Abstract Despite the well-documented socioeconomic inequalities in health, it is less known about how objective and subjective socioeconomic statuses (SES) are related to self-rated health (SRH) in an international context. Using data from the 2007 International Social Survey Program (ISSP) that included 33 countries across six continents (N = 40,049), we found that for objective SES, either education or income, or both were related to SRH as general linear trends (i.e., higher SES was associated with better SRH as a general trend) rather than graded associations (i.e., adjacent levels of SES were associated with SRH in a dose–response relationship). After controlling for subjective SES, the magnitude of the associations between objective SES and SRH reduced, whereas the associations between subjective SES and SRH remained strong in nearly all countries. Findings suggested that more rigorous analyses are needed to clearly describe the SES-health associations, and future international research should expand to include subjective measures of SES.

中文翻译：

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线性趋势或分级关联：对自我评估健康中客观和主观社会经济不平等的国际研究

摘要尽管在健康方面有充分的文献记载的社会经济不平等现象，但在国际背景下，关于客观和主观的社会经济状况（SES）与自评健康（SRH）之间的关系却鲜为人知。根据2007年国际社会调查计划（ISSP）的数据，该数据涵盖了六大洲的33个国家（N = 40,049），我们发现，对于客观的SES，无论是教育还是收入，或两者都与SRH有关，这是总体线性趋势（即，作为一个总体趋势，较高的SES与较好的SRH相关联，而不是与分级关联（即，剂量-反应关系中相邻的SES水平与SRH相关联）。在控制了主观SES之后，目标SES和SRH之间的关联程度降低了，而在几乎所有国家中，主观性SES和SRH之间的联系仍然很牢固。研究结果表明，需要进行更严格的分析以清楚地描述SES-健康协会，并且未来的国际研究应扩大到包括SES的主观测量。