Ssm-Population Health最新文献

{"title":"The long-term impact of childhood peer relationships on disability in later life: Causal mediation evidence from older Chinese adults","authors":"Zi Zhou,&nbsp;Feiyu Wang","doi":"10.1016/j.ssmph.2024.101735","DOIUrl":"10.1016/j.ssmph.2024.101735","url":null,"abstract":"<div><div>Despite the recognized importance of social connections in Chinese culture, research on how childhood peer relationship deficits impact health later in life has been limited. This study aimed to investigate the association between childhood peer relationship deficits and the odds of disability among older Chinese adults and to explore the potential mediating roles of social isolation, loneliness, and cognitive function. Using the longitudinal sample of respondents aged 60 years and older in the China Health and Retirement Longitudinal Study 2013–2018 (<em>N</em> = 7133), the link between peer relationship deficits in childhood and disability in late life was assessed using marginal structural models, and the potential mediating effects of social isolation, loneliness, and cognitive function were examined by the inverse odds ratio weighting technique. Participants who experienced greater childhood peer relationship deficits were more prone to disability (odds ratio: 1.19, 95% CI: 1.09, 1.29) than those with more positive childhood peer interactions. The inverse odds ratio weighting analysis indicated that social isolation, loneliness, and cognitive function individually played partial mediating roles in the association between childhood peer relationships and disability by 11.36% (95% CI: 4.04%–18.99%), 11.95 % (95% CI: 4.65%–19.23%), and 24.58% (95% CI: 17.01%–32.43%), respectively. The combined mediation effect of the three mediators was 30.57% (95% CI: 23.52%–39.91%). These findings suggest that interventions to enhance social connections and cognitive health in older adults may help mitigate the long-term impacts of childhood peer relationship deficits on disability among older Chinese adults.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101735"},"PeriodicalIF":3.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying intersectional groups at risk for missing breast cancer screening: Comparing regression- and decision tree-based approaches","authors":"Núria Pedrós Barnils,&nbsp;Benjamin Schüz","doi":"10.1016/j.ssmph.2024.101736","DOIUrl":"10.1016/j.ssmph.2024.101736","url":null,"abstract":"<div><div>Malignant neoplasm of the breast was the fifth leading cause of death among women in Germany in 2020. To improve early detection, nationwide breast cancer screening (BCS) programmes for women 50–69 have been implemented since 2005. However, Germany has not reached the European benchmark of 70% participation, and socio-demographic inequalities persist. At the same time, challenges exist to identify groups of women at high risk for non-participation, since it is likely that this is due to disadvantages on multiple social dimensions. This study, therefore, aimed to identify intersectional groups of women at higher risk of not attending BCS by comparing two analytical strategies: a) evidence-informed regression and b) decision tree-based regression. Participants were drawn from the German 2019 European Health Interview Survey (N = 23,001; 21.6% response rate). Two logistic regressions using cross-classification intersectional groups based on relevant PROGRESS-Plus characteristics adjusted by age were built. The evidence-informed approach selected relevant variables based on the literature and the decision tree approach on the best-performing tree. The first identified low-income women born outside Germany, living in rural areas and not cohabiting with their partner at higher risk of never attending BCS (OR = 9.48, p = 0.002), whereas the second, based on a Classification and Regression Tree (61.91% balanced accuracy), determined widowed women living alone, with children, with a partner and children, or in other arrangements, and residing in specific federal states (i.e. Bavaria, Brandenburg, Bremen, Hamburg, or Saarland) (OR = 3.43, p &lt; 0.001). Compared to the evidence-informed regression, the decision tree-based regression yielded higher discriminatory accuracy (AUC = 0.6726 vs AUC = 0.6618) and added relevant nuances in the identification of at-risk intersectional groups, going beyond known inequality dimensions and, therefore, helping the inclusion of under-studied populations in breast cancer screening.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101736"},"PeriodicalIF":3.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconceptualizing rurality: Exploring community capital to identify distinct rural classes in the United States","authors":"Jennifer L. Cruz ,&nbsp;Douglas A. Luke ,&nbsp;Rachel M. Ceballos ,&nbsp;Shoba Ramanadhan ,&nbsp;Karen M. Emmons","doi":"10.1016/j.ssmph.2024.101729","DOIUrl":"10.1016/j.ssmph.2024.101729","url":null,"abstract":"<div><h3>Background</h3><div>In population health research, rurality is often defined using broad population density measures, which fail to capture the diverse and complex characteristics of rural areas. While researchers have developed more nuanced approaches to study neighborhood and area effects on health in urban settings, similar methods are rarely applied to rural environments. To address this gap, we aimed to explore dimensions of contextual heterogeneity across rural settings in the US.