Contribution of psychosocial factors to socioeconomic differences in health.

The National Survey of Mid-life Developments in the United States (MIDUS) is one of several studies that demonstrate socioeconomic gradients in mortality during midlife. When MIDUS findings on self-reported health, waist to hip ratio, and psychological well-being were analyzed for their possible roles in generating socioeconomic differences in health, they revealed clear educational gradients for women and men (i.e., higher education predicted better health). Certain potential mediating variables, like household income, parents' education, smoking behavior, and social relations contributed to an explanation of the socioeconomic gradient. In addition, two census-based measures, combined into an area poverty index, independently predicted ill health. The results suggest that a set of both early and current life circumstances cumulatively contribute toward explaining why people of lower socioeconomic status have worse health and lower psychological well-being.

[1]  B. Ineichen.  Health and Class: The Early Years , 1992 .

[2]  H. Barnes,et al.  Significant Benefits: The High/Scope Perry Preschool Study Through Age 27 , 1993 .

[3]  M. Marmot,et al.  INEQUALITIES IN DEATH—SPECIFIC EXPLANATIONS OF A GENERAL PATTERN? , 1984, The Lancet.

[4]  M. Marmot,et al.  Contribution of job control and other risk factors to social variations in coronary heart disease incidence , 1997, The Lancet.

[5]  Gower Street,et al.  Health inequalities among British civil servants: the Whitehall II study , 1991, The Lancet.

[6]  S A Stansfeld,et al.  Low job control and risk of coronary heart disease in whitehall ii (prospective cohort) study , 1997, BMJ.

[7]  Eugene Vayda,et al.  Inequalities in Health: The Black Report , 1988 .

[8]  J. Rodin.  Aging and health: effects of the sense of control. , 1986, Science.

[9]  Suzanne L. Weaver,et al.  The sense of control as a moderator of social class differences in health and well-being. , 1998, Journal of personality and social psychology.

[10]  Rick Chappell,et al.  Self-reported health and survival in the Longitudinal Study of Aging, 1984-1986. , 1995, Journal of clinical epidemiology.

[11]  Robert A Emmons,et al.  Happiness is Everything, or is it? , 1994 .

[12]  P. Townsend,et al.  Inequalities in Health: The Black Report & the Health Divide (new third edition) , 1999 .

[13]  C. Ryff.  Happiness is everything, or is it? Explorations on the meaning of psychological well-being. , 1989 .

[14]  N. Krieger,et al.  Measuring Social Inequalities in Health in the United States: A Historical Review, 1900–1950 , 1996, International journal of health services : planning, administration, evaluation.

[15]  R. Wilkinson.  Unhealthy Societies: The Afflictions of Inequality , 1996 .

[16]  J. Lynch,et al.  Inequality in income and mortality in the United States: analysis of mortality and potential pathways , 1996, BMJ.

[17]  M. Whitehead,et al.  Current patterns and trends in male mortality by social class (based on occupation). , 1996, Population trends.

[18]  M. Marmot,et al.  Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians , 1991, The Lancet.

[19]  F. Sturmans,et al.  Self-rated health and mortality in a Lithuanian and a Dutch population. , 1996, Social science & medicine.

[20]  David R. Jones,et al.  Longitudinal study. Mortality and social organisation. , 1990 .

[21]  S. Syme,et al.  Explaining socioeconomic differences in sickness absence: the Whitehall II Study. , 1993, BMJ.

[22]  M J Shipley,et al.  Do socioeconomic differences in mortality persist after retirement? 25 Year follow up of civil servants from the first Whitehall study , 1996, BMJ.

[23]  P. Roderick,et al.  Cigarette smoking by socioeconomic group, sex, and age: effects of price, income, and health publicity , 1994, BMJ.

[24]  C. Power,et al.  Birth weight and later socioeconomic disadvantage: evidence from the 1958 British cohort study , 1994, BMJ.

[25]  C. Shively,et al.  Body Fat Distribution as a Risk Factor for Coronary Artery Atherosclerosis in Female Cynomolgus Monkeys , 1987, Arteriosclerosis.

[26]  J. Mackenbach.  Tackling inequalities in health , 1995, BMJ.

[27]  G. Whitty,et al.  Can School Improvement Overcome the Effects of Disadvantage , 2000 .

[28]  R. Rona.  The Imprint of time: Childhood, History, and Adult Life , 1992 .

[29]  M. Marmot,et al.  Social inequalities in health: next questions and converging evidence. , 1997, Social science & medicine.

[30]  M. Graffar.  [Modern epidemiology]. , 1971, Bruxelles medical.

[31]  H. Bosma,et al.  Differences in Mortality Between Lithuanian and Dutch Middle-Aged Men , 1996 .

[32]  P McDonough,et al.  Income dynamics and adult mortality in the United States, 1972 through 1989. , 1997, American journal of public health.

[33]  M. Whitehead,et al.  What can be done about inequalities in health? , 1991, The Lancet.

[34]  W. Hadden,et al.  The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986. , 1993, The New England journal of medicine.

[35]  Eleanor Baugher,et al.  Poverty in the United States : 1996 , 1997 .

[36]  I. Kawachi,et al.  Socioeconomic determinants of health : Health and social cohesion: why care about income inequality? , 1997 .

[37]  M. Marmot,et al.  Explanations for social inequalities in health , 1995 .

[38]  M. Haan,et al.  Poverty and health: Prospective evidence for the Alameda County Study , 1987 .

[39]  C. Hertzman,et al.  Social and biological pathways linking early life and adult disease. , 1997, British medical bulletin.

[40]  A. Lusky,et al.  Subjective state of health and survival in elderly adults. , 1988, Journal of gerontology.

[41]  S. Macintyre,et al.  The Black Report and beyond: what are the issues? , 1997, Social science & medicine.

[42]  R. Angel,et al.  Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. , 1990, American journal of public health.

[43]  Robert Karasek,et al.  Healthy Work : Stress, Productivity, and the Reconstruction of Working Life , 1990 .

[44]  M. Blaxter,et al.  EVIDENCE ON INEQUALITY IN HEALTH FROM A NATIONAL SURVEY , 1987, The Lancet.