The economic conditions of one’s life can profoundly and systematically influence health outcomes over the life course. Our present research demonstrates that rejecting the notion that social class categories are biologically determined—a nonessentialist belief—buffers lower-class individuals from poor self-rated health and negative affect, whereas conceiving of social class categories as rooted in biology—an essentialist belief—does not. In Study 1, lower-class individuals self-reported poorer health than upper-class individuals when they endorsed essentialist beliefs but showed no such difference when they rejected such beliefs. Exposure to essentialist theories of social class also led lower-class individuals to report greater feelings of negative self-conscious emotions (Studies 2 and 3), and perceive poorer health (Study 3) than upper-class individuals, whereas exposure to nonessentialist theories did not lead to such differences. Discussion considers how lay theories of social class potentially shape long-term trajectories of health and affect of lower-class individuals.
AdlerN. E.BoyceT.ChesneyM. A.CohenS.FolkmanS.KahnR. L.LeonardS. (1994). Socioeconomic status and health: The challenge of the gradient. American Psychologist, 49, 15-24. doi:10.1037/0003-066X.49.1.15
2.
AdlerN. E.EpelE. S.CastellazzoG.IckovicsJ. R. (2000). Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy white women. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 19, 586-592.
3.
AikenL. S.WestS. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: SAGE.
4.
AllportG. W. (1954). The nature of prejudice. Oxford, UK: Addison-Wesley.
5.
AndersonC.KrausM. W.GalinskyA. D.KeltnerD. (2012). The local-ladder effect: Social status and subjective well-being. Psychological Science, 23, 764-771. doi:10.1177/0956797611434537
6.
BastianB.HaslamN. (2006). Psychological essentialism and stereotype endorsement. Journal of Experimental Social Psychology, 42, 228-235. doi:10.1016/j.jesp.2005.03.003
7.
BerkmanL. F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57, 245-254.
8.
Booth-KewleyS.FriedmanH. S. (1987). Psychological predictors of heart disease: A quantitative review. Psychological Bulletin, 101, 343-362. doi:10.1037/0033-2909.101.3.343
9.
BrotmanD. J.GoldenS. H.WittsteinI. S. (2007). The cardiovascular toll of stress. The Lancet, 370, 1089-1100. doi:10.1016/S0140-6736(07)61305-1
10.
BurkhauserR. V.FengS.JenkinsS. P.LarrimoreJ. (2012). Recent trends in top income shares in the USA: Reconciling estimates from March CPS and IRS tax return data. Review of Economics and Statistics, 94, 371-388.
11.
CannonW. B. (1932). The wisdom of the body. New York, NY: W.W. Norton.
12.
CarpianoR. M.LinkB. G.PhelanJ. C. (2008). Social inequality and health: Future directions for the fundamental cause explanation for class differences in health. In LareauA.ConleyD. (Eds.), Social class: How does it work? (pp. 232-263). New York, NY: Russell Sage.
13.
ChangV. W.LauderdaleD. S. (2009). Fundamental cause theory, technological innovation, and health disparities: The case of cholesterol in the era of statins. Journal of Health and Social Behavior, 50, 245-260.
14.
ChenE.MillerG. E. (2012). “Shift-and-persist” strategies: Why low socioeconomic status isn’t always bad for health. Perspectives on Psychological Science, 7, 135-158. doi:10.1177/1745691612436694
15.
CimpianA.SalomonE. (2014). The inherence heuristic: An intuitive means of making sense of the world, and a potential precursor to psychological essentialism. Behavioral and Brain Sciences, 37, 461-527.
16.
CohenS.AlperC. M.DoyleW. J.AdlerN.TreanorJ. J.TurnerR. B. (2008). Objective and subjective socioeconomic status and susceptibility to the common cold. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 27, 268-274. doi:10.1037/0278-6133.27.2.268
17.
CohenS.DoyleW. J.SkonerD. P.FiremanP.GwaltneyJ. M.Jr.NewsomJ. T. (1995). State and trait negative affect as predictors of objective and subjective symptoms of respiratory viral infections. Journal of Personality and Social Psychology, 68, 159-169.
18.
