It has been hypothesized that exposure to stress and negative life events is related to poor health outcomes, and that differential exposure to stress plays a role in socioeconomic disparities in health. Data from three waves of the Americans' Changing Lives study (n = 3,617) were analyzed to investigate prospectively the relationship among socioeconomic indicators, five measures of stress/negative life events, and the health outcomes of mortality, functional limitations, and self-rated health. The results revealed that (1) life events and other types of stressors are clearly related to socioeconomic position; (2) a count of negative lifetime events was positively associated with mortality; (3) a higher score on a financial stress scale was predictive of severe/moderate functional limitations and fair/poor self-rated health at wave 3; and (4) a higher score on a parental stress scale was predictive of fair/poor self-rated health at wave 3. The negative effects of low income on functional limitations attenuated to insignificance when waves 1 and 2 stress/life event measures were controlled for, but other socioeconomic disparities in health change remained sizable and significant when adjusted for exposure to stressors. The results support the hypothesis that differential exposure to stress and negative life events is one of many ways in which socioeconomic inequalities in health are produced in society.
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References
1.
AdlerNancy E.OstroveJoan M.1999.
“Socioeconomic Status and Health: What We Know and What We Don't.”Annals of the New York Academy of Sciences896:
3–15
2.
BaumAndrewGarofaloJ. P.YaliAnn Marie1999.
“Socioeconomic Status and Chronic Stress: Does Stress Account for SES Effects on Health?”Annals of New York Academy of Sciences896:
131–44
3.
BushB. A.1999.
“Major Life Events as Risk Factors for Post-stroke Depression.”Brain Injury13(2):
131–37
4.
CarrollDouglasShahEbrahimKateTillingJohnMacleodSmithGeorge Davey2002.
“Admissions for Myocardial Infarction and World Cup Football: Database Survey.”British Medical Journal325:
1439–42
5.
CohenSheldonKesslerRonald C.GordonLynn U.1995.
“Strategies for Measuring Stress in Studies of Psychiatric and Physical Disorders.”
In Measuring Stress: A Guide for Health, and Social Scientists,
edited by CohenS.KesslerR. C.GordonL. U.New York:
Oxford University Press
6.
CohenSheldonWilliamsonGail M.1991.
“Stress and Infectious Disease in Humans.”Psychological Bulletin109:
310–57
7.
CuiXing-JaiVaillantGeorge E.1996.
“Antecedents and Consequences of Negative Life Events in Adulthood: A Longitudinal Study.”American Journal of Psychiatry153(1):
21–26
8.
DohrenwendBruce P.2000.
“The Role of Adversity and Stress in Psychopathology: Some Evidence and Its Implications for Theory and Research.”Journal of Health and Social Behavior41(1):
1–19
9.
EvansRobert G.BarerMorris L.MarmorTheodore R.1994.
Why Are Some People Healthy and Others Not? The Determinants of Health of Populations.New York:
Aldine de Gruyter
10.
FeskanichDianeHastrupJanice L.MarshallJ. R.GrahamColditzStampferM. J.WillettWalter C.IchiroKawachi2002.
“Stress and Suicide in the Nurses' Health Study.”Journal of Epidemiology and Community Health56(2):
95–98
11.
GreenwoodD. C.MuirK. R.PackhamC. J.MadeleyR. J.1996.
“Coronary Heart Disease: A Review of the Role of Psychosocial Stress and Social Support.”Journal of Public Health Medicine18(2):
221–31
12.
GrzywaczJ. G.AlmeidaDavid M.NeupertShevaun D.EttnerSusan L.2004.
“Socioeconomic Status and Health: A Micro-level Analysis of Exposure and Vulnerability to Daily Stressors.”Journal of Health and Social Behavior45(1):
1–16
13.
HouseJames S.2002.
“Understanding Social Factors and Inequalities in Health: 20th Century Progress and 21st Century Prospects.”Journal of Health and Social Behavior43(2):
125–42
HouseJames S.LepkowskiJames M.KinneyAnne M.MeroRichard P.KesslerRonald C.HerzogA. Regula1994.
“The Social Stratification of Aging and Health.”Journal of Health and Social Behavior35(3):
213–34
16.
HouseJames S.WilliamsDavid R.1995.
“Psychosocial Pathways Linking SES and CVD.”
Pp. 11924
in National Institutes of Health, National Heart, Lung, and Blood Institute's Report of the Conference on Socioeconomic Status and Cardiovascular Health and Disease.Hyattsville, MD:
National Institutes of Health
17.
IdlerEllen L.YaelBenyamini1997.
“Self-Rated Health and Mortality: A Review of Twenty-seven Community Studies.”Journal of Health and Social Behavior38(1):
21–37
18.
KarasekRobertTheorellT.1990.
Healthy Work: Stress, Productivity, and the Reconstruction of Working Life.New York:
Basic
19.
KellyShonaClydeHertzmanMarkDaniels1997.
“Searching for the Biological Pathways between Stress and Health.”Annual Review of Public Health18:
437–62
20.
LantzPaula M.HouseJames S.LepkowskiJames M.WilliamsDavid R.MeroRichard P.ChenJ.1998.
“Socioeconomic Factors, Health Behaviors, and Mortality: Results from a Nationally Representative Prospective Study of U.S. Adults.”Journal of the American Medical Association279:
1703–8
21.
LantzPaula M.LynchJohn W.HouseJames S.LepkowskiJames M.MeroRichard P.MusickMarc A.WilliamsDavid R.2001.