</div></div><div><h3>Methods</h3><div>We conducted an exploratory latent class analysis (LCA) to identify distinct classes of rurality. Using the Community Capitals Framework, we collated and analyzed nationally representative data for each domain of rural community capital across all rural census tracts in the US (n = 15,643). Data for this study were sourced from ten publicly available datasets spanning the years 2018–2021. To provide preliminary validation of our findings, we examined the Social Vulnerability Index (SVI) percentile rankings across the identified rural classes.</div></div><div><h3>Results</h3><div>A four-class model solution provided the best fit for our data. Our LCA results identified four distinct classes of rurality that vary in terms of capital types: Outlying (n = 3,566, 22.7%), Developed (n = 3,210, 20.5%), Well-Resourced (n = 4,896, 31.3%), and Adaptable (n = 3,981, 25.4%). The mean SVI percentile rankings differed significantly across these classes, with Well-Resourced having the lowest and Adaptable the highest mean percentile rankings.</div></div><div><h3>Conclusions</h3><div>We identified different types of rurality at the census tract level that fall along a social gradient as indicated by variation in SVI percentile rankings. These findings highlight that each rural class has a unique combination of community capitals. This nuanced approach to conceptualizing rurality provides the opportunity to identify interventions that meet specific rural communities' unique strengths and needs.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101729"},"PeriodicalIF":3.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unincorporation in counties as a political determinant of health: An exploration of five states","authors":"Cristina Gomez-Vidal ,&nbsp;Ashley N. Palmer ,&nbsp;Katherine Kitchens ,&nbsp;G. Allen Ratliff ,&nbsp;Genevieve Graaf","doi":"10.1016/j.ssmph.2024.101728","DOIUrl":"10.1016/j.ssmph.2024.101728","url":null,"abstract":"<div><div>Local government policies and practices shape the context of the places that can alter a population's life chances through socioeconomic factors, built environments, and healthcare access. County governments, one of the most ubiquitous U.S. political structures, impact health outcomes within their jurisdiction through multiple policy levers and pathways. By identifying which political determinants within counties are associated with variation in life expectancy and premature death, we can better intervene on modifiable factors. One overlooked political determinant from public health studies is the county's responsibility as the primary local government for approximately a third of the U.S. population and 93% of land in unincorporated areas. To conduct an ecological study and assess associations between county population health and county responsibility for unincorporated areas and populations, we created and tested two county indicators of unincorporation. Multilevel multivariable regression results showed that larger proportions of unincorporated land within a county are associated with lower average county life expectancy. More testing of the measurement is needed to understand the relationship between unincorporation, county government, and population health outcomes.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101728"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taiso practice and risk of functional disability and dementia among older adults in Japan: The JAGES cohort study","authors":"Satoru Kanamori ,&nbsp;Kenjiro Kawaguchi ,&nbsp;Taishi Tsuji ,&nbsp;Kazushige Ide ,&nbsp;Hiroyuki Kikuchi ,&nbsp;Kokoro Shirai ,&nbsp;Mitsuya Yamakita ,&nbsp;Yuko Kai ,&nbsp;Ichiro Kawachi ,&nbsp;Katsunori Kondo","doi":"10.1016/j.ssmph.2024.101731","DOIUrl":"10.1016/j.ssmph.2024.101731","url":null,"abstract":"<div><h3>Background</h3><div>Taiso is a Japanese term encompassing meanings akin to calisthenics. Taiso is a widely used exercise program in Japan but whether it prevents functional disability and dementia remains unclear. This study aimed to elucidate the association between practicing Taiso, especially focusing on the well-known Radio-Taiso, and functional disability and dementia in older adults in Japan.</div></div><div><h3>Methods</h3><div>This population-based prospective cohort study used data from the Japan Gerontological Evaluation Study (JAGES). The participants were 18,016 people aged 65 years or older who resided in 19 municipalities in Japan and were not certified as needing long-term care at the start of follow-up. The outcomes were all functional disability, moderate-to-severe functional disability, and dementia, during an average of 5.3 years of follow-up. Four groups were created based on type of Taiso practice (None, Radio-Taiso only, Other Taiso only, or Both). The Cox proportional hazards model adjusted for age, sex, equivalized income, educational attainment, household composition, employment status, diseases requiring treatment, activities of daily living, depression, cognitive impairment, and walking duration.</div></div><div><h3>Results</h3><div>The analysis included data from 11,219 individuals. The mean age of respondents was 74.2 years and 46.3% were men. Compared with the no-practice group, the Other Taiso only group showed a notably decreased risk of all functional disability (hazard ratio [95% CI] 0.87 [0.78–0.96]). The Other Taiso only group was associated with a significant reduction in the hazard ratio for moderate-to-severe functional disability (0.81 [0.70–0.93]). Decreases in the hazard ratio for dementia were also observed in the Radio-Taiso only (0.82 [0.68–0.9998]) and Other Taiso only groups (0.81 [0.70–0.93]).