The Role of Media System Development in the Emergence of Postmaterialist Values and Environmental Concern: A Cross‐National Analysis*

Important theories related to the social development of environmental concern and attitudes ascribe different roles to the media. Inglehart's materialist–postmaterialist value shift thesis sees the development of a more advance media system as promoting pro‐environmental values. Gerbner's cultivation theory, on the other hand, sees the media as promoting consumerist tendencies, which run counter to environmental concern. This study examines the effect of media system development on postmaterialist values and environmental concern at the national and individual levels. Controlling for other factors known to impact the emergence of environmental concern, the overall effect of media system development is largely negative. However, this result should be considered in light of interactions within and among other key variables. Hierarchical linear modeling is employed to examine the impact of media system development on environmental concern considering individual‐ and country‐level predictors. Results indicate media system development uniquely explains a small but significant amount of variation in individual‐level environmental concern. Findings are discussed in the theoretical context of country‐level predictors of environmental concern.     

The Associations Between Socioeconomic Status,Caregivers' Depressive Symptoms,Children's Health‐Promoting Behavior,and Children's Physical Health: A Mediation Model

The aim of this study was to examine the mediating effects of children's health‐promoting behaviors on the association between socioeconomic status, caregivers' depressive symptoms, and children's physical health outcomes. We used the first wave of “Seoul Education and Health Welfare Panel.” Data were collected from 820 fourth‐grade elementary and first‐year middle school students and their caregivers using self‐administered surveys. Structural equation modeling was employed to analyze the mediating effects of health‐promoting behaviors. Bias‐corrected bootstrap confidence intervals were used to test the mediating effect. The results showed that both low socioeconomic status and caregivers' depressive symptoms were negatively associated with a child's health‐promoting behaviors. Children's health‐promoting behaviors were positively associated with physical health. However, children's physical health was not significantly associated with socioeconomic status but was marginally associated with caregivers' depressive symptoms. We found that children's health‐promoting behaviors significantly mediated associations between both socioeconomic status and children's physical health and between caregivers' depressive symptoms and children's physical health. Based on the findings, we suggest the development and implementation of school‐based, health‐enhancement programs as a means to improve the general health of all children and to reduce health inequalities.     

The Role of Internal Health Locus of Control in Relation to Self-Rated Health in Older Adults

ABSTRACT

The present study examined how internal health locus of control is associated with older adults’ self-rated health. Multivariate analyses with older participants (aged ≥ 60) in the MIDUS II (n = 1,533) showed that internal health locus of control was not only directly associated with positive ratings of health but also interacted with gender and race. The positive impact of internal health locus of control on self-rated health was particularly greater in females and Whites than their counterparts. Findings highlight the important role of internal health locus of control in the psychological mechanism of health and call attention to group-specific strategies for health promotion.     

The effects of socioeconomic inequalities of working life on health: implications for an ageing population

Abstract

This study examines suggestions that inequalities in health related to socioeconomic status (SES) will increase in older age. A representative sample of the New Zealand population aged 55–70 years (N = 6662) responded to a postal questionnaire with measures of health (SF-36), SES, and health-related behaviours. Hierarchical multiple regressions supported predictions that the SES of working life will continue to influence physical and mental health in early old age. The strongest predictor was self-reported economic living standards. This subjective measure of SES is an important construct for future investigations of health and wellbeing among older people in an ageing population.     

Psychological Distress and Help-Seeking by Residents of a Neighborhood Naturally Occurring Retirement Community (NNORC)

This article presents findings from an annual program survey of residents of a horizontal neighborhood naturally occurring retirement community (NNORC). The study explored the relationship between several factors (age, co-residents, number of chronic illnesses, self-reported health, loneliness, sense of mastery, locus of control, pain, and psychological distress) and their ability to predict general health, level of psychological distress, and the quantity and type of help-seeking behaviors. Although residents generally reported moderate to high levels of chronic disease, pain, loneliness, and concerns about life issues, 25% of them sought no help from any of the listed resources, and 65% sought help from only one of seven resources. The most common source of help for most (70%) was a primary care physician (PCP), and comparatively few respondents sought help from other sources. Older adults, especially those with chronic illness, generally consider their PCP to be the first, and perhaps only, source to consult. However, research indicates that the most effective health promotional programs for older adults are social and educational group activities, rather than individual health-focused interventions. Possible means of redirecting residents toward NNORC services include more vigorous outreach and creating collaborative partnerships between local PCPs serving older populations and the NNORC.     

