In India, a growing middle class and rising lifestyle diseases put prevention in the spotlight. This study assesses the impact of health behaviors (tobacco use and exercise) as well as psychological states (positive emotional style, hope, and perceived stress) on the health of 314 middle class participants from Mumbai. Logistic regression predicting objective health revealed that positive emotional style was a protective factor. Linear regression predicting perceived health indicated perceived stress and positive emotional style as the significant factors. An intersectional approach focusing on psychological factors and health behaviors, nested within class and gender, will lead to effective preventive strategies.
AdlerNEBoyceTChesneyMA, et al. (1994) Socioeconomic status and health: The challenge of the gradient. American Psychologist49(1): 15–24.
2.
AnchalaRKannuriNKPantH, et al. (2014) Hypertension in India: A systematic review and meta-analysis of prevalence, awareness, and control of hypertension. Journal of Hypertension32(6): 1170–1177.
3.
AnsonOParanENeumannL, et al. (1993) Gender differences in health perception and their predictors. Social Science & Medicine36(4): 419–426.
4.
AntonovskyA (1967) Social class, life expectancy and overall mortality. Milbank Memorial Fund Quarterly45(2): 31–73.
5.
BenyaminiYLeventhalEALeventhalH (2000) Gender differences in processing information for making self-assessments of health. Psychosomatic Medicine62(3): 354–364.
6.
BourdieuP (1984) Distinction: A Social Critique of the Judgement of Taste. London: Routledge & Kegan Paul.
7.
BunkerSJColquhounDMEslerMD, et al. (2003) “Stress” and coronary heart disease: Psychosocial risk factors. The Medical Journal of Australia178(6): 272–276.
CohenSKamarckTMermelsteinR (1983) A global measure of perceived stress. Journal of Health and Social Behavior24(4): 385–396.
10.
CohenSKaplanGASalonenJT (1999) The role of psychological characteristics in the relation between socioeconomic status and perceived health. Journal of Applied Social Psychology29(3): 445–468.
11.
DarmonNDrewnowskiA (2008) Does social class predict diet quality?American Journal of Clinical Nutrition87(5): 1107–1117.
DesaiGYadavM (2007) Housing tenure for the urban poor: A case study of Mumbai city. In: Proceedings of the second Australasian housing researchers conference, Brisbane, June 20–22, QLD, Australia.
FerreiraITwiskJWRVan MechelenW, et al. (2005) Development of fatness, fitness, and lifestyle from adolescence to the age of 36 years determinants of the metabolic syndrome in young adults: The Amsterdam growth and health longitudinal study. Archives of Internal Medicine165(1): 42–48.
16.
GopalanC (1996) Diet related chronic diseases in India: Changing trends. Bulletin of the Nutrition Foundation of India17(3): 1–5.
17.
GrantNWardleJSteptoeA (2009) The relationship between life satisfaction and health behavior: A cross-cultural analysis of young adults. International Journal of Behavioral Medicine16(3): 259–268.
18.
GryzywaczJGMarksNF (2001) Social inequalities and exercise during adulthood: Toward an ecological perspective. Journal of Health and Social Behavior42(2): 202–220.
19.
KaplanGAShemaSJLeiteMCA (2008) Socioeconomic determinants of psychological well-being: The role of income, income change, and income sources over 29 years. Annals of Epidemiology18(7): 531–537.
20.
KulkarniM (2013) Social determinants of health: The role of neighbourhoods, psychological factors and health behaviors in predicting health outcomes for the urban poor in India. Journal of Health Psychology18(1): 96–109.
21.
KumarAGuptaIBrandtJ, et al. (2016) Air quality mapping using GIS and economic evaluation of health impact for Mumbai City, India. Journal of the Air & Waste Management Association66(5): 470–481.
22.
LynchJWKaplanGA (1997) Understanding how inequality in the distribution of income affects health. Journal of Health Psychology3(2): 297–314.
23.
LynchJWKaplanGA (2000) Socioeconomic position. In: BerkmanLFKawachiIGlymourM (eds) Social Epidemiology. New York: Oxford University Press, pp. 13–35.
24.
McKinsey Global Institute (2007) The “Bird of Gold”: The Rise of India’s Consumer Market. New Delhi, India: McKinsey Global Institute.
25.
MarmotMGSmithGDStansfeldS, et al. (1991) Health inequalities among British civil servants: The Whitehall II study. The Lancet337(8754): 1387–1393.
MirowskyJRossCE (1998) Education, personal control, lifestyle and health. Research on Aging20(4): 415–499.
28.
NagelkerkeNJD (1991) A note on a general definition of the coefficient of determination. Biometrika78: 691–692.
29.
National Family Health Survey-4 (NFHS-4) (2015-16): International Institute of Population Sciences and ORC Macro. Mumbai. Available at: http://www.rchiips.org/nfhs/
30.
PressmanSDCohenS (2005) Does positive affect influence health?Psychological Bulletin131(6): 925–971.
PucherJKorattyswaroopamNIttyerahN (2004) The crisis of public transport in India, overwhelming needs but limited resources. Journal of Public Transportation7(3): 1–20. Available at: http://www.nctr.usf.edu/jpt/pdf/JPT%207-4%20Pucher.pdf
33.
RamachandranASnehalathaCKapurA, et al. (2001) Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia44(9): 1094–1101.
34.
RossC EBirdC E (1994). Sex stratification and health lifestyle: consequences for men’s and women’s perceived health. Journal of Health and Social Behavior35(2): 161–178.
35.
RossCEWuCL (1995) The links between education and health. American Sociological Review60(5): 719–745.
36.
Ruiz-PalominoEGimenez-GarciaCBallester-ArnalR, et al. (2018) Health promotion in young people: Identifying the predisposing factors of self care habits. Journal of Health Psychology. Epub ahead of print 22 February. DOI: 10.1177/1359105318758858.
37.
SinghRFedackoJPellaD, et al. (2011) Prevalence and risk factors for prehypertension and hypertension in five Indian cities. Acta Cardiology66(1): 29–37.
38.
SnyderCRHarrisCAndersonJR, et al. (1991) The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology60(4): 570–585.
39.
SteptoeADockraySWardleJ (2009) Positive affect and psychobiological processes relevant to health. Journal of Personality77(6): 1747–1776.
40.
SulsJBundeJ (2005) Anger, anxiety, and depression as risk factors for cardiovascular disease: The problems and implications of overlapping affective dispositions. Psychological Bulletin131(2): 260–300.
41.
UsalaPDHertzogC (1989) Measurement of affective states in adults: Evaluation of an adjective rating scale instrument. Research on Aging11(4): 403–426.