CummingG. (2014). The new statistics why and how. Psychological Science, 25, 7-29. doi:10.1177/0956797613504966
19.
DickersonS. S.GruenewaldT. L.KemenyM. E. (2004). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72, 1191-1216. doi:10.1111/j.1467-6494.2004.00295.x
20.
DickersonS. S.KemenyM. E. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130, 355-391. doi:10.1037/0033-2909.130.3.355
21.
DickersonS. S.KemenyM. E.AzizN.KimK. H.FaheyJ. L. (2004). Immunological effects of induced shame and guilt. Psychosomatic Medicine, 66, 124-131.
22.
DienerE.NgW.HarterJ.AroraR. (2010). Wealth and happiness across the world: Material prosperity predicts life evaluation, whereas psychosocial prosperity predicts positive feeling. Journal of Personality and Social Psychology, 99, 52-61. doi:10.1037/a0018066
23.
DrenteaP.LavrakasP. J. (2000). Over the limit: The association among health, race and debt. Social Science & Medicine, 50, 517-529.
24.
DweckC. S. (1986). Motivational processes affecting learning. American Psychologist, 41, 1040-1048.
25.
EllemersN.SpearsR.DoosjeB. (1999). Social identity: Context, commitment, content. Oxford, UK: Blackwell.
26.
EllemersN.van KnippenbergA.De VriesN.WilkeH. (1988). Social identification and permeability of group boundaries. European Journal of Social Psychology, 18, 497-513. doi:10.1002/ejsp.2420180604
27.
Everson-RoseS. A.LewisT. T. (2005). Psychosocial factors and cardiovascular diseases. Annual Review of Public Health, 26, 469-500. doi:10.1146/annurev.publhealth.26.021304.144542
28.
FiskeS. T.MarkusH. R. (2012). Facing social class: How societal rank influences interaction. New York, NY: Russell Sage.
29.
GalloL. C.MatthewsK. A. (2003). Understanding the association between socioeconomic status and physical health: Do negative emotions play a role?Psychological Bulletin, 129, 10-51.
30.
Gordon-LarsenP.NelsonM. C.PageP.PopkinB. M. (2006). Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics, 117, 417-424. doi:10.1542/peds.2005-0058
31.
GruenewaldT. L.KemenyM. E.AzizN. (2006). Subjective social status moderates cortisol responses to social threat. Brain, Behavior, and Immunity, 20, 410-419. doi:10.1016/j.bbi.2005.11.005
32.
GruenewaldT. L.KemenyM. E.AzizN.FaheyJ. L. (2004). Acute threat to the social self: Shame, social self-esteem, and cortisol activity. Psychosomatic Medicine, 66, 915-924. doi:10.1097/01.psy.0000143639.61693.ef
33.
HaslamC.MortonT. A.HaslamS. A.VarnesL.GrahamR.GamazL. (2012). “When the age is in, the wit is out”: Age-related self-categorization and deficit expectations reduce performance on clinical tests used in dementia assessment. Psychology and Aging, 27, 778-784. doi:10.1037/a0027754
34.
HaslamN.BastianB.BainP.KashimaY. (2006). Psychological essentialism, implicit theories, and intergroup relations. Group Processes & Intergroup Relations, 9, 63-76. doi:10.1177/1368430206059861
35.
HaslamN.BastianB.BissettM. (2004). Essentialist beliefs about personality and their implications. Personality and Social Psychology Bulletin, 30, 1661-1673. doi:10.1177/0146167204271182
36.
HaslamN.RothschildL.ErnstD. (2000). Essentialist beliefs about social categories. British Journal of Social Psychology, 39, 113-127. doi:10.1348/014466600164363
37.
HayesA. F. (2013). An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
38.
HowellR. T.HowellC. J. (2008). The relation of economic status to subjective well-being in developing countries: A meta-analysis. Psychological Bulletin, 134, 536-560. doi:10.1037/0033-2909.134.4.536
39.
IdlerE. L.BenyaminiY. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21-37.
40.
JettenJ.HaslamC.HaslamS. A. (2012). The case for a social identity analysis of health and well-being. In JettenJ.HaslamC.HaslamS. A. (Eds.), The social cure: Identity, health, and well-being (pp. 3-19). Hove, UK: Psychology Press.
