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The European Journal of Public Health Advance Access originally published online on April 23, 2009
The European Journal of Public Health 2009 19(4):412-417; doi:10.1093/eurpub/ckp047
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© The Author 2009. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Social Determinants

Who can afford to look to the future ? The relationship between socio-economic status and proactive coping

Carolijn Ouwehand1, Denise T. D. de Ridder1 and Jozien M. Bensing1,2

1 Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands
2 Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands

Correspondence: Carolijn Ouwehand, Department of Clinical and Health Psychology, Utrecht University, PO Box 80.140, 3508 TC Utrecht, The Netherlands, tel: +31 (0) 30 253 1470, fax: +31 (0) 30 253 4718, e-mail: c.ouwehand{at}uu.nl

Received June 30, 2008 , accepted March 19, 2009

Background: The aim of this article was to examine, whether middle-aged and older adults spontaneously engage in proactive coping to prevent future problems associated with ageing and whether differences in proactive coping were associated with socio-economic status (SES). Methods: As part of the cross-sectional Second Dutch National Survey of General Practice (DNSGP–2, 2001), a representative sample of 3189 adults aged 50–70 years filled in a questionnaire measuring proactive coping. In addition, data were collected regarding the three main components of SES, namely educational level, income and occupational status, as well as participants’ health status. Results: We found that higher SES, especially with respect to income and education, was positively associated with proactive coping. This relationship was not moderated, but was partially mediated by physical health problems. Conclusion: People with higher income and higher educational level used more proactive coping strategies in their daily life to offset potential problems associated with ageing. Physical health status partially explained the SES-differences in proactive coping. It seems that people with lower SES undertake less future-oriented activities as a result of the fact that present health problems require attention and drain resources.

Keywords: ageing, health, proactive coping, socio-economic status


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