring Society, Research Group Living in Motion, Avans University of Applied Science, Breda, NetherlandsDepartment of Marketing and Market Research, Maastricht University School of Business and Economics, Maastricht University, Maastricht, NetherlandsRecent insights and developments on health and society urge a critical look at the positive relationship between socioeconomic status (SES) and health. We challenge the notions that it is sufficient to distinguish only between two groups of SES (low and high) and that only overall health is taken into account. A new grouping of SES was developed based on both income and education, resulting in six SES groups. Health was defined in terms of a new positive health concept, operationalized into six health dimensions generating a measure of total general health (TGH). Next, six socioeconomic and demographic determinants of health were included. Linear regression, T-tests and one-way ANOVA were applied to investigate the relationships in a Dutch sample. A subjective way to measure health was applied: self-rated health (SRH). As a result, four out of six dimensions of health determined TGH: bodily functions, daily functioning, quality of life, and social and societal participation. Three out of six socioeconomic and demographic determinants impacted TGH: housing situation, age, and difficulties meeting financial obligations. While this is the general picture for the entire sample, there were interesting similarities and differences between the six SES groups. The similarities lie in the positive impact of the evaluation of bodily functions and daily functioning on TGH in all SES groups. The other dimensions affected TGH in some groups, and some dimensions only in one SES group. None of the socioeconomic and demographic determinants affected TGH in all SES groups. New insights on health inequalities are provided. It is concluded, first that the well-known positive relationship between SES and health is confirmed in this study. Second, further refining the health concept into six dimensions provides more detailed insights on which dimensions impact health the most. The subjective approach applied offers more refined information to better understand which health issues really matter to people. This yields new insights to develop tailor-made interventions aimed at increasing healthy behaviour in specific societal groups.https://www.frontiersin.org/articles/10.3389/fpubh.2022.849013/fullpositive healthsocioeconomic statusself-rated healthsubjective approachNetherlandstailored interventions |
| spellingShingle | John A. J. Dierx Hans D. P. Kasper The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group Frontiers in Public Health positive health socioeconomic status self-rated health subjective approach Netherlands tailored interventions |
| title | The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group |
| title_full | The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group |
| title_fullStr | The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group |
| title_full_unstemmed | The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group |
| title_short | The magnitude and importance of perceived health dimensions define effective tailor-made health-promoting interventions per targeted socioeconomic group |
| title_sort | magnitude and importance of perceived health dimensions define effective tailor made health promoting interventions per targeted socioeconomic group |
| topic | positive health socioeconomic status self-rated health subjective approach Netherlands tailored interventions |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.849013/full |
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