Interpersonal Perspectives on Black–White Health Disparities: Social Policy Implications

There are large and persistent disparities between the health status of Blacks and Whites in the United States. On average, the mental and physical health of Blacks is much poorer than Whites. In this article, we discuss several potential direct causes of Black–White disparities in health status, which include biological or genetic factors, prejudice and related processes, and socioeconomic factors. We also consider how the system-level, patient-level, and provider-level components of healthcare contribute to disparities in health status. We examine in detail the psychological processes associated with patient- and provider-level factors that may produce healthcare disparities. Of particular interest is the potential impact of racial attitudes and stereotypes on provider–patient interactions. Finally, we propose possible directions for future research on health disparities and discuss policy changes that might reduce disparities in health status and healthcare between social groups.     

The Role of Mastery and Social Support in the Association Between Life Stressors and Psychological Distress in Older Canadians

Gerontological social workers and other health professionals are often dealing with older adults in psychological distress. Greater clarity on the relationship between stress and psychological distress will enhance the efficacy of outreach and treatment initiatives for older adults. This study explored the underlying causal structure of the relationships of common life stressors and psychosocial resources for Canadians 65 years and older (542 men and 835 women). Using structural equation modeling of data collected in the National Population Health Survey in 2004–2005 and 2002–2003, the roles played by socioeconomic conditions, physical health, chronic stress, sense of mastery, and perceived social support in the stress–psychological distress relationship were estimated and compared. Findings revealed that chronic stress was the strongest determinant of the level of psychological distress for both genders; however its effect was higher for men compared to women. Poor physical health played a more important role in determining women's psychological distress compared to men. Higher levels of mastery and perceived social support were associated with lower levels of psychological distress for both men and women. These associations were somewhat stronger for men compared with women. Socio-economic conditions played a minor role in the stress–mental health relationship for both genders.     

Self-Esteem and Locus of Control Among American Indian,Black, and White AFDC Recipients

This study compares the self-esteem and locus of control reported by a random sample of 322 American Indian, Black, and White AFDC recipients. Personal interviews were conducted with all respondents. No differences were found among the races on self-esteem and locus of control. Work status and education level were found to be the two demographic characteristics that were significantly correlated with the dependent measure. As such, it was expected that work and higher educational achievement would result in greater self-esteem and internal control. This was found to be true for Blacks and Whites, but not for American Indians. We therefore speculate that this may indicate the greater assimilation and enculturation of Blacks into the predominant White value structure and mainstream society, compared to American Indians.     

Ethnicity as a risk indicator for musculoskeletal disease, long consultation times and care utilization A prospective visitor study of 438 consecutive adult consultations of a primary health care centre

This article shows the influence of ethnicity (people born outside Sweden and in Sweden) and social class (socioeconomic class) on the distribution of diagnoses, consultation time and health care utilization in primary health care controlled for sex, age, marital status and educational level. The study was designed as a prospective primary health care utilization study during 7 consecutive weeks. Of a total of 439 adults who lived in the residential area, 290 were born in Sweden and 149 were born elsewhere. The data were analysed unmatched with logistic regression and Poisson regression in main effect models. People born outside Sweden received significantly more diagnoses per consultation than people born in Sweden. The strongest independent risk indicator for musculoskeletal disease was being born outside Sweden, with an estimated odds ratio (OR) of 5.01, 95% confidence interval (CI) = 2.70–8.72. Age over 44 was associated with increased odds for musculoskeletal disease. Respiratory disease, as an indicator of less serious disease, were significantly less common among people born outside Sweden (OR = 0.53, 95% CI = 0.33–0.87). Being born outside Sweden was a risk indicator for consultations longer than 30 minutes (OR = 3.03, 95% CI=1.18–7.43). There were no differences between people born in Sweden and those born elsewhere in health and utilization. Social class was not associated with any of the dependent variables.     

Cultural differences in maternal emotion control values and children's expressive flexibility

Expressive flexibility is the ability to express or suppress one's emotions to meet the demands of the situation. Recent work suggests that expressive flexibility is associated with better adjustment. However, few studies have focused on expressive flexibility in children. In addition, there is a dearth of research on possible correlates, such as culture, parental emotion socialization, and socioeconomic status, that may be associated with expressive flexibility competencies in children. The purpose of this study was to investigate cultural differences in children's expressive flexibility, maternal emotion control values (ECVs), and their relations to family socioeconomic status (SES) during middle childhood in a sample of European American (N = 31, M age = 9.61 years; 54.8% males), Korean American (N = 38, M age = 9.16 years; 55.3% males) and South Korean children (N = 77, M age = 9.74 years; 51.9% males). Mothers reported on demographics and their emotion control values. Children's expressive flexibility ability was assessed using a lab-based observational measure. Multivariate analyses of covariance controlling for SES, child age, and gender suggested significant cultural differences in expressive flexibility, with the U.S. children (both European and Korean Americans) scoring higher on expressive flexibility compared to their South Korean counterparts. Results also suggested significant cultural differences regarding maternal ECVs; Korean Americans were more similar to South Koreans, both scoring higher on ECVs than European Americans. Socioeconomic status, but not maternal ECVs, were associated with children's expressive flexibility, independent of child age, sex, and culture.     

