While it is established that socioeconomic status and social integration influence the distribution of health and illness among men and women, little attention has been paid to the different ways in which women and men experience socioeconomic opportunities and social attachments to others. Drawing on evidence from the literature, the position developed in this article is that gender mediates the influence of both socioeconomic status and social integration on health, and for women, these are intricately linked. Women's relationship to the labour market establishes and perpetuates their socioeconomic inequality relative to men, and may produce contradictory influences on women's health. Furthermore, for women, the marital relationship is paradoxical: marriage may at once improve economic and social support opportunities, while diminishing control over paid and unpaid work - potentially increasing as well as compromising the health status of women. The article is intended to contribute to the growing body of literature on gender and the determinants of health.
Popay J., Bartley M., Owen C.Gender inequalities in health: social position, affective disorders and minor physical morbidity. Soc Sci Med1993; 36: 21-32.
2.
Koskinen S., Martelin T.Why are socioeconomic mortality differences smaller among women than among men?Soc Sci Med1994; 38: 1385-96.
3.
Arber S.Comparing inequalities in women's and men's health: Britain in the 1990s. Soc Sci Med1997; 44: 773-87.
4.
Marmot M., Ryff CD, Bumpass LL, Shipley M., Marks NFSocial inequalities in health: next questions and converging evidence. Soc Sci Med1997; 44: 901-10.
5.
Lahelma E., Martikainen P., Rahkonen O., Silventoinen K.Gender differences in ill health: patterns, magnitude and change. Soc Sci Med; 48: ??-??.
6.
Verbrugge LMGender and health: an update on hypotheses and evidence. J Health Soc Behav1985; 26: 156-82.
7.
Bartley M., Popay J., Plewis I.Domestic conditions, paid employment and women's experience of ill-health . Soc Health Illness1992; 14: 315-43.
8.
Martikainen P.Socioeconomic mortality differentials in men and women according to own and spouse's characteristics in Finland. Soc Health Illness1995; 17: 353-75.
9.
Matthews S., Hertzman C., Ostry A., Power C.Gender, work roles and psychosocial work characteristics as determinants of health. Soc Sci Med1998; 46: 1417-24.
10.
Davey-Smith G., Bartley M., Blane D.The Black Report on socioeconomic inequalities in health. 10 years onBr Med J1990; 301: 373-7.
11.
Wilkinson RGUnhealthy societies. The afflictions of inequality. London : Routledge, 1996.
12.
Macintyre S.The Black Report and beyond: what are the issues?Soc Sci Med, 1997; 44: 723-45.
13.
McDonough P. , Duncan GJ, Williams D., House J.Income dynamics and adult mortality in the United States, 1972 through 1989. Am J Pub Health, 1997; 87: 1476-83.
14.
Wilkinson RGComment: income, inequality and social cohesion . Am J Pub Health, 1997; 87: 1504-6.
15.
Wilkinson RGHealth inequalities: relative or absolute material standards?Br Med J, 1997; 314: 591-5.
16.
Elo IT, Preston SHEducational differentials in mortality: United States, 1979-85Soc Sci Med, 1996; 42: 47-57.
17.
Matthews S. , Manor O., Power C. Social inequalities in health: are there gender differences?Soc Sci Med, 1998; 48: 49-60.
18.
Berkman LF, Syme LSSocial networks, host resistance and mortality: a nine-year follow-up of Alameda County residents. Am J Epid, 1979; 109: 186-204.
19.
House JS, Robbins C., Metzner HMThe association of social relationships and activities with mortality. Prospective evidence from the Techumseh Community Health Study. Am J Epid , 1982; 116: 123-40.
20.
Orth-Gomer K. , Johnson J.Social network interaction and mortality. A six-year follow-up study of a random sample of the Swedish population. J Chron Dis, 1987; 40: 949-57.
21.
Cassel J.The contribution of the social environment to host resistance. Am J Epidemiol, 1976; 104: 107-23.
22.
Cobb S.Social support as a moderator of life stress. Psychosom Med , 1976; 38: 300-14.
23.
Kaplan BH, Cassel J., Gore S.Social support and health. Med Care, 1977; 15: 47-58.
24.
Turner RJSocial support as a contingency in psychological well-being. J Health Soc Behav, 1981; 22: 357-67.
25.
Kawachi I., Kennedy BP, Lochner K., Prothrow-Stith D.Social capital, income inequality and mortality. Am J Pub Health, 1997; 87: 1491-8.
26.
Lomas J.Social capital and health: implications for public health and epidemiology . Soc Sci Med, 1998; 47: 1181-8.
27.
Kawachi I., Kennedy BP, Gupta V., Prothrow-Stith D.Women's status and the health of women and men: a view from the States. Soc Sci Med, 1999; 48: 21-32.
28.
