The Pathway From Social Status to Physical Health: Taking a Closer Look at Stress as a Mediator
The Pathway From Social Status to Physical Health: Taking a Closer Look at Stress as a Mediator
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DOI：
10.1177/0963721420901596
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发表时间：
2020-02-25
影响因子：
7.2
通讯作者：
Muscatell, Keely A.
中科院分区：
文献类型：
--
作者：
Cundiff, Jenny M.;Boylan, Jennifer Morozink;Muscatell, Keely A.
由于社会地位的不同，压力经常被认为是造成身体健康差异的一个潜在因素。尽管有充分的理由相信，压力暴露和压力反应可能是将较低的社会地位与较差的健康联系起来的重要途径，但缺乏直接证据。我们总结了这一途径的证据和该证据的局限性，特别关注压力是如何概念化和测量的。我们认为，除了对调解进行更直接的测试外，对中介的测量--压力--也可以改进。我们还提出，在这一背景下，通过增加压力的理论清晰度和预测性，测量特定于理论的压力暴露可能比评估一般压力暴露(例如，生活事件、全球感知的压力)更有成效。
Stress is often invoked as a potential contributor to disparities in physical health as a function of social status. Although there is good reason to believe that stress exposure and stress responses may be an important pathway linking lower social status to poor health, direct evidence is lacking. We summarize the evidence for this pathway and limitations of that evidence, focusing particularly on how stress is conceptualized and measured. We argue that in addition to more direct tests of mediation, the measurement of the mediator-stress-could also be improved. We also propose that measuring theory-specific stress exposures may be more fruitful than assessing general stress exposures (e.g., life events, global perceived stress) by increasing theoretical clarity and predictive utility of stress in this context.