Social Location, Social Integration, and the Co-occurrence of Substance Abuse and Psychological Distress

Tenorio, Kimberly A.; Lo, Celia C.

doi:10.3109/00952990.2011.568079

Cited by 16 publications

(4 citation statements)

References 33 publications

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“…Social Location can be measured through power-related measures (e.g., workplace control, household authority, gender roles), resources-based measures (e.g., income level and social class), prestige-based measures (e.g., educational achievement and occupational status), and discrimination (e.g., immigration status and religion) [15, 17]. It is worth highlighting some dimensions can be looked at from different perspectives.…”

Section: Resultsmentioning

confidence: 99%

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The health equity measurement framework: a comprehensive model to measure social inequities in health

Dover

Belon

2019

Int J Equity Health

118

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Background Despite the wealth of frameworks on social determinants of health (SDOH), two current limitations include the relative superficial description of factors affecting health and a lack of focus on measuring health equity. The Health Equity Measurement Framework (HEMF) addresses these gaps by providing a more encompassing view of the multitude of SDOH and drivers of health service utilisation and by guiding quantitative analysis for public health surveillance and policy development. The objective of this paper is to present the HEMF, which was specifically designed to measure the direct and indirect effects of SDOH to support improved statistical modelling and measurement of health equity. Methods Based on a framework synthesis, the HEMF development involved initially integrating theoretical components from existing SDOH and health system utilisation frameworks. To further develop the framework, relevant publications on SDOH and health equity were identified through a literature review in major electronic databases. White and grey literatures were critically reviewed to identify strengths and gaps in the existing frameworks in order to inform the development of a unique health equity measurement framework. Finally, over a two-year period of consultation, scholars, health practitioners, and local policy influencers from municipal and provincial governments provided critical feedback on the framework regarding its components and causal relationships. Results This unified framework includes the socioeconomic, cultural, and political context, health policy context, social stratification, social location, material and social circumstances, environment, biological factors, health-related behaviours and beliefs, stress, quality of care, and healthcare utilisation. Alongside the HEMF’s self-exploratory diagram showing the causal pathways in-depth, a number of examples are provided to illustrate the framework’s usefulness in measuring and monitoring health equity as well as informing policy-making. Conclusions The HEMF highlights intervention areas to be influenced by strategic public policy for any organisation whose purview has an effect on health, including helping non-health sectors (such as education and labour) to better understand how their policies influence population health and perceive their role in health equity promotion. The HEMF recognises the complexity surrounding the SDOH and provides a clear, overarching direction for empirical work on health equity. Electronic supplementary material The online version of this article (10.1186/s12939-019-0935-0) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…Social Location influences health indirectly. Those in lower Social Locations face an increased likelihood of being victimised or discriminated against and, hence, may be exposed to Psychological Stressors and experience stress [17, 19]. For instance, a new immigrant with limited official language proficiency may feel isolated in his workplace.…”

Section: Resultsmentioning

confidence: 99%

The health equity measurement framework: a comprehensive model to measure social inequities in health

Dover

Belon

2019

Int J Equity Health

118

View full text Add to dashboard Cite

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“…Editor's note. tionships, responsibilities, and social supports that tend to curtail heavy drinking (Gardner & Oswald, 2004;George, 2010;Hackney & Sanders, 2003;Tenorio & Lo, 2011).…”

Section: Introductionmentioning

confidence: 99%

The Role of Immigration Status in Heavy Drinking Among Asian Americans

Cheng

Howell

2014

Substance Use & Misuse

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We examined the role of Asian Americans' immigration status in their heavy drinking, using a national sample of 3,574 Asian American adults during 2008 to 2011 when surveyed by the National Health Interview Survey. Our results, with relevant social structural factors controlled, show that U.S.-born Asian Americans exhibited the highest heavy-drinking levels, followed by long-time-resident Asian immigrants, then recent-resident Asian immigrants (our three main subsamples). The higher heavy-drinking levels characterizing U.S.-born Asians who were male and younger, as compared to immigrant Asians who were male and younger, helped explain differential heavy-drinking levels across subsamples. The study's limitations are noted.

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“…Theoretically, marriage is a social relationship factor promoting spousal financial, emotional, and social support (House, 1987); it also typically links individuals to conventional society and to others, via responsibilities to the spouse (Sampson & Laub, 1993). Empirical evidence has correlated marriage with lower drinking levels and better health (Tenorio & Lo, 2011). Interestingly, in our study, marriage's life-prolonging effect was strongest in the Black subsample-the one whose marriage rate was lowest.…”

Section: Discussionmentioning

confidence: 43%

Racial Disparities in Age at Time of Homicide Victimization

Howell

Cheng

2014

J Interpers Violence

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This study sought the factors associated with race/ethnicity disparities in the age at which homicide deaths tend to occur. We used the multiple disadvantage model to take race into account as we evaluated associations between age at time of homicide victimization and several social structural, mental health-related, and lifestyle factors. Data were derived from the 1993 National Mortality Followback Survey, a cross-sectional interview study of spouses, next of kin, other relatives, and close friends of individuals 15 years and older who died in the United States in 1993. Our results showed age at time of homicide mortality to be related to the three types of factors; race moderated some of these relationships. In general, being employed, married, and a homeowner appeared associated with reduced victimization while young. The relationship of victimization age and employment was not uniform across racial groups, nor was the relationship of victimization age and marital status uniform across groups. Among Blacks, using mental health services was associated with longer life. Homicide by firearm proved important for our Black and Hispanic subsamples, while among Whites, alcohol's involvement in homicide exerted significant effects. Our results suggest that programs and policies serving the various racial/ethnic groups can alleviate multiple disadvantages relevant in homicide victimization at an early age.

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Social Location, Social Integration, and the Co-occurrence of Substance Abuse and Psychological Distress

Abstract: Confirmation that marriage and religiosity can protect adults against co-occurring substance abuse and psychological distress potentially provides the information necessary to better target health policy and interventions that serve to further enhance the population?s mental health.

Cited by 16 publications

References 33 publications

The health equity measurement framework: a comprehensive model to measure social inequities in health

The health equity measurement framework: a comprehensive model to measure social inequities in health

The Role of Immigration Status in Heavy Drinking Among Asian Americans

Racial Disparities in Age at Time of Homicide Victimization

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