“Socioeconomic Disparities in Health Change in a Longitudinal Study of U.S. Adults: The Role of Health-Risk Behaviors.”Social Science and Medicine53:
29–40
22.
LinkBruceJoPhelan1995.
“Social Conditions as Fundamental Causes of Disease.”Journal of Health and Social Behavior36
(extra issue):
80–94
23.
LundbergO.ManderbackaK.1996.
“Assessing Reliability of a Measure of Self-Rated Health.”Scandinavian Journal of Social Medicine24(3):
218–24
24.
LynchJohn W.KaplanGeorge A.CohenR. D.TuimilethtoJ.SalonenJ. T.1996.
“Do Cardiovascular Risk Factors Explain the Relation between Socioeconomic Status, Risk of All-Cause Mortality, Cardiovascular Mortality, and Acute Myocardial Infarction?”American Journal of Epidemiology144:
934–42
25.
MacleodJohnSmithGeorge DaveyPaulineHeslopChrisMetcalfeDouglasCarrollCaroleHart2001.
“Are the Effects of Psychosocial Exposures Attributable to Confounding? Evidence from a Prospective Observational Study on Psychological Stress and Mortality.”Journal of Epidemiology and Community Health55(12):
878–84
26.
MaddockC.ParianteC. M.2001.
“How Does Stress Effect You? An Overview of Stress, Immunity, Depression, and Disease.”Epidemiologia e Psychiatria Sociale10(3):
153–62
27.
MarmotMichael G.1999.
“Acting on the Evidence to Reduce Inequalities in Health.”Health Affairs18(3):
42–44
28.
MarmotMichael G.FuhrerR.EttnerS. L.MarksN. F.BumpassL. L.RyffC. D.1998.
“Contribution of Psychosocial Factors to Socioeconomic Differences in Health.”Milbank Quarterly76(3):
403–49
29.
MatthewsKaren A.GumpBrooks B.2002.
“Chronic Work Stress and Marital Dissolution Increase Risk of Posttrial Mortality in Men from the Multiple Risk Factor Intervention Trial.”Archives of Internal Medicine162(3):
309–15
30.
McEwenBruce S.2001.
“From Molecules to Mind: Stress, Individual Differences, and the Social Environment.”Annals of the New York Academy of Sciences935:
42–49
31.
McEwenBruce S.TeresaSeeman1999.
“Protective and Damaging Effects of Mediators of Stress: Elaborating and Testing the Concepts of Allostasis and Allostatic Load.”Annals of the New York Academy of Sciences896:
30–47
32.
McGonagleKatherine A.KesslerRonald C.1990.
“Chronic Stress, Acute Stress, and Depressive Symptoms.”American Journal of Community Psychology18(5):
681–706
33.
McKinnonW.WeisseC. S.ReynoldsC. P.BowlesC. A.BaumA.1989.
“Chronic Stress, Leukocyte Subpopulations, and Humoral Response to Latent Viruses.”Health Psychology8:
389–402
34.
MillerT. Q.SmithT. W.TurnerC. W.GuijarroM. L.HalletA. J.1996.
“A Meta-analytic Review of Research on Hostility and Physical Health.”Psychological Bulletin119:
322–48
35.
PearlinLeonard I.1989.
“The Sociological Study of Stress.”Journal of Health and Social Behavior22:
337–56
36.
PearlinLeonard I.SchoolerC.1978.
“The Structure of Coping.”Journal of Health and Social Behavior19(1):
2–21
37.
SableMarjorie R.WilkinsonDeborah S.2000.
“Impact of Perceived Stress, Major Life Events, and Pregnancy Attitudes on Low Birth Weight.”Family Planning Perspectives32(6):
288–94
38.
TarlovAlvin R.1999.
“Public Policy Frameworks for Improving Population Health.”Annals of the New York Academy of Sciences896:
281–93
39.
TaylorShelley E.SeemanTeresa E.1999.
“Psychosocial Resources and the SES-Health Relationship.”Annals of the New York Academy of Sciences896:
210–25
40.
ThoitsPeggy A.1995.
“Stress, Coping, and Social Support Processes: Where Are We? What Next?”Journal of Health and Social Behavior36
(extra issue):
53–79
41.
TurnerR. Jay2001.
“Stress: Measurement by Self-Report and Interview.”International Encyclopedia of the Social and Behavioral Sciences.London:
Elsevier
42.
TurnerR. JayAvisonWilliam R.1992.
“Innovations in the Measurement of Life Stress: Crisis Theory and the Significance of Event Resolution.”Journal of Health and Social Behavior33(1):
36–50
43.
TurnerR. Jay2003.
“Status Variations in Stress Exposure: Implications for the Interpretation of Research on Race, Socioeconomic Status, and Gender.”Journal of Health and Social Behavior44(4):
488–505
44.
TurnerR. JayLloydDonald A.1999.
“The Stress Process and the Social Distribution of Depression.”Journal of Health and Social Behavior40(4):
374–404
45.
TurnerR. JayBlairWheatonLloydDonald A.1995.
“The Epidemiology of Social Stress.”American Sociological Review60(1):
104–25
46.
WheatonBlair1997.
“The Nature of Chronic Stress.”
In Coping with Chronic Stress,
edited by GottleibBenjamin H.New York:
Plenum
47.
WilkinsonRichard G.1999.
“Health, Hierarchy, and Social Anxiety.”Annals of the New York Academy of Sciences896:
48–63
48.
WilliamsDavid R.YanYuJacksonJames S.AndersonNorman B.1997.
“Racial Differences in Physical and Mental Health: Socio-economic Status, Stress, and Discrimination.”Journal of Health Psychology2:
335–51