Household assets and health in China: evidence and policy implications

China's health care reform of the 1990s has not yielded much success. The market‐oriented health system has resulted in declines in fairness of health services and efficiency of investment in the health sector. Further health care reform will be required. Among many options, asset‐based policy has demonstrated some potential in domestic policy development. To provide evidence to inform health policy development in China, this study focuses on the effects of household assets on health in China. Specifically, the current study examines how household assets may affect health status and how assets differ from income in predicting health status. Using a random sample of Chinese elderly, we find that asset holding in the form of household durables and household utilities has both direct and indirect effects on health status. Household assets directly affect access to medical care and indirectly affect health by influencing health behaviour and psychological condition. In other words, in addition to economic effects, household assets appear to have behavioural and psychological effects on health. Interestingly, these effects appear to be associated with assets, but not with income. Implications for asset building policy are suggested as a complement to existing health care models.

中国自20世纪90年代开始的卫生保健改革还没有取得很大成功。市场主导的医疗系统使卫生部门提供的健康服务无论在公平性和效率都有所下降。进一步的医疗保健改革是需要的。在众多的选择当中，以资产为基础的政策已显示出一定的潜力。为向中国的卫生政策发展提供证据，这项研究的重点是家庭资产在中国对健康的影响。具体来说，目前的研究探讨家庭资产如何影响健康状况，以及资产如何不同于收入来预测健康状况。作者用随机抽样的方法研究中国的老年人，发现家庭耐用消费品和家庭水电费都直接和间接影响健康状况。家庭资产直接影响到能否获得医疗照顾和间接影响有关影响健康的行为和心理状态。换言之，除了经济影响，家庭资产似乎对行为和心理健康有所影响。有趣的是，这些影响似乎是与资产相关，而并非收入。作者建议以资产建设政策补充现有的医疗保健模式。     

Health and medical services use: a matched case comparison between CCRC residents and national health and retirement study samples

Little is known about the health status of adults living in continuing care retirement communities (CCRC). Using matched-case control, 458 adults from the Health and Retirement Study (HRS) or a CCRC-based sample were compared on total comorbidity, self-rated health, home health services use, and hospitalizations. At year 2, the CCRC sample reported more comorbidities (96%) but significantly better self-rated health (96% good/excellent) than the HRS sample (93% comorbidity, 73% good/excellent; p < .01). There were no significant differences in frequency of home health use or hospitalization. Living in a CCRC appears to be associated with higher self-ratings of health in this sample.     

Factors Associated With Productive Engagement Among Older South Koreans

ABSTRACT

 Although positive relationships among health, types of activities, and productive aging have been documented in Western industrial nations, little attention has been paid to rapidly developing countries. This study examined unique factors using national South Korean data. Community-dwelling adults aged 55 years and older (n = 6,688) were drawn from Wave II of the Korean Longitudinal Study on Aging. Binary logistic regression analysis was conducted to identify the main and interaction effects related to labor force participation (LFP) and lifelong-learning participation (LLP). Whereas one third (34.4%) of the respondents were involved in LFP, LLP was extremely low (6.8%). Health and socioeconomic status were significant in conducting LFP and LLP. Depression and cognition contributed to LFP but not LLP. Older men who reported higher levels of depression were less likely to engage in LLP than were their female peers. For female respondents, the social activities of exercise and alumni meetings contributed to the likelihood of LLP. Given the lower socioeconomic characteristics and low participation in lifelong learning, it is essential to establish financial incentives to encourage activity participation and develop programs to promote productive aging in South Korea. Future studies should consider the impact of environments and social policy on productive engagement.     

The "Antidemocratic Personality" Revisited: A Cross-National Investigation of Working-Class Authoritarianism

More than 60 years ago, psychologists identified a potential threat to democracy from within, namely the "antidemocratic personality" arising from the "authoritarian syndrome." It was soon discovered that the problem of authoritarianism was especially acute among those who were low in education and income, and that it was associated with intolerance toward others. However, several important questions were left unresolved. We revisit fundamental theoretical and empirical questions concerning the existence and nature of "working-class authoritarianism," focusing especially on four psychological aspects of authoritarianism, namely, conventionalism, moral absolutism, obedience to authority, and cynicism. In a cross-national investigation involving respondents from 19 democratic countries, we find that all four aspects of authoritarianism are indeed related to moral and ethnic intolerance. However, only obedience to authority and cynicism are especially prevalent among those who are low in socioeconomic status. Conventionalism and moral absolutism were significant predictors of economic conservatism, whereas obedience to authority and cynicism were not. We find no support for Lipset's (1960) claim that working-class authoritarianism would be associated with economic liberalism. Instead, we find that authoritarianism is linked to right-wing orientation in general and that intolerance mediates this relationship. Implications for electoral politics and political psychology are discussed.     

