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Access to psycho-social resources and health: exploratory findings from a survey of the French population


We study the psycho-social determinants of self-assessed health in order to explain social inequalities in health in France. We use a unique general population survey to assess the respective impact on self-assessed health status of subjective perceptions of social capital, social support, and sense of control, controlling for standard socio-demographic factors (SES, income, education, age, and gender). The survey is unique in that it provides a variety of measures of self-perceived psycho-social resources (trust and civic engagement, social support, sense of control, and self-esteem). We find empirical support for the link between the subjective perception of psycho-social resources and health. Sense of control at work is the most important correlate of health status after income. Other important ones are civic engagement and social support. To a lesser extent, sense of being lower in the social hierarchy is associated with poorer health status. On the contrary, relative deprivation does not affect health in our survey. Since access to psycho-social resources is not equally distributed in the population, these findings suggest that psycho-social factors can partially explain of social inequalities in health in France.

Corresponding author
*Corresponding author: Florence Jusot, Eurisco-LEGOS, Université Paris-Dauphine, Paris, France; IRDES (Research and Information Institute for Health Economics), 10 rue Vauvenargues, 75018 Paris, France. Email:
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Allison, P.D. (1999), Logistic Regression Using the SAS System – Theory and Application, Cary, NC: SAS Institute Inc.
Allonier, C., Dourgnon, P.and Rochereau, T.(2006), ‘Santé, soins et protection sociale en 2004’, IRDES report, 2006/01.
Berkman, L.F. and Glass, T. (2000), ‘Social Integration, Social Networks, Social Support, and Health’, in Berkman, L.F.and Kawachi, I.(eds), Social Epidemiology, New York: Oxford University Press.
Berkman, L.F and Kawachi, I.(2000), Social Epidemiology, New York: Oxford University Press.
Blaxter, M., Poland, F.and Curran, M.(2001), ‘Measuring Social Capital: Qualitative Study of how Older People relate Social Capital to Health’, Final Report to the Health Development Agency, London.
Bolin, K., Lindgren, B., Lindström, M., and Nystedt, P.,(2003), ‘Investments in social capital. Implications of social interactions for the production of health’, Social Science and Medicine, 56(12): 23792390.
Brown, T.T., Scheffler, R.M., Seo, S., and Reed, M.(2006), ‘The Empirical Relationship between Community Social Capital and the Demand for Cigarettes’, Health Economics, 15(11):11591172.
Cediey, E. and Foroni, F.(2006) ‘Les discriminations à raison de “l’origine” dans les embauches en France – Une enquête nationale par tests de discrimination selon la méthode du bureau international du travail’, ILO, Geneva.
Chavez, R., Kemp, L., and Harris, E.(2004), ‘The Social Capital Health Relationship in Two Disadvantaged Neighborhoods’, Journal of Health Services Research and Policy, 9(2):2934.
Deaton, A.(2001), ‘Relative Deprivation, Inequality and Mortality’, NBER WP, 8099.
Dunn, J.R., Veenstra, G. and Ross, N.(2006), ‘Psycho-Social and Neo-Material Dimensions of SES and Health Revisited: Predictors of Self-Rated Health in a Canadian National Survey’, Social Science and Medicine, 62(6): 14651473.
Eibner, C. and Evans, W.N.(2005), ‘Relative Deprivation, Poor Health Habits and Mortality’, Journal of Human Resources, 40(3):591620.
Ellaway, A., McKay, L., Macintyre, S., Kearns, A.and Hiscock, R.(2004), ‘Are Social Comparisons of Homes and Cars Related to Psycho-Social Health?’, International Journal of Epidemiology, 33(5): 10651071.
Elstad, J.I., Dahl, E., and Hofoss, D.(2006), ‘Associations between Relative Income and Mortality in Norway: A Register-Based Study’, European Journal of Public Health, 16(6): 640644.
Evans, R.G., Barer, M.L. and Marmor, T.R.(1994), Why Are Some People Healthy and Others Not? The Determinants of Health of Populations, New York: Aldine de Gruyter.
Hyyppä, M.T. and Mäki, J.(2001), ‘Individual-Level Relationships between Social Capital and Self-Rated Health in a Bilingual Community’, Preventive Medicine, 32(2): 148155.
Institut National de la Statistique et des Etudes Economiques (2005) ‘French Validation Plans of the European Socio-Economic Classification with French Statistical Sources’, DSDS, note 084/F233
Islam, K., Merlo, J., Kawachi, I., Lindstrom, M. and Gerdtham, U.G.(2006), ‘Social Capital and Health: Does Egalitarianism Matter? A Literature Review’, International Journal for Equity in Health, 5(3).
