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. 2014 Oct;48(2):215-24.
doi: 10.1007/s12160-014-9591-1.

The mediating roles of perceived stress and health behaviors in the relation between objective, subjective, and neighborhood socioeconomic status and perceived health

Theresa E Senn  1 , Jennifer L Walsh, Michael P Carey
Affiliations

The mediating roles of perceived stress and health behaviors in the relation between objective, subjective, and neighborhood socioeconomic status and perceived health

Theresa E Senn et al. Ann Behav Med. 2014 Oct.

Abstract

Background: Objective, subjective, and neighborhood socioeconomic status (SES) are associated with perceived health, morbidity, and mortality.

Purpose: We investigated whether perceived stress and health behaviors mediated the relation between the three types of SES and perceived health.

Methods: Participants (N = 508) attending a public clinic completed a computerized survey assessing objective SES (income, education, employment); health behaviors; perceived stress; and perceived health. They also indicated their social standing relative to others (subjective SES) and provided their current address to determine neighborhood SES.

Results: In a structural equation model including all three SES types, lower objective and subjective SES were related to poorer perceived health. When mediators were included in the model, there were significant indirect effects of (a) SES on health through stress and (b) SES on health through stress and health-compromising behaviors.

Conclusions: Interventions to reduce the impact of stressors could improve the health of socioeconomically disadvantaged individuals.

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Conflict of interest statement

Authors Statement of Conflict of Interest and Adherence to Ethical Standards: Author Senn, Author Walsh, and Author Carey declare that they have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committees on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Figures

Figure 1
Figure 1
Structural equation model showing associations between SES constructs, perceived stress, health compromising behaviors, and perceived health. Standardized regression coefficients are reported. Control variables included age, sex, and race. Dashed lines represent non-significant paths.
See this image and copyright information in PMC

References

    1. Adler NE, Rehkoph DH. U.S. disparities in health: Descriptions, causes, and mechanisms. Annu Rev Public Health. 2008;29:235–252. - PubMed
    1. Adler NE, Boyce T, Chesney MA, et al. Socioeconomic status and health: The challenge of the gradient. Am Psychol. 1994;49:15–24. - PubMed
    1. Taylor SE, Repetti RL. Health psychology: What is an unhealthy environment and how does it get under the skin? Annu Rev Psychol. 1997;48:411–447. - PubMed
    1. House JS, Williams DR. Understanding and reducing socioeconomic and racial/ethnic disparities in health. In: Hofrichter R, editor. Health and social justice: Politics, ideology, and inequity in the distribution of disease. San Francisco: Jossey-Bass; 2003. pp. 89–131.
    1. Preston SH, Elo IT. Are educational differentials in adult mortality increasing in the United States? J Aging Health. 1995;7:476–496. - PubMed

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