Changes in marital status and links to self-rated health: A study of temporal relationships

This study examines whether self-rated health (SRH) changes predict marital status changes or vice versa, and tests whether changes in trust mediate the relationship between marital transition and SRH change. A logistic regression model and a mediation analysis method are used separately to analyze the longitudinal data on 2,042 respondents from the Panel Study of Family Dynamics (PSFD) in Taiwan. The survey achieves response rates above 70%. The findings show that none of health status at either time point predict the three types of marital transitions including never married to married, married to divorced/separated, and married to widowed. Bonding trust plays a more important role than generalized trust in mediating the adverse effect of remaining widowed status on health change within a context of Confucian culture. Those who maintain a widowed state have a lower likelihood of sustaining high levels of bonding trust, which in turn leads to poor SRH. Hence, the findings provide more support for a social causation hypothesis rather than a health selection hypothesis.     

Environmental Vulnerability in Public Perceptions and Attitudes: The Case of Israel's Urban Centers

Objective. This article investigates how urban environmental vulnerability to hazards reflects in the perceptions and attitudes of the public in three major cities in Israel: Jerusalem, Tel Aviv, and Haifa. Our central argument is that the differences between the residents' perceptions and attitudes toward environmental issues are related mostly to the actual hazard levels of their communities, whereas individual differences in socioeconomic characteristics are of lesser importance in this regard. Methods. The research was based on survey data of representative samples of the adult residents in the three cities. The differences in attitudes and perceptions among the three samples were statistically assessed by means of analysis of variance. Results. We found relatively strong and consistent relationships between actual environmental vulnerability to hazards in the three cities and their residents' attitudes toward environmental issues. The relationships with socioeconomic characteristics, such as education and income, were considerably weaker and less consistent. Conclusions. The results of this research indicate that environmental concern is not exclusive to groups and individuals characterized by postmaterialist values. Rather, the urban public in general is responsive to the environmental vulnerability of its community. This conclusion supports the argument that attitudes toward the environment are mainly affected by instrumental considerations of objective environmental problems rather than by subjective values.     

Subjective Well-Being and Peace

Hierarchical generalized linear modeling was employed to examine the relations between person-level subjective well-being (SWB) and peace-relevant attitudes, and how these relations vary across nations in the World Values Survey. Person-level SWB was associated with more confidence in the government and armed forces, greater emphasis on postmaterialist values, stronger support for democracy, less intolerance of immigrants and racial groups, and greater willingness to fight for one's country. These associations were moderated at the nation level by liberal development, violent inequality, gross domestic product, and nation-level SWB. The moderator effects indicate that happy people are not completely blind to the conditions of their society and that their endorsement of peace attitudes is sensitive to whether the conditions for peace do exist.     

Gender in/and/of Health Inequalities

The relationship between gender and health inequalities is potentially complicated, raising questions for health and social research, practice and policy. In this paper, I use two population health case studies – obesity and smoking – to explore the interplay between gender and socioeconomic position. The cases show that, on its own, neither dimension of inequality affords a comprehensive picture of these significant risks to public health. Furthermore, historical change in the socioeconomic and gendered distribution of these health risks suggests that gender is best considered as a dynamic and layered form of differentiation, rather than as a simple or stable dichotomy. A more nuanced approach to the analysis of gender and health has the potential to generate both more fruitful research and more effective health and social policy.     

Vulnerable children's health as described in investigations of reported children

This study explores whether the social services weigh in health aspects, and what these may be, when investigating reported children's life situation. Information about physical and psychological health aspects for 259 children in 272 investigations was included. Overall, information about children's health was limited. Problematic emotions were the most commonly reported health aspect in the investigations, whereas suicidal thoughts, self‐harm behaviour and gastrointestinal and renal diseases were mentioned least of all. A cluster analysis revealed that the low level of health information group included the largest sample of data and consisted of investigations with minimal information about children's health. The three other cluster groups, Neurological diseases and psychosomatic symptoms, Emotional health and Physical and psychological health and destructive behaviour, consisted of investigations conducted mostly according to the model called Children's Needs In Focus (BBIC, in Swedish, Barns Behov i Centrum). Although these investigations also produced limited information, they provided more than those assessed as having a low level of information about health aspects. The conclusion is that it is necessary to increase information about health aspects in investigations if social welfare systems are to be able to fulfil their ambition of supporting vulnerable children's need of health care.