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Impact of Socioeconomic Status on Health and Subjective Well-Being: Dimensions and Mechanisms

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Economics".

Deadline for manuscript submissions: closed (23 March 2023) | Viewed by 11230

Special Issue Editor

School of Economics and Finance, Xi’an Jiaotong University, Xi’an 710061, China
Interests: health; healthy aging; obesity; health inequality; subjective well-being

Special Issue Information

Dear Colleagues,

As one of the sustainable development goals, ensuring healthy living and well-being for all is at the center of the global health policy agenda. Although public health, social and medical sciences have intensively studied the association between socioeconomic status (SES) and health/subjective well-being (SWB), the evidence is less clear in low- and middle-income countries. Additionally, the COVID-19 pandemic has intensified existing SES-related health inequalities, and may exacerbate such inequalities by having a far greater impact on vulnerable populations than their better-off counterparts. Concurrently, despite the significant efforts that have been expended on identifying the SES-health/SWB gradient, its possible mechanisms remain unclear. Furthermore, different measures of SES may operate through different channels. To mitigate health/SWB inequalities across socioeconomic dimensions, policy makers need to comprehensively understand the nature of this gradient and its underlying pathways.

Accordingly, the focus of this Special Issue is on issues related to SES-health gradient and its underlying mechanisms, both in and between developing and developed countries, and the impacts of sociodemographics on human SWB, which is measured both objectively and subjectively. We are also interested in studies that explore the relationship between SES in childhood and health at older ages, as well as potential policies and interventions to improve human health and SWB through interdisciplinary research from economics, demography, public health, and epidemiology, among others.

Dr. Peng Nie
Guest Editor

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • demographics
  • socioeconomic status
  • health
  • obesity
  • healthy aging
  • health inequality
  • inequality of opportunity in health
  • cognition
  • mental health
  • subjective well-being

Published Papers (5 papers)

