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Gepubliceerd in:

01-02-2015

Socioeconomic status and health: education and income are independent and joint predictors of ambulatory blood pressure

Auteurs: Jenny M. Cundiff, Bert N. Uchino, Timothy W. Smith, Wendy Birmingham

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2015

Abstract

Epidemiological research suggests that different indicators of socioeconomic status (SES) such as income and education may have independent and/or interactive effects on health outcomes. In this study, we examined both simple and more complex associations (i.e., interactions) between different indicators of SES and ambulatory blood pressure (ABP) during daily life. Our sample consisted of 94 married couples who completed a one-day ABP protocol. Both income and education were independently related to systolic blood pressure and only income was significantly related to diastolic blood pressure. There were also statistical interactions such that individuals with high levels of both income and education evidenced the lowest ABP. Gender moderated these findings. Three-way interactions revealed that, in general, women appear to benefit from either indicator of SES, whereas men appear to benefit more from income. The findings are consistent with epidemiological research and suggest one important physiological mechanism by which income and education may have independent and interactive effects on health.

vorige artikel Minority stress and physical health among sexual minority individuals

volgende artikel Social support as a protective factor for depression among women caring for children in HIV-endemic South Africa

Adler, N. E. (2009). Health disparities through a psychological lens. American Psychologist, 64, 663–673.PubMedCrossRef

Adler, N. E., Chesney, M. A., Cohen, S., Folkman, S., Boyce, T., Kahn, R. L., et al. (1994). Socioeconomic status and health: The challenge of the gradient. American Psychologist, 49, 15–24.PubMedCrossRef

Adler, N. E., & Ostrove, J. M. (1999). Socioeconomic status and health: What we know and what we don’t. Annals of the New York Academy of Sciences, 896(1), 3–15.PubMedCrossRef

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage Publications, Inc.

Anderson, N. B., & Armstead, C. A. (1995). Toward understanding the association of socioeconomic status and health: A new challenge for the biopsychosocial approach. Psychosomatic Medicine, 57, 213–225.PubMedCrossRef

Bowen, K. S., Birmingham, W., Uchino, B. N., Carlisle, M., Smith, T. W., & Light, K. C. (2012). Specific dimensions of perceived support and ambulatory blood pressure: Which support functions appear most beneficial and for whom? International Journal of Psychophysiology. doi:10.1016/j.ijpsycho.2012.03.004.

Braveman, P. A., Cubbin, C., Egerter, S., Chideya, S., Marchi, K. S., Metzler, M., et al. (2005). Socioeconomic status in health research: One size does not fit all. JAMA Journal of the American Medical Association, 294, 2879–2888.CrossRef

Campbell, L., & Kashy, D. A. (2002). Estimating actor, partner, and interaction effects for dyadic data using PROC MIXED and HLM: A user-friendly guide. Personal Relationships, 9, 327–342.CrossRef

Conen, D., & Bamberg, F. (2008). Noninvasive 24-h ambulatory blood pressure and cardiovascular disease: A systematic review and meta-analysis. Journal of Hypertension, 26, 1290–1299.PubMedCrossRef

Davey Smith, G., Hart, C., Hole, D., MacKinnon, P., Gillis, C., Watt, G., et al. (1998). Education and occupational social class: Which is the more important indicator of mortality risk? Journal of Epidemiology and Community Health, 52, 153–160.PubMedCrossRef

Elo, I. T., & Preston, S. H. (1996). Educational differentials in mortality: United States, 1979–1985. Social Science and Medicine, 42, 47–57.PubMedCrossRef

Galecki, A. T. (1994). General class of covariance structures for two or more repeated factors in longitudinal data analysis. Communications in Statistics Theory and Methods, 23, 3105–3119.CrossRef

Gallo, L. C., Bogart, L. M., Vranceanu, A. M., & Walt, L. C. (2004). Job characteristics, occupational status, and ambulatory cardiovascular activity in women. Annals of Behavioral Medicine, 28(1), 62–73.PubMedCrossRef

Geyer, S., Hemstrom, N., Peter, R., & Vagero, D. (2006). Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice. Journal of Epidemiology and Community Health, 60, 804–810.PubMedCentralPubMedCrossRef

Goodwin, J., Bilous, M., Winship, S., Finn, P., & Jones, S. C. (2007). Validation of the Oscar 2 oscillometric 24-h ambulatory blood pressure monitor according to the British Hypertension Society protocol. Blood Pressure Monitoring, 12, 113–117.PubMedCrossRef

Grewen, K., Girdler, S. S., West, S. G., Bragdon, E., Costello, N., & Light, K. C. (2000). Stable pessimistic attributions interact with socioeconomic status to influence blood pressure and vulnerability to hypertension. Journal of Women’s Health & Gender-Based Medicine, 9, 905–915.CrossRef

Hawkley, L., Lavelle, L. A., Berntson, G. G., & Cacioppo, J. T. (2011). Mediators of the relationship between socioeconomic status and allostatic load in the Chicago Health, Aging, and Social Relationships Study (CHASRS). Psychophysiology, 48, 1134–1145.PubMedCentralPubMedCrossRef

