The Mediating Roles of Perceived Stress and Health Behaviors in the Relation Between Objective, Subjective, and Neighborhood Socioeconomic Status and Perceived Health
The Mediating Roles of Perceived Stress and Health Behaviors in the Relation Between Objective, Subjective, and Neighborhood Socioeconomic Status and Perceived Health
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DOI：
10.1007/s12160-014-9591-1
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发表时间：
2014-10-01
影响因子：
3.8
通讯作者：
Carey, Michael P.
中科院分区：
文献类型：
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作者：
Senn, Theresa E.;Walsh, Jennifer L.;Carey, Michael P.
客观、主观和社区社会经济地位（SES）与感知健康、发病率和死亡率相关。我们调查了感知压力和健康行为是否介导了这三种SES与感知健康之间的关系。参加公共诊所的参与者（N = 508）完成了一个评估客观SES的计算机调查（收入，教育，就业）;健康行为;感知压力;和感知健康。他们还表明他们的社会地位相对于他人（主观SES），并提供他们目前的地址，以确定邻里SES.In结构方程模型，包括所有三个SES类型，较低的客观和主观SES与较差的自认为健康。当模型中包括中介因素时，（a）SES通过压力对健康产生显著的间接影响，（B）SES通过压力和损害健康的行为对健康产生显著的间接影响。
Objective, subjective, and neighborhood socioeconomic status (SES) are associated with perceived health, morbidity, and mortality.We investigated whether perceived stress and health behaviors mediated the relation between the three types of SES and perceived health.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.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.Interventions to reduce the impact of stressors could improve the health of socioeconomically disadvantaged individuals.