The Mediating Roles of Perceived Stress and Health Behaviors in the Relation Between Objective, Subjective, and Neighborhood Socioeconomic Status and Perceived Health

BackgroundObjective, subjective, and neighborhood socioeconomic status (SES) are associated with perceived health, morbidity, and mortality.PurposeWe investigated whether perceived stress and health behaviors mediated the relation between the three types of SES and perceived health.MethodsParticipants (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.ResultsIn 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.ConclusionsInterventions to reduce the impact of stressors could improve the health of socioeconomically disadvantaged individuals.

• Publication year

  2014

• Venue

  Annals of Behavioral Medicine

• Publication date

  2014-03-20

• Fields of study

  Sociology, Medicine, Psychology

• Identifiers
  DOI 10.1007/s12160-014-9591-1PMID 24648016PMCID PMC4156915
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• Perceived stress together with health-compromising behaviors also formed a significant indirect pathway between socioeconomic status and perceived health.

  Confidence 0.90

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• Perceived stress carried significant indirect effects linking socioeconomic status to perceived health.

  Confidence 0.93

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• Lower objective socioeconomic status and lower subjective socioeconomic status were each associated with poorer perceived health in the structural equation model that included all three SES types.

  Confidence 0.96

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review

• health behaviors

  behavioral measure

  Self-reported behaviors related to health that were assessed in the survey.

  Aliases: behavioral factors

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• health-compromising behaviors

  behavioral measure, mediator

  Behaviors assessed as part of the health behavior measures that can undermine health.

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• neighborhood socioeconomic status

  socioeconomic indicator

  A socioeconomic measure derived from participants' current address to characterize the surrounding neighborhood.

  Aliases: neighborhood SES

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• objective socioeconomic status

  socioeconomic indicator

  A measured socioeconomic indicator based on participants' income, education, and employment status in the survey.

  Aliases: objective SES, SES

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• perceived health

  outcome, self-report measure

  Participants' self-rated health outcome measured in the survey.

  Aliases: health

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• perceived stress

  mediator, psychological measure

  Participants' self-reported level of stress used as a mediator in the model.

  Aliases: stress

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review
• subjective socioeconomic status

  socioeconomic indicator

  Participants' self-rated social standing relative to other people.

  Aliases: subjective SES

  박진우 (dztg5apj7m) extractionB (s683577b42) reviewq (76h6bfydm6) review

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