Impact of social class on health: The mediating role of health self-management.

<h4>Background</h4>Studies have explored the relationship between social class and health for decades. However, the underlying mechanism between the two remains not fully understood. This study aimed to explore whether health self-management had a mediating role between social class and...

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Autores principales:	Xiaoyong Hu, Tiantian Wang, Duan Huang, Yanli Wang, Qiong Li
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3b1f142499854be98699075b4706a79f
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spelling	oai:doaj.org-article:3b1f142499854be98699075b4706a79f2021-12-02T20:09:08ZImpact of social class on health: The mediating role of health self-management.1932-620310.1371/journal.pone.0254692https://doaj.org/article/3b1f142499854be98699075b4706a79f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254692https://doaj.org/toc/1932-6203<h4>Background</h4>Studies have explored the relationship between social class and health for decades. However, the underlying mechanism between the two remains not fully understood. This study aimed to explore whether health self-management had a mediating role between social class and health under the framework of Socio-cultural Self Model.<h4>Methods</h4>663 adults, randomly sampled from six communities in Southwest China, completed the survey for this study. Social class was assessed using individuals' income, education, occupation. Health self-management was assessed through evaluation of the health self-management behavior, health self-management cognition, health self-management environment. Physical health and mental health were measured by the Chinese version of Short-Form (36-item) Health Survey, which contains Physical Functioning, Role-Physical, Role-Emotional, Vitality, Mental Health, Social Function, Bodily Pain and General Health. Pearson's correlation was used to examine the associations between major variables. Mediation analyses were performed to explore the mediating role of health self-management.<h4>Results</h4>Social class positively predicted self-rated health. The lower the social class, the lower the self-reported physical and mental health. Health self-management partially mediated the relationship between social class and self-rated health. That is, the health self-management ability of the lower class, such as access to healthy and nutritious food and evaluate their own health status, is worse than that of the higher class, which leads to physical and mental health inequality between the high and the low classes.<h4>Conclusion</h4>Health self-management mediated the relationship between social class and health. Promoting health self-management abilities are conducive to improving both physical and mental health.Xiaoyong HuTiantian WangDuan HuangYanli WangQiong LiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254692 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xiaoyong Hu Tiantian Wang Duan Huang Yanli Wang Qiong Li Impact of social class on health: The mediating role of health self-management.
description	<h4>Background</h4>Studies have explored the relationship between social class and health for decades. However, the underlying mechanism between the two remains not fully understood. This study aimed to explore whether health self-management had a mediating role between social class and health under the framework of Socio-cultural Self Model.<h4>Methods</h4>663 adults, randomly sampled from six communities in Southwest China, completed the survey for this study. Social class was assessed using individuals' income, education, occupation. Health self-management was assessed through evaluation of the health self-management behavior, health self-management cognition, health self-management environment. Physical health and mental health were measured by the Chinese version of Short-Form (36-item) Health Survey, which contains Physical Functioning, Role-Physical, Role-Emotional, Vitality, Mental Health, Social Function, Bodily Pain and General Health. Pearson's correlation was used to examine the associations between major variables. Mediation analyses were performed to explore the mediating role of health self-management.<h4>Results</h4>Social class positively predicted self-rated health. The lower the social class, the lower the self-reported physical and mental health. Health self-management partially mediated the relationship between social class and self-rated health. That is, the health self-management ability of the lower class, such as access to healthy and nutritious food and evaluate their own health status, is worse than that of the higher class, which leads to physical and mental health inequality between the high and the low classes.<h4>Conclusion</h4>Health self-management mediated the relationship between social class and health. Promoting health self-management abilities are conducive to improving both physical and mental health.
format	article
author	Xiaoyong Hu Tiantian Wang Duan Huang Yanli Wang Qiong Li
author_facet	Xiaoyong Hu Tiantian Wang Duan Huang Yanli Wang Qiong Li
author_sort	Xiaoyong Hu
title	Impact of social class on health: The mediating role of health self-management.
title_short	Impact of social class on health: The mediating role of health self-management.
title_full	Impact of social class on health: The mediating role of health self-management.
title_fullStr	Impact of social class on health: The mediating role of health self-management.
title_full_unstemmed	Impact of social class on health: The mediating role of health self-management.
title_sort	impact of social class on health: the mediating role of health self-management.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3b1f142499854be98699075b4706a79f
work_keys_str_mv	AT xiaoyonghu impactofsocialclassonhealththemediatingroleofhealthselfmanagement AT tiantianwang impactofsocialclassonhealththemediatingroleofhealthselfmanagement AT duanhuang impactofsocialclassonhealththemediatingroleofhealthselfmanagement AT yanliwang impactofsocialclassonhealththemediatingroleofhealthselfmanagement AT qiongli impactofsocialclassonhealththemediatingroleofhealthselfmanagement
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Impact of social class on health: The mediating role of health self-management.

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