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Research

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17 pages, 554 KiB  
Article
The Impact of Migration Experience on Rural Residents’ Mental Health: Evidence from Rural China
by Li Deng, Xiaohua Hou, Haiyang Lu and Xuefeng Li
Int. J. Environ. Res. Public Health 2023, 20(3), 2213; https://doi.org/10.3390/ijerph20032213 - 26 Jan 2023
Viewed by 1569
Abstract
Migration experience is considered to be an important factor affecting mental health. With the increasing number of rural-to-urban migrant workers returning to their hometowns, the impact of migration experience on rural residents is worthy of noting. Using the data from the 2018 China [...] Read more.
Migration experience is considered to be an important factor affecting mental health. With the increasing number of rural-to-urban migrant workers returning to their hometowns, the impact of migration experience on rural residents is worthy of noting. Using the data from the 2018 China Labor Dynamics Survey, this paper took migration experience as the identification criteria for returning migrant workers and empirically examined the impact of migration experience on rural residents’ mental health. Our results indicated that migration experience had a significant negative impact on the mental health of rural residents. That is, returning migrant workers had a worse mental health status than that of rural residents who never left their hometowns. Mechanism analysis showed that social support and social comparison played an intermediary role in the impact of migration experience on the mental health of rural residents. We also detected considerable heterogeneity in the effects of migration experience: the short-term returning migrant workers and the passive returning migrant workers are more likely to be negatively affected by the migration experience. Our results emphasized the mental health problem faced by returning migrant workers. The policy makers should strengthen psychological education and mental health consultation according to the intergenerational differences and individual characteristics of returning migrant workers. Full article
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13 pages, 340 KiB  
Article
Promotion of Parenting and Mental Health Needs among Chinese Women Living in Japan: A Qualitative Study
by Yunjie Luo, Yoko Sato, Tianyue Zhai, Hiromi Kagamiyama and Yasuhiko Ebina
Int. J. Environ. Res. Public Health 2022, 19(20), 13538; https://doi.org/10.3390/ijerph192013538 - 19 Oct 2022
Cited by 1 | Viewed by 1822
Abstract
Chinese women raising children in Japan tend to experience high parenting stress and poor mental well-being. However, their specific parenting and mental health promotion needs remain unknown. This study aimed to explore the parenting and mental health promotion needs of Chinese women living [...] Read more.
Chinese women raising children in Japan tend to experience high parenting stress and poor mental well-being. However, their specific parenting and mental health promotion needs remain unknown. This study aimed to explore the parenting and mental health promotion needs of Chinese women living in Japan and provide recommendations to guide interventions. Semi-structured in-depth interviews were conducted. Participants included 15 women aged 28–39 years who were pregnant or rearing a child younger than six years old. Thematic analysis was performed for data analysis. More than half of the participants experienced mental health problems, such as depressive symptoms and child-rearing stress. Four themes relating to their needs were identified: concrete support, information provision, caring and understanding, and social network building. Information provision and social network building should be emphasized as practical social support mechanisms to improve these women’s mental health. Furthermore, a mental health promotion intervention should be developed to address this vulnerable population’s needs. Healthcare providers and public health workers should help improve the social support systems of Chinese women in Japan to prevent mental health problems. Potential transcultural education can, arguably, help healthcare providers better understand transcultural care. Full article
22 pages, 1100 KiB  
Article
Lifestyle, Demographic and Socio-Economic Determinants of Mental Health Disorders of Employees in the European Countries
by Dawid Majcherek, Arkadiusz Michał Kowalski and Małgorzata Stefania Lewandowska
Int. J. Environ. Res. Public Health 2022, 19(19), 11913; https://doi.org/10.3390/ijerph191911913 - 21 Sep 2022
Cited by 4 | Viewed by 2641
Abstract
Ensuring the health and well-being of workers should be a top priority for employers and governments. The aim of the article is to evaluate and rank the importance of mental health determinants: lifestyle, demographic factors and socio-economic status. The research study is based [...] Read more.
Ensuring the health and well-being of workers should be a top priority for employers and governments. The aim of the article is to evaluate and rank the importance of mental health determinants: lifestyle, demographic factors and socio-economic status. The research study is based on EHIS 2013–2015 data for a sample of N = 140,791 employees from 30 European countries. The results obtained using machine learning techniques such as gradient-boosted trees and SHAPley values show that the mental health of European employees is strongly determined by the BMI, age and social support from close people. The next vital features are alcohol consumption, an unmet need for health care and sports activity, followed by the affordability of medicine or treatment, income and occupation. The wide range of variables clearly indicates that there is an important role for governments to play in order to minimize the risk of mental disorders across various socio-economic groups. It is also a signal for businesses to help boost the mental health of their employees by creating holistic, mentally friendly working conditions, such as offering time-management training, implementing morning briefings, offering quiet areas, making employees feel valued, educating them about depression and burnout symptoms, and promoting a healthy lifestyle. Full article
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14 pages, 399 KiB  
Article
Heterogeneous Impact of Social Integration on the Health of Rural-to-Urban Migrants in China
by Haiyang Lu, Ivan T. Kandilov and Peng Nie
Int. J. Environ. Res. Public Health 2022, 19(16), 9999; https://doi.org/10.3390/ijerph19169999 - 13 Aug 2022
Cited by 5 | Viewed by 2052
Abstract
Background: While several studies have found that lower levels of social integration may lead to a deterioration in the health status of migrants, previous research on the nexus between social integration and health has generally ignored the potential endogeneity of social integration. This [...] Read more.
Background: While several studies have found that lower levels of social integration may lead to a deterioration in the health status of migrants, previous research on the nexus between social integration and health has generally ignored the potential endogeneity of social integration. This paper examines the heterogeneous impact of social integration on the health of rural-to-urban migrants in China by exploiting plausibly exogenous, long-term, geographic variation in dialectal diversity. Methods: Drawing on nationally representative data from the 2017 China Migrants Dynamic Survey (n = 117,446), we first regressed self-reported health on social integration using ordinary least squares estimation and then used an ordered probit model as a robustness check. Additionally, to rule out the potential endogeneity of social integration, we relied mainly on an instrumental variable approach and used dialectal diversity as a source of exogenous variation for social integration. Results: We found that social integration has a significant positive impact on rural-to-urban migrants’ health. We also detected considerable heterogeneity in the effects of social integration across gender, generation, and wage levels: the health status of women, more recent generation migrants, and migrants with wages in the middle of wage distribution are more likely to be affected by social integration. Conclusions: We confirmed the beneficial impact of social integration on migrants’ health, which has some important policy implications. Successful migration policies should take the fundamental issue of migrants’ social integration into account. Full article

Review

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16 pages, 775 KiB  
Review
Agent-Based Modelling of Health Inequalities following the Complexity Turn in Public Health: A Systematic Review
by Jennifer Boyd, Rebekah Wilson, Corinna Elsenbroich, Alison Heppenstall and Petra Meier
Int. J. Environ. Res. Public Health 2022, 19(24), 16807; https://doi.org/10.3390/ijerph192416807 - 14 Dec 2022
Cited by 4 | Viewed by 2356
Abstract
There is an increasing focus on the role of complexity in public health and public policy fields which has brought about a methodological shift towards computational approaches. This includes agent-based modelling (ABM), a method used to simulate individuals, their behaviour and interactions with [...] Read more.
There is an increasing focus on the role of complexity in public health and public policy fields which has brought about a methodological shift towards computational approaches. This includes agent-based modelling (ABM), a method used to simulate individuals, their behaviour and interactions with each other, and their social and physical environment. This paper aims to systematically review the use of ABM to simulate the generation or persistence of health inequalities. PubMed, Scopus, and Web of Science (1 January 2013–15 November 2022) were searched, supplemented with manual reference list searching. Twenty studies were included; fourteen of them described models of health behaviours, most commonly relating to diet (n = 7). Six models explored health outcomes, e.g., morbidity, mortality, and depression. All of the included models involved heterogeneous agents and were dynamic, with agents making decisions, growing older, and/or becoming exposed to different health risks. Eighteen models represented physical space and in eleven models, agents interacted with other agents through social networks. ABM is increasingly contributing to our understanding of the socioeconomic inequalities in health. However, to date, the majority of these models focus on the differences in health behaviours. Future research should attempt to investigate the social and economic drivers of health inequalities using ABM. Full article
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