Socioeconomic inequalities in mortality and importance of perceived control: Cohort Study
Open accessAbstract
Perceived control has convincingly been suggested to be a key concept in explaining socioeconomic differences in health. 1 Some empirical evidence exists of a higher prevalence of low control beliefs (such as powerlessness or fatalism) in lower socioeconomic groups and that this is relevant to socioeconomic inequalities in general health.2 However, a systematic examination of the extent to which perceived control contributes to socioeconomic inequalities in mortality is lacking.This is important, as attention has recently shifted towards psychological and psychosocial explanations of socioeconomic inequalities in health.
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Structurally imposed "ecosocial" and "psychosocial factors" have been found to be of greatest importance in the relationship between social inequality and poorer health.
“What have been found to be of greatest importance in the relationship between social inequality and poorer health are structurally imposed “ecosocial” and “psychosocial factors” ( Bosman, Schrijvers, & Mackenback, 1999 ; Kawachi, Kennedy, & Wilkinson, 1999 ).”
From Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context (2006) · cites this paper as Bosman, Schrijvers, & Mackenback, 1999
The Participants, methods, and results section reports that perceived low control accounted for an average of 51% of the raised mortality risk in the lowest socioeconomic groups. The Comment section links low control partly to adverse socioeconomic conditions. This supports the importance of a psychosocial factor, but the paper does not establish that ecosocial and psychosocial factors as a whole are of greatest importance relative to other explanations. (LLM, conf=0.85)
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References 8 · Cited by 179
- Authors
- Bosma, H., Schrijvers, C., & Mackenbach, J. P.
- Affiliations
- Erasmus University Rotterdam (NL)
- Corresponding author
- Bosma, H.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1999-12-04
- Volume
- 319
- Issue
- 7223
- Pages
- 1469-1470
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC28291
- OpenAlex
- W2140696654
- Semantic Scholar
- cefaf032a3f2a0da60016b37a64a851551318070
- Cited by
- 179
- References
- 8
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 18 · 2018: 5 · 2017: 7 · 2016: 7 · 2015: 7 · 2014: 5 · 2013: 6 · 2012: 10
- FWCI
- 7.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Keywords
- perceived control, socioeconomic inequalities in health, mortality, powerlessness, fatalism, psychosocial factors, socioeconomic status
- MeSH terms
- Adult, Aged, Attitude, Female, Humans, Internal-External Control, Male, Middle Aged, Mortality, Netherlands, Socioeconomic Factors, Cohort Studies
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