</div></div><div><h3>Conclusions</h3><div>Practicing Taiso, including Radio-Taiso, may reduce the risk of dementia in older adults, while practicing other types of Taiso may reduce the risk of functional disability.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101731"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term trajectories of depressive symptoms by military affiliation","authors":"Elizabeth C. Coppola ,&nbsp;Shelley MacDermid Wadsworth ,&nbsp;Zoe E. Taylor ,&nbsp;Laura Schwab-Reese ,&nbsp;Sharon L. Christ","doi":"10.1016/j.ssmph.2024.101733","DOIUrl":"10.1016/j.ssmph.2024.101733","url":null,"abstract":"<div><h3>Objectives</h3><div>Using a national sample of Americans, this study estimated and compared patterns of depressive symptom trajectories stratified by military service. This study then examined associations between sociodemographic factors theorized to shape entry into military service and trajectory patterns.</div></div><div><h3>Method</h3><div>Data came from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative study that followed participants from adolescence (1994–1995) through midlife (2016–2018). Latent growth mixture modeling was used to estimate depressive symptom trajectories among civilians (<em>n</em> = 17,644) and participants who served in the military (<em>n</em> = 1266). Associations between trajectory membership and sociodemographic factors were tested with multinomial regression.</div></div><div><h3>Results</h3><div>Trajectories were best represented by 4-class linear models. “Low” was the largest class, representing 74.4% of civilians and 70.4% of those who served. The second largest class, “low then increasing,” was comprised of 13.6% of civilians and 19.6% of service members. The third smallest class, “high then decreasing” class, included 8.8% of civilians and 4.5% of service members. An “increasing” class emerged with high depressive symptoms by midlife, comprised of 3.2% of civilians and 5.5% of those who served. Gender and family structure had robust associations with trajectory membership.</div></div><div><h3>Discussion</h3><div>A larger percentage of those who served were in the “increasing” trajectory characterized by concerningly high depressive symptoms by midlife, underscoring the need for continued screening in depressive symptoms throughout the life course. Associations between family structure and gender on depressive symptoms support calls for conceptualizing family structure as a social determinant of health and continued investment in women's health.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101733"},"PeriodicalIF":3.6,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for Alzheimer's disease and related dementias in U.S. honor cultures","authors":"Erin E. Harrington,&nbsp;Jarrod E. Bock","doi":"10.1016/j.ssmph.2024.101732","DOIUrl":"10.1016/j.ssmph.2024.101732","url":null,"abstract":"<div><div>In recent years, more attention has been given to cultural predictors of Alzheimer's disease and related dementias (ADRD) risk. Yet, research has overlooked the potential risk conferred by U.S. cultures of honor. There is ample reason to suspect that honor-oriented states are at greater risk for ADRD, as many of the characteristics of honor-oriented states are also risk factors for ADRD (e.g., rurality, economic precariousness) and norms within honor cultures (e.g., risk taking, military enlistment, intimate partner violence) may elevate the chance of experiencing neurocognitive ADRD risk factors, like traumatic brain injury (TBI) and subjective cognitive decline (SCD). The present work examined the extent to which statewide honor-orientation predicted estimates of unintentional TBI deaths (2001–2019), SCD (2015–2019), and ADRD deaths (1999–2019) among non-Hispanic Whites. We controlled for period-matched variables known to be associated with honor cultures and ADRD (e.g., rurality, economic precariousness). After controlling for covariates, we observed that more honor-oriented states had higher unintentional TBI death rates (<em>β</em> = 0.39, <em>p</em> = .016), SCD (<em>β</em> = 0.58, <em>p</em> = .001), and ADRD death rates (<em>β</em> = 0.49, <em>p</em> = .030). Findings suggest that the norms and values of honor cultures may confer higher risk for TBI, SCD, and ADRD. Implications for educational, identification, and intervention efforts are discussed.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101732"},"PeriodicalIF":3.