Socioeconomic status and chronic stress - Does stress account for SES effects on health?

Socioeconomic status and chronic stress - Does stress account for SES effects on health?
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DOI:
10.1111/j.1749-6632.1999.tb08111.x
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发表时间:
1999-01-01
期刊:
SOCIOECONOMIC STATUS AND HEALTH IN INDUSTRIAL NATIONS
影响因子:
--
通讯作者:
Yali, AM
Yali, AM
中科院分区:
其他
文献类型:
--
作者:
Baum, A;Garofalo, JP;Yali, AM

文献摘要

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社会经济地位(SES)是一系列健康和疾病结果的重要预测因素。研究试图确定这种经常报告的影响在多大程度上是由于较高的社会经济地位或较低的社会地位的有毒元素的保护性好处,但没有得出一致或结论性的结果。一个相对新颖的假设是,这些影响是由于慢性压力,是与社会经济地位;较低的社会经济地位与许多重要的社会和环境条件可靠地相关,这些条件导致慢性压力负担,包括拥挤、犯罪、噪音污染、歧视和其他危险或压力源。长期压力可能会造成与社会地位低下的有害方面有关的健康和社会结果的大部分差异。低SES通常与痛苦,精神健康问题的患病率以及与压力相关的损害健康的行为有关,需要针对这一假设的研究来确定压力是联系SES和健康的途径的程度。
Socioeconomic status (SES) is an important predictor of a range of health and illness outcomes. Research seeking to identify the extent to which this often-reported effect Is due to protective benefits of higher SES or to toxic elements of lower social status has not yielded consistent or conclusive findings. A relatively novel hypothesis is that these effects are due to chronic stress that is associated with SES; lower SES is reliably associated with a number of important social and environmental conditions that contribute to chronic stress burden, including crowding, crime, noise pollution, discrimination, and other hazards or stressors, In other words, chronic stress may capture much of the variance in health and social outcomes associated with harmful aspects of lower social status. Low SES is generally associated with distress, prevalence of mental health problems, and with health-impairing behaviors that are also related to stress, Research targeting this hypothesis is needed to determine the extent to which stress is a pathway linking SES and health.