Journal article
Subjective social status and psychosocial and metabolic risk factors for cardiovascular disease among African Americans in the Jackson Heart Study
Social science & medicine (1982), v 74(8), pp 1146-1154
Apr 2012
PMID: 22381684
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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Details
- Title
- Subjective social status and psychosocial and metabolic risk factors for cardiovascular disease among African Americans in the Jackson Heart Study
- Creators
- Malavika A Subramanyam - Michigan UnitedAna V Diez-Roux - Michigan UnitedDemarc A Hickson - Jackson State UniversityDaniel F Sarpong - Jackson State UniversityMario Sims - University of Mississippi Medical CenterHerman A Taylor, JrDavid R Williams - Harvard UniversitySharon B Wyatt - University of Mississippi Medical Center
- Publication Details
- Social science & medicine (1982), v 74(8), pp 1146-1154
- Publisher
- Elsevier
- Grant note
- N01 HC095170 / NHLBI NIH HHS N01 HC095172 / NHLBI NIH HHS N01-HC-95170 / NHLBI NIH HHS N01-HC-95172 / NHLBI NIH HHS N01HC95170 / NHLBI NIH HHS P60MD002249 / NIMHD NIH HHS N01HC95171 / NHLBI NIH HHS N01 HC095171 / NHLBI NIH HHS P60 MD002249 / NIMHD NIH HHS N01-HC-95171 / NHLBI NIH HHS N01HC95172 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Drexel University
- Web of Science ID
- WOS:000302978200003
- Scopus ID
- 2-s2.0-84862829676
- Other Identifier
- 991020112079804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Social Sciences, Biomedical