Socioeconomic Status and Health: A Micro-level Analysis o Exposure and Vulnerability to Daily Stressors

Author:

Grzywacz Joseph G.1,Almeida David M.2,Neupert Shevaun D.3,Ettner Susan L.4

Affiliation:

1. Joseph G. Grzywacz is an Assistant Professor of Family and Community Medicine with Wake Forest University School of Medicine. His research focuses on issues surrounding the individual, psychosocial, and contextual factors related to health and health behaviors. Primary areas of interest include the physical and mental health effects of socioeconomic status, employment adequacy, and the integration of work and family.

2. David M. Almeida is an Associate Professor of Human Development and Family Studies with Pennsylvania State University. He is the Principle Investigator for the National Study of Daily Experiences, and his research interests center on the general question of how daily experiences within the family and other social contexts, such as work and leisure, influence individual health and well-being.

3. Shevaun D. Neupert is a Postdoctoral fellow in the Department of Psychology with Brandeis University. Her research focuses on the daily well-being of older adults with respect to stressors and cognition.

4. Susan L. Ettner is Associate Professor in the Division of General Internal Medicine and Health Services Research in the University of California at Los Angeles Department of Medicine and in the Department of Health Services in the UCLA School of Public Health. Her research interests include reciprocity in the relationship between health and labor market outcomes, mental health and substance abuse services, insurance markets and managed care, chronic disability, and post-acute and long-term care.

Abstract

This study examines the interconnections among education—as a proxy for socioeconomic status—stress, and physical and mental health by specifying differential exposure and vulnerability models using data from The National Study of Daily Experiences (N = 1,031). These daily diary data allowed assessment of the social distribution of a qualitatively different type of stressor than has previously been examined in sociological stress research—daily stressors, or hassles. Moreover, these data allowed a less biased assessment of stress exposure and a more micro-level examination of the connections between stress and health by socioeconomic status. Consistent with the broad literature describing socioeconomic inequalities in physical and mental health, the results of this study indicated that, on any given day, better-educated adults reported fewer physical symptoms and less psychological distress. Although better educated individuals reported more daily stressors, stressors reported by those with less education were more severe. Finally, neither exposure nor vulnerability explained socioeconomic differentials in daily health, but the results clearly indicate that the stressor-health association cannot be considered independent of socioeconomic status.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Social Psychology

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