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Looking for capacities rather than vulnerabilities: the moderating effect of health assets on the associations between adverse social position and health

Roy Mathieu, Levasseur Mélanie, Doré Isabelle, St-Hilaire France, Michallet Bernard, Couturier Yves, Maltais Danielle, Lindström Bengt et Généreux Mélissa. (2018). Looking for capacities rather than vulnerabilities: the moderating effect of health assets on the associations between adverse social position and health. Preventive Medicine, 110, p. 93-99.

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URL officielle: https://doi.org/10.1016/j.ypmed.2018.02.014

Résumé

To increase capacities and control over health, it is necessary to foster assets(i.e. factors enhancing abilities of individuals or cummunities). Acting as a buffer, assets build foundations for overcoming adverse conditions and improving health. However, little is known about the distribution of assets and their associations with social position and health. In this study, we documented the distribution of health assets and examined whether these assets moderate associations between adverse social position and self-reported health. A representative population-based cross-sectional survey of adults in the Eastern Townships, Quebec, Canada (n=8737) was conducted in 2014. Measures included assets (i.e. resilience, sense of community belonging, positive mental health, social participation), self-reported health (i.e. perceived health, psychological distress), and indicators of social position. Distribution of assets was studied in relation to gender and social position. Logistic regressions examined whether each asset moderated associations between adverse social position and self-reported health. Different distributions of assets were observed with different social positions. Women were more likely to participate in social activities while men were more resilient. Resilience and social participation were moderators of associations between adverse social position (i.e. living alone, lower household income) and self-reported health. Having assets contributes to better health by increasing capacities. Interventions that foster assets and complement current public health services are needed, especially for people in unfavorable situations. Health and social services decision-makers and practitioners could use these findings to increase capacities and resources rather than focusing primarly on preventing diseases and reducing risk factors.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:110
Pages:p. 93-99
Version évaluée par les pairs:Oui
Date:Mai 2018
Sujets:Sciences sociales et humaines > Sciences sociales > Psychologie
Sciences sociales et humaines > Sciences sociales > Service social et travail social
Sciences de la santé > Sciences médicales > Médecine préventive et communautaire
Département, module, service et unité de recherche:Départements et modules > Département des sciences humaines > Unité d'enseignement en travail social
Mots-clés:Public health, health promotion, health assets, capacities, psychological resilience, mental health, psychological adaptation, social participation
Déposé le:15 mars 2018 01:53
Dernière modification:15 mars 2018 01:53
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