41.
JuddC. M.YzerbytV. Y.MullerD. (2014). Mediation and moderation. In ReisH. T.JuddC. M. (Eds.), Handbook of research methods in social and personality psychology (2nd ed., pp. 653-676). Cambridge, UK: Cambridge University Press.
42.
KawachiI.KennedyB. P.LochnerK.Prothrow-StithD. (1997). Social capital, income inequality, and mortality. American Journal of Public Health, 87, 1491-1498.
43.
KellerJ. (2005). In genes we trust: The biological component of psychological essentialism and its relationship to mechanisms of motivated social cognition. Journal of Personality and Social Psychology, 88, 686-702. doi:10.1037/0022-3514.88.4.686
44.
KemenyM. E. (2003). The psychobiology of stress. Current Directions in Psychological Science, 12, 124-129. doi:10.1111/1467-8721.01246
45.
KemenyM. E.ShestyukA. (2008). Emotions, the neuroendocrine and immune systems, and health. In LewisM.Haviland-JonesJ. M.BarrettL. F. (Eds.), Handbook of emotions (pp. 661-675). New York, NY: Guilford Press.
46.
KoppM.SkrabskiA.RéthelyiJ.KawachiI.AdlerN. E. (2004). Self-rated health, subjective social status, and middle-aged mortality in a changing society. Behavioral Medicine, 30, 65-70. doi:10.3200/BMED.30.2.65-72
47.
KrausM. W.AdlerN.ChenT. W. D. (2013). Is the association of subjective SES and self-rated health confounded by negative mood? An experimental approach. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 32, 138-145. doi:10.1037/a0027343
48.
KrausM. W.KeltnerD. (2013). Social class rank, essentialism, and punitive judgment. Journal of Personality and Social Psychology, 105, 247-261. doi:10.1037/a0032895
49.
KrausM. W.PiffP. K.KeltnerD. (2009). Social class, sense of control, and social explanation. Journal of Personality and Social Psychology, 97, 992-1004. doi:10.1037/a0016357
50.
KrausM. W.PiffP. K.Mendoza-DentonR.RheinschmidtM. L.KeltnerD. (2012). Social class, solipsism, and contextualism: How the rich are different from the poor. Psychological Review, 119, 546-572. doi:10.1037/a0028756
51.
KrausM. W.TanJ. J. X.TannenbaumM. B. (2013). The social ladder: A rank-based perspective on social class. Psychological Inquiry, 24, 81-96. doi:10.1080/1047840X.2013.778803
52.
LachmanM. E.WeaverS. L. (1998). The sense of control as a moderator of social class differences in health and well-being. Journal of Personality and Social Psychology, 74, 763-773.
53.
LachmanM. E.ZiffM. A.SpiroA. (1994). Maintaining a sense of control in later life. In AblesR.GiftH.OryM. (Eds.), Aging and quality of life (pp. 116-132). New York, NY: SAGE.
54.
LangerE. J. (1975). The illusion of control. Journal of Personality and Social Psychology, 32, 311-328. doi:10.1037/0022-3514.32.2.311
55.
LinkB. G.PhelanJ. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, 35, 80-94.
56.
MahalingamR. (2007). Essentialism, power, and the representation of social categories: A folk sociology perspective. Human Development, 50, 300-319. doi:10.1159/000109832
57.
MoldenD. C.DweckC. S. (2006). Finding “meaning” in psychology: A lay theories approach to self-regulation, social perception, and social development. American Psychologist, 61, 192-203. doi:10.1037/0003-066X.61.3.192
58.
MooreL. V.Diez RouxA. V. (2006). Associations of neighborhood characteristics with the location and type of food stores. American Journal of Public Health, 96, 325-331. doi:10.2105/AJPH.2004.058040
59.
NisbettR. E. (2007). Eastern and Western ways of perceiving the world. In ShodaY.CervoneD.DowneyG. (Eds.), Persons in context: Building a science of the individual (pp. 62-83). New York, NY: Guilford Press.
60.
OakesJ. M.RossiP. H. (2003). The measurement of SES in health research: Current practice and steps toward a new approach. Social Science & Medicine, 56, 769-784.
