Is subjective social status a unique correlate of physical health? A meta-analysis.
Is subjective social status a unique correlate of physical health? A meta-analysis.
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DOI：
10.1037/hea0000534
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Matthews KA
中科院分区：
文献类型：
--
作者：
Cundiff JM;Matthews KA
社会分层（例如社会等级）和经济资源（例如收入）都被认为会造成社会经济健康差异。有人提出，与教育、职业和收入等更传统的、经过充分研究的社会经济结构相比，主观社会经济地位（个人对其等级排名的看法）为身体健康提供了更高的预测效用。我们系统地搜索了 PsychINFO 和 PubMed 数据库，以查找研究主观 SES 与身体健康之间关系的研究，并根据至少一项客观 SES 指标进行调整。最终样本包括三十一项研究和九十九种独特效果。进行荟萃分析的目的是：a）估计社会经济地位（SES）的主观和客观指标之间的重叠；b）估计主观SES与针对客观SES调整的身体健康的累积关联。还检查了潜在的调节因素，例如种族和评估的健康指标类型（全球自我报告与更具体和基于生物学的指标）。在样本中，主观社会经济地位与客观社会经济地位指标有一定程度的重叠，但白人的相关性比黑人强得多。主观 SES 证明与成人身体健康存在独特的累积关联，超出了 SES 的传统客观指标 (Z=.07, SE=.01, p<.05)。这种关联对于自我评价的健康状况比基于生物学和针对特定症状的健康指标更强。几乎所有可用数据都是横截面数据，不允许进行强有力的因果推断。主观社会经济地位可以提供与了解健康差异相关的独特信息，尤其是自评健康状况。
Both social stratification (e.g., social rank) as well as economic resources (e.g., income) are thought to contribute to socioeconomic health disparities. It has been proposed that subjective socioeconomic status (an individual’s perception of his or her hierarchical rank) provides increased predictive utility for physical health over and above more traditional, well-researched socioeconomic constructs such as education, occupation, and income. PsychINFO and PubMed databases were systematically searched for studies examining the association of subjective SES and physical health adjusting for at least one measure of objective SES. The final sample included thirty-one studies and ninety-nine unique effects. Meta-analyses were performed to: a) estimate the overlap among subjective and objective indicators of socioeconomic status (SES) and b) estimate the cumulative association of subjective SES with physical health adjusting for objective SES. Potential moderators such as race and type of health indicator assessed (global self-reports vs. more specific and biologically-based indicators) were also examined. Across samples, subjective SES shows moderate overlap with objective indicators of SES, but associations are much stronger in Whites than Blacks. Subjective SES evidenced a unique cumulative association with physical health in adults, above and beyond traditional objective indicators of SES (Z=.07, SE=.01, p<.05). This association was stronger for self-rated health than for biologically-based and symptom-specific measures of health. Almost all available data were cross-sectional and do not allow for strong causal inference. Subjective SES may provide unique information relevant to understanding disparities in health, especially self-rated health.
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DOI：
10.1001/jama.2016.4226
发表时间：
2016-04-26
期刊：
JAMA
影响因子：
--
作者：
Chetty R;Stepner M;Abraham S;Lin S;Scuderi B;Turner N;Bergeron A;Cutler D
通讯作者：
Cutler D
影响因子：
2.7
作者：
Cundiff, Jenny M.;Smith, TimothyW.;Berg, Cynthia A.
通讯作者：
Berg, Cynthia A.
影响因子：
1.9
作者：
Duval, S;Tweedie, R
通讯作者：
Tweedie, R
影响因子：
3.2
作者：
Camelo, Lidyane do V.;Giatti, Luana;Barreto, Sandhi M.
通讯作者：
Barreto, Sandhi M.
影响因子：
5.4
作者：
Franzini, Luisa;Fernandez-Esquer, Maria Eugenia
通讯作者：
Fernandez-Esquer, Maria Eugenia