Karasek, R.(1979), ‘Job Demands, Job Decision Latitude and Mental Strain: Implications for Job Redesign’, Administrative Science Quarterly, 24: 285306.
Karasek, R. and Theorell, T.(1990), Healthy Work: Stress, Productivity, and the Reconstruction of Working Life, New York: Basic Books.
Kawachi, I. and Berkman, L.(2003), Neighborhoods and Health, New York: Oxford University Press.
La PortaR., F. R., F.Lopez-de-Silanes, A., Shleifer, R.W.and Vishny(1997), ‘Trust in Large Organizations’, American Economic Review, 87(2): 333338
Lavis, J. and Stoddard, G. (2003), ‘Social Cohesion and Health’, in Osberg, L. (ed.), The Economic Implications of Social Cohesion, Toronto, ON: University of Toronto Press, pp. 121–149.
Lindström, M. (2004), ‘Social Capital: The Miniaturization of Community and Self-Reported Global and Psychological Health’, Social Science and Medicine, 59(3): 595607.
Liukkonen, V., Virtanen, P., Kivimaki, M., Pentti, J., and Vahtera, J.(2004), ‘Social Capital in Working Life and the Health of Employees’, Social Science and Medicine, 59(12):24472458.
McCulloch, A. (2001), ‘Social Environments and Health: Cross Sectional Survey’, British Medical Journal, 323(7306):208209.
Mackenbach, J.-P., et al. . (1997), ‘Socio-Economic Inequalities in Morbidity and Mortality in Western Europe: A Comparative Study’, Lancet, 349: 16551659.
Marmot, M. (2004), The Status Syndrome: How Social Standing Affects Our Health and Longevity, New York: Henry Holt.
Marmot, M. and Wilkinson, R.G.(2005), Social Determinants of Health, Oxford: Oxford University Press.
Melchior, M., Niedhammer, I., Berkman, L.F.and Goldberg, M.(2003), ‘Do Psycho-Social Work Factors and Social Relations Exert Independent Effects on Sickness Absence? A Six Year Prospective Study of the Gazel Cohort’, Journal of Epidemiology and Community Health, 57(4): 285293.
Miller, D.L. and Paxson, C.(2006),‘Relative Income, Race, and Mortality’,Journal of Health Economics, 25(5): 9791003.
Paterniti, S., Niedhammer, I., Lang, T., and Consoli, S.M.(2002) ‘Psycho-Social Factors at Work, Personality Traits and Depressive Symptoms: Longitudinal Results from the GAZEL Study’, British Journal of Psychiatry, 181: 111117.
Pearce, N. and Davey Smith, G.(2003), ‘Is Social Capital the Key to Inequalities in Health?’, American Journal of Public Health,93(1):122129.
Putnam, R.D.(1993), Making Democracy Work: Civic traditions in Modern Italy,Princeton, NJ:Princeton University Press.
Putnam, R.(2001),‘Mesure et conséquences du capital social’, Isuma: Canadian Journal of Policy Research, 2:1.
Rose, R. (2000), ‘How much does Social Capital add to Individual Health? A Survey Study of Russians’,Social Science and Medicine,51(9):14211435.
Rothstein, B. (2000) ‘Social Capital and Institutional Legitimacy’, Presented at the Annual Meeting of the American Political Science Association, Washington, DC.
Scheffler, R.(forthcoming making more and less), ‘Social Capital, Economics, and Health: New Evidence’, Health Economics Policy and Law.
Stoddart, G.(1995), ‘The Challenge of Producing Health in Modern Economies’, Toronto: Canadian Institute for Advanced Research Working Paper, 46.
Sundquist, K, Lindström, M., Malmström, M.,Johansson, S.,and Sundquist, J.(2004), ‘Social Participation and Coronary Heart Disease: A Follow-Up Study of 6,900 Women and Men in Sweden’, Social Science and Medicine, 58(3): 615622.
Veenstra, G.(2000), ‘Social Capital, SES and Health: An Individual-Level Analysis’,Social Science and Medicine, 50(5): 619629.
Veenstra, G., Luginaah, I.,Wakefield, S.,Birch, S.,Eyles, J., and Elliott, S.(2005),‘Who You Know, Where You Live: Social Capital, Neighbourhood and Health’,Social Science and Medicine,60(12):27992818.
World Values Survey (2007), Ann Arbor, MI – authors’ online analyses, accessed through, on 12 April 2007.
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Health Economics, Policy and Law
  • ISSN: 1744-1331
  • EISSN: 1744-134X
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