61.
OperarioD.AdlerN. E.WilliamsD. R. (2004). Subjective social status: Reliability and predictive utility for global health. Psychology & Health, 19, 237-246. doi:10.1080/08870440310001638098
62.
OysermanD.FrybergS. A.YoderN. (2007). Identity-based motivation and health. Journal of Personality and Social Psychology, 93, 1011-1027. doi:10.1037/0022-3514.93.6.1011
63.
PikettyT.SaezE. (2003). Income inequality in the United States, 1913–1998. The Quarterly Journal of Economics, 118, 1-41. doi:10.1162/00335530360535135
64.
RossN.WolfsonM.KaplanG.DunnJ.LynchJ.SanmartinC. (2006). Income inequality as a determinant of health. In HeymannJ.HertzmanmC.BarerM. L.EvansR. G. (Eds.), Healthier societies: From analysis to action (pp. 202-236). New York, NY: Oxford University Press.
65.
RozanskiA.BlumenthalJ. A.DavidsonK. W.SaabP. G.KubzanskyL. (2005). The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: The emerging field of behavioral cardiology. Journal of the American College of Cardiology, 45, 637-651. doi:10.1016/j.jacc.2004.12.005
66.
SeligmanM. E. P. (1975). Helplessness: On depression, development, and death. San Francisco, CA: Freeman.
67.
SirinS. R. (2005). Socioeconomic status and academic achievement: A meta-analytic review of research. Review of Educational Research, 75, 417-453. doi:10.3102/00346543075003417
68.
SnibbeA. C.MarkusH. R. (2005). You can’t always get what you want: Educational attainment, agency, and choice. Journal of Personality and Social Psychology, 88, 703-720. doi:10.1037/0022-3514.88.4.703
69.
StarfieldB.BudettiP. P. (1985). Child health status and risk factors. Health Services Research, 19(6, Pt. 2), 817-886.
70.
SteadM.MacAskillS.MacKintoshA. M.ReeceJ.EadieD. (2001). “It’s as if you’re locked in”: Qualitative explanations for area effects on smoking in disadvantaged communities. Health & Place, 7, 333-343.
71.
StephensN. M.FrybergS. A.MarkusH. R.JohnsonC. S.CovarrubiasR. (2012). Unseen disadvantage: How American universities’ focus on independence undermines the academic performance of first-generation college students. Journal of Personality and Social Psychology, 102, 1178-1197. doi:10.1037/a0027143
72.
StephensN. M.MarkusH. R.FrybergS. A. (2012). Social class disparities in health and education: Reducing inequality by applying a sociocultural self-model of behavior. Psychological Review, 119, 723-744. doi:10.1037/a0029028
73.
TajfelH.TurnerJ. C. (1986). The social identity theory of intergroup behaviour. In WorchelS.AustinW. G. (Eds.), Psychology of intergroup relations (2nd ed., pp. 7-24). Chicago, IL: Nelson-Hall.
74.
TangneyJ. P.StuewigJ.MashekD. J. (2007). Moral emotions and moral behavior. Annual Review of Psychology, 58, 345-372. doi:10.1146/annurev.psych.56.091103.070145
75.
TaylorS. E. (1989). Positive illusions: Creative self-deception and the healthy mind (Vol. xv). New York, NY: Basic Books.
76.
WareJ. E.Jr.SherbourneC. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473-483.
77.
WilkinsonR. G. (1994). The epidemiological transition: From material scarcity to social disadvantage?Daedalus, 123(4), 61-77.
78.
WilkinsonR. G. (1999). Health, hierarchy, and social anxiety. Annals of the New York Academy of Sciences, 896, 48-63.
79.
WilliamsM. J.EberhardtJ. L. (2008). Biological conceptions of race and the motivation to cross racial boundaries. Journal of Personality and Social Psychology, 94, 1033-1047. doi:10.1037/0022-3514.94.6.1033
80.
YzerbytV. Y.DemoulinS. (2010). Intergroup relations. In FiskeS. T.GilbertD. T.LindzeyG. (Eds.), The handbook of social psychology (pp. 1024-1083). Hoboken, NJ: Wiley.
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