Pahl J.Earning, sharing and spending: married couples and their money. In: Walker R,. Parker G, editors. Money matters: income, wealth and financial welfare. Beverly Hills, CA: Sage, 1988.
29.
Rook K.The negative side of social interaction: impact on psychological well-being . J Pers Soc Psychol, 1984; 46: 1097 -108.
30.
Cohen M.The problem of studying ``economic man''. In: Miles A, Finn G, editors. Feminism: from pressure to politics. Montreal: Black Rose Press, 1989: 147-160.
31.
Ridgeway CLInteraction and the conservation of gender inequality: considering employment. Am Soc Rev, 1997; 62: 218-35.
32.
Chodorow N.The reproduction of mothering. Berkeley, CA: University of California Press, 1978.
33.
Martin KABecoming a gendered body: practices of preschools. Am Rev Soc, 1998; 63: 94-511.
34.
Hochschild A. , Machung A.The second shift: working parents and the revolution at home. New York: Viking , 1989.
35.
Status of women Canada. Economic gender equality indicators. Federal-provincial/territorial ministers responsible for the status of women . Cat. No. SW21-17/ 1997E, 1998.
36.
Statistics Canada.Labour force information for the week ended August 16, 1997. Catalogue No. 71-001-PPB/ISSN 0708-3157, 1997.
37.
Communications, Energy and Paperworkers Union of Canada. Working Families 1994.
38.
National Council of Welfare.Poverty profile 1996. Minister of Public Works and Government Services Canada, Cat. No. H67-1/4-1996E, 1998.
Ali J., Avison WREmployment transitions and psychological distress: the contrasting experiences of single and married mothers. J Health Soc Behav, 1997; 38: 345-62.
41.
Dean K.Double burdens of work: the female work and health paradox. Health Prom International, 1992; 7: 17-25.
42.
Glass J., Tetsushi F.Housework, paid work and depression among husbands and wives. J Health Soc Behav, 1994; 35: 179-91.
43.
Repetti R., Matthews K., Waldron I.Employment and women's health: effects of paid employment on women's mental and physical health. Am Psychol, 1989; 44: 1394-401.
44.
Rosenfeld J.Maternal work outside the home and its effect on women and their families. JAMA, 1992; 47: 47-53.
45.
Avison WRThe health consequences of unemployment. In: Determinants of health: adults and seniors. Canada health action: building the legacy. Papers Commissioned by the National Forum on Health. Ste. Foy, Quebec: Editions Multimondes, 1998 .
46.
Rosenfield S.The costs of sharing: wives' employment and husbands' mental health. J Health Soc Behav, 1989; 33: 213-25.
47.
McLanahan S. , Adams J.Parenthood and psychological well-being. Ann Rev Soc, 1987; 5: 237-57.
48.
Acker J.Hierarchies, jobs, bodies: a theory of gendered organizations. Gender Soc, 1990; 4: 139-58.
49.
Reskin BF, Roos PAJob queues and gender queues: explaining women's inroads into male occupations . Philadelphia: Temple University Press, 1990.
50.
Haynes S.The effect of job demands, job control and new technologies on the health of employed women: a review. In: Frankenhaueser M, Lundberg U, Chesney M, editors. Women, work and health: stress and opportunities . New York: Plenum Press, 1991.
51.
Hall EM, Johnson JV, Tsou T.Women, occupation and risk of cardiovascular morbidity and mortality. Occup Med, 1993; 8: 709-19.
52.
Koskenvuo M. , Daprio J., Lonnqvist J., Sarna S.Social factors and the gender difference in mortality. Soc Sci Med, 1986; 23: 605-9.
53.
Trovato F., Lauris G.Marital status and mortality in Canada. J Mar Fam, 1989; 51: 907-22.
54.
Wyke S., Ford G.Competing explanations for associations between marital status and health . Soc Sci Med, 1992; 34: 523-32.
55.
Coombs RHMarital status and personal well-being. A literature review. Fam Rel, 1991; 40: 97-102.
56.
Munch A., Miller-McPherson J, Smith-Lovin L. Gender, children and social contact: the effects of childrearing for men and women. Am Soc Rev, 1997; 62: 509-20.
57.
Campbell KEGender differences in job-related networks. Work Occup, 1988; 15: 179-200.
58.
Simon RWAssessing sex differences in vulnerability among employed parents: the importance of marital status. J Health Soc Behav, 1998 ; 39: 38-54.
59.
Evans RG, Barer ML, Marmor TRWhy are some People Healthy and Others not? The determinants of health of populations. New York: Aldinede Gruyter, 1994.
60.
House JS, Kahn RLMeasures and concepts of social support. In: Cohen S, Syme SL, editors. Social support and health. New York: Academic Press, 1985.
61.
Statistics Canada.Earnings of men and women. Catalogue No. 13-217-XPB, 1995.
