AI Article Synopsis

  • The study examines the relationship between social class and health among Chilean workers using a neo-Marxian perspective.
  • It finds that medium employers generally have better health outcomes, with unskilled managers showing the lowest mental health risks, while large employers engage in healthier behaviors such as less smoking and more physical activity.
  • The research concludes that social class significantly influences health outcomes, highlighting that higher social class correlates with better health indicators, while lower classes face greater health challenges.

Article Abstract

Objective: To analyze links between social class and health-related indicators and behaviors in Chilean workers, from a neo-Marxian perspective.

Methods: A cross-sectional study based on the First National Survey on Employment, Work, Health, and Quality of Life of Workers in Chile, done in 2009-2010 (n = 9 503). Dependent variables were self-perceived health status and mental health, examined using the General Health Questionnaire (GHQ-12). Health-related behavior variables included tobacco use and physical activity. The independent variable was neo-Marxian social class. Descriptive analyses of prevalence were performed and odds ratio (OR) models and 95% confidence intervals (95%CI) were estimated.

Results: Medium employers (between 2 and 10 employees) reported a lower prevalence of poor health (21.6% [OR 0.68; 95%CI 0.46-0.99]). Unskilled managers had the lowest mental health risk (OR 0.43; 95%CI 0.21-0.88), with differences between men and women. Large employers (more than 10 employees) reported smoking the least, while large employers, expert supervisors, and semi-skilled workers engaged in significantly more physical activity.

Conclusions: Large employers and expert managers have the best health-related indicators and behaviors. Formal proletarians, informal proletarians, and unskilled supervisors, however, have the worst general health indicators, confirming that social class is a key determinant in the generation of population health inequalities.

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Source
http://dx.doi.org/10.1590/s1020-49892013000500005DOI Listing

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