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatial accessibility to gun violence exposure on walkable routes to and from school","authors":"Gia Barboza-Salerno ,&nbsp;Sharefa Duhaney ,&nbsp;Hexin Yang","doi":"10.1016/j.ssmph.2024.101730","DOIUrl":"10.1016/j.ssmph.2024.101730","url":null,"abstract":"<div><div>This study investigates the spatial accessibility of gun violence exposure along walkable routes to and from schools in Englewood, Chicago. Focusing on both direct and indirect forms of gun violence, the study uses acoustic detection technology to quantify the cumulative burden of gun violence exposure potentially encountered by students during their commute to and from school. We examined the spatial distribution of shooting incidents in proximity to schools using network-constrained kernel density estimation, secondary spatial analysis, and rapid realistic routing. G-function analysis revealed that shooting incidents cluster along streets, including safe passage routes, near schools. An average of 1.30 and 18.06 gunshots were reachable within 5- and 15-min commute times in the morning and afternoon, respectively Our findings underscore the urgent need to reframe the narrative around ‘school gun violence’ to consider exposures that occur in proximity to school boundaries to more effectively reduce violence exposure for youth who walk to school in violence-prone neighborhoods.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101730"},"PeriodicalIF":3.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic and spatial distribution of depressive symptoms and access to treatment in Peru: A repeated nationwide cross-sectional study from 2014 to 2021","authors":"David Villarreal-Zegarra ,&nbsp;Ali Al-kassab-Córdova ,&nbsp;Sharlyn Otazú-Alfaro ,&nbsp;Baltica Cabieses","doi":"10.1016/j.ssmph.2024.101724","DOIUrl":"10.1016/j.ssmph.2024.101724","url":null,"abstract":"<div><h3>Background</h3><div>Globally, evidence indicates that poverty and geographical setting influence the prevalence of depressive symptoms and access to treatment. Therefore, this study aimed to evaluate the socioeconomic and spatial distribution of depressive symptoms and treatment in Peru.</div></div><div><h3>Methods</h3><div>We conducted an observational study based on the analysis of secondary data derived from the Peruvian Demographic and Health Surveys for 2014–2021. Using the Patient Health Questionnaire-9 on depressive symptoms, we estimated the Erreygers concentration index (ECI) to identify socioeconomic inequality in depressive symptoms and access to treatment. Spatial analyses were conducted using Global Moran's I, Kriging interpolation, hotspot analysis (Getis-Ord-Gi∗), and the Bernoulli-based Kulldorff spatial analysis.</div></div><div><h3>Results</h3><div>The surveys included a total of 113,392 participants. Depressive symptoms exhibited only negative ECI values throughout the 2014–2021 period (pro-poor distribution), whereas access to treatment only displayed positive ECI values (pro-rich distribution). We identified two and four significant clusters in the southeastern areas of Peru in 2014 and 2021, respectively.</div></div><div><h3>Conclusions</h3><div>Depressive symptoms were concentrated among the poorest, whereas access to treatment was remarkably concentrated among the wealthiest groups. A clustered spatial pattern was observed, and similar high-risk areas were identified. Social policies that address unequal socioeconomic and spatial distribution in depressive symptoms and treatment are required.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101724"},"PeriodicalIF":3.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of objective and subjective relative deprivation with health, happiness, and life satisfaction","authors":"Chun-Tung Kuo ,&nbsp;Duan-Rung Chen ,&nbsp;Pei-Shan Liao ,&nbsp;Ichiro Kawachi","doi":"10.1016/j.ssmph.2024.101727","DOIUrl":"10.1016/j.ssmph.2024.101727","url":null,"abstract":"<div><h3>Background</h3><div>Relative deprivation is a critical mechanism for understanding how income inequality affects mental health. However, few studies have compared the effects of objective and subjective relative deprivation on health outcomes. This study compared how objective and subjective relative deprivation and their interaction relate to human flourishing measures, including health, happiness, life satisfaction, social relationships, and financial stability.</div></div><div><h3>Methods</h3><div>This cross-sectional study analyzed data from 1592 adults in Taiwan. The objective and subjective relative deprivation were measured using the Yitzhaki Index and the Personal Relative Deprivation Scale-Revised (PRDS-R), respectively. We conducted least-squares regression models to investigate the associations between these relative deprivation measures and human flourishing outcomes.</div></div><div><h3>Results</h3><div>The correlation between the Yitzhaki Index and PRDS-R was 0.16 (p &lt; 0.001). After controlling for absolute income and covariates, the regression models showed that objective and subjective relative deprivation was negatively associated with all six human flourishing outcomes. Notably, subjective relative deprivation is strongly associated with outcomes than objective relative deprivation. Also, the Yitzhaki Index remained adversely associated with all human flourishing outcomes after accounting for the PRDS-R. Furthermore, the interaction between the Yitzhaki Index and PRDS-R was associated with additional risks to well-being, particularly affecting health, happiness, life satisfaction, and financial stability.</div></div><div><h3>Conclusion</h3><div>Both objective and subjective relative deprivation were negatively associated with multiple dimensions of human flourishing. Policies aimed at addressing relative deprivation and reducing income inequality could contribute to higher levels of health, happiness, life satisfaction, social relationships, and economic stability.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101727"},"PeriodicalIF":3.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}