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社會政策與社會工作學刊 TSSCI

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篇名 社會階級與健康不平等的因徑探索
卷期 9:1
並列篇名 Social Classes and the Process of Health Inequality
作者 曾敏傑
頁次 025-076
關鍵字 社會階級健康不平等呼吸道疾病社會階層醫療社會social classhealth inequalityrespiratory diseasesocial stratificationmedical sociologyTSSCI
出刊日期 200506

中文摘要

本文旨在探討社會階級在因應空氣污染時之文化態度取向、物質 資源、及呼吸道健康的差異,並檢視社會階級如何透過「文化差異」 與「資源差異」的中介,導致呼吸道健康的不平等。分析後發現: (1 )以單一向度的馬克思、達倫多夫、與主觀階級概念界定社會階級 後,發現社會階級與因應空污的文化態度取向、物質資源、及呼吸道 健康存在關聯。(2)經以多元向度的教育程度、職業地位、與所得 聯合界定社會階級後,發現社會階級透過「文化差異」與「資源差異」 的中介過程導致呼吸道健康的不平等;而教育程度僅存在透過「文化 差異」的中介影響,顯示「文化論」特別足以解釋爲何低教育程度者 有較差的呼吸道健康;至於所得則僅透過「資源差異」的間接影響, 顯示「資源論」的觀點特別足以説明爲何高所得者較低所得者有較佳 的呼吸道健康。

英文摘要

The major purposes of this study were to explore the differentials of “cultural capital ”, “physical capital ” and “health inequalities ” among social classes, in terms of how theirs respiratory function were affected by air pollution and other risk factors. A sample of 1,205 full-time workers, randomly selected from Taipei city, was analyzed by using Oneway ANOVA and path analysis. Finally the findings indicated that: (1) The higher social classes tend to have more cultural capital and physical capital in coping with air pollution, also to have better respiratory function; (2) The effects of social classes on the inequalities of respiratory function were mediated by the process of both cultural and physical differentials among social classes. Though both cultural and physical perspectives can explain the inequalities of respiratory function among social classes, however, the cultural perspective seems to be more valid to explain the health inequalities among social classes defined by the dimension of education. By contrast, the physical perspective is more valid to explain the health inequalities among social classes defined by the dimension of income.

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