Henrich, J., & Gil-White, F. J. (2001). The evolution of prestige: Freely conferred deference as a mechanism for enhancing the benefits of cultural transmission. Evolution and Human Behavior, 22, 165–196.PubMedCrossRef

Herd, P., Goesling, B., & House, J. S. (2007). Socioeconomic position and health: The differential effects of education versus income on the onset versus progression of health problems. Journal of Health and Social Behavior, 48, 223–238.PubMedCrossRef

Johnston, D. W., Propper, C., & Shields, M. A. (2009). Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient. Journal of Health Economics, 28, 540–552.PubMedCrossRef

Kamarck, T. W., Shiffman, S. M., Smithline, L., Goodie, J. L., Thompson, H. S., Ituarte, P. H. G., et al. (1998). The diary of ambulatory behavioral states: A new approach to the assessment of psychosocial influences on ambulatory cardiovascular activity. In D. S. Krantz & A. S. Baum (Eds.), Technology and methods in behavioral medicine. (pp. 163–193). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.

Kamarck, T. W., Shiffman, S., Sutton-Tyrrell, K., Muldoon, M. F., & Tepper, P. (2012). Daily psychological demands are associated with 6-year progression of carotid artery atherosclerosis: The Pittsburgh healthy heart project. Psychosomatic Medicine, 74, 432–439.PubMedCrossRef

Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127, 472–503.PubMedCrossRef

Landsbergis, P. A., Schnall, P. L., Pickering, T. G., Warren, K., & Schwartz, J. E. (2003). Lower socioeconomic status among men in relation to the association between job strain and blood pressure. Scandinavian Journal of Work, Environment & Health, 29, 206–215.CrossRef

Marler, M. R., Jacob, R. G., Lehoczky, J. P., & Shapiro, A. P. (1988). The statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings. Statistics in Medicine, 7, 697–716.PubMedCrossRef

Marmot, M. G., Ryff, C. D., Bumpass, L. L., Shipley, M., & Marks, N. (1997). Social inequalities in health: Next questions and converging evidence. Social Science and Medicine, 44, 901–910.PubMedCrossRef

Matthews, K., & Gallo, L. C. (2011). Psychological perspectives on pathways linking socioeconomic status and physical health. Annual Review of Psychology, 62, 501–530.PubMedCentralPubMedCrossRef

Matthews, K. A., Kelsey, S. F., Meilahn, E. N., Muller, L. H., & Wing, R. R. (1989). Educational attainment and behavioral and biologic risk factors for coronary heart disease in middle-aged women. American Journal of Epidemiology, 129, 1132–1144.PubMed

McGrath, J. J., Matthews, K. A., & Brady, S. S. (2006). Individual versus neighborhood socioeconomic status and race as predictors of adolescent ambulatory blood pressure and heart rate. Social Science and Medicine, 63, 1442–1453.PubMedCrossRef

Newton, T. L. (2009). Cardiovascular functioning, personality, and the social world: The domain of hierarchical power. Neuroscience and Biobehavioral Reviews, 33, 145–159.PubMedCentralPubMedCrossRef

Pickering, T. G., Shimbo, D., & Haas, D. (2006). Ambulatory blood pressure monitoring. New England Journal of Medicine, 354, 2368–2374.PubMedCrossRef

Ross, C. E., & Wu, C. (1995). The links between education and health. American Sociological Review, 60, 719–745.CrossRef

Schnittker, J. (2004). Education and the changing shape of the income gradient in health. Journal of Health and Social Behavior, 45, 286–305.PubMedCrossRef

Services USDoHaH (2010). Healthy people 2010. In: Services USDoHaH (ed).

Smith, T. W., & Brown, P. W. (1991). Cynical hostility, attempts to exert control, and cardiovascular reactivity in married couples. Journal of Behavioral Medicine, 14, 581–592.PubMedCrossRef

Smith, T. W., Cundiff, J. M., & Uchino, B. N. (2012). Interpersonal motives and cardiovascular response: Mechanisms linking dominance and social status with cardiovascular disease. In R. A. Wright & G. H. E. Gendolla (Eds.), How motivation affects cardiovascular response: Mechanisms and applications (pp. 287–305). Washington, DC: American Psychological Association.CrossRef

Smith, T. W., Gallo, L. C., Goble, L., Ngu, L. Q., & Stark, K. A. (1998). Agency, communion, and cardiovascular reactivity during marital interaction. Health Psychology, 17, 537–545.PubMedCrossRef

Smith, T. W., Limon, J. P., Gallo, L. C., & Ngu, L. Q. (1996). Interpersonal control and cardiovascular reactivity: Goals, behavioral expression, and the moderating effects of sex. Journal of Personality and Social Psychology, 70, 1012–1024.PubMedCrossRef

Smith, T. W., Uchino, B. N., Florsheim, P., Berg, C. A., Butner, J., Hawkins, M., et al. (