Subjective social status and psychosocial and metabolic risk factors for cardiovascular disease among African Americans in the Jackson Heart Study

被引：50

作者：

Subramanyam, Malavika A. ^{[1
]}

Diez-Roux, Ana V. ^{[1
]}

Hickson, DeMarc A. ^{[2
,3
]}

Sarpong, Daniel F. ^{[2
]}

Sims, Mario ^{[3
]}

Taylor, Herman A., Jr. ^{[2
,3
]}

Williams, David R. ^{[4
]}

Wyatt, Sharon B. ^{[3
]}

机构：

[1] Univ Michigan, Ann Arbor, MI 48109 USA

[2] Jackson State Univ, Jackson, MS 39217 USA

[3] Univ Mississippi, Med Ctr, University, MS 38677 USA

[4] Harvard Univ, Sch Publ Hlth, Cambridge, MA 02138 USA

来源：

SOCIAL SCIENCE & MEDICINE | 2012年 / 74卷 / 08期

关键词：

USA; African American; Subjective social status; Cardiovascular risk factors; SOCIOECONOMIC-STATUS; LIFE EXPERIENCES; HEALTH RESEARCH; DISCRIMINATION; ASSOCIATION; GENDER; IMPACT;

D O I：

10.1016/j.socscimed.2011.12.042

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Subjective social status has been shown to be inversely associated with multiple cardiovascular risk factors, independent of objective social status. However, few studies have examined this association among African Americans and the results have been mixed. Additionally, the influence of discrimination on this relationship has not been explored. Using baseline data (2000-2004) from the Jackson Heart Study, an African American cohort from the U.S. South (N = 5301), we quantified the association of subjective social status with selected cardiovascular risk factors: depressive symptoms, perceived stress, waist circumference, insulin resistance and prevalence of diabetes. We contrasted the strength of the associations of these outcomes with subjective versus objective social status and examined whether perceived discrimination confounded or modified these associations. Subjective social status was measured using two 10-rung "ladders," using the U.S. and the community as referent groups. Objective social status was measured using annual family income and years of schooling completed. Gender-specific multivariable linear and logistic regression models were fit to examine associations. Subjective and objective measures were weakly positively correlated. Independent of objective measures, subjective social status was significantly inversely associated with depressive symptoms (men and women) and insulin resistance (women). The associations of subjective social status with the outcomes were modest and generally similar to the objective measures. We did not find evidence that perceived racial discrimination strongly confounded or modified the association of subjective social status with the outcomes. Subjective social status was related to depressive symptoms but not consistently to stress or metabolic risk factors in African Americans. (C) 2012 Elsevier Ltd. All rights reserved.

引用

页码：1146 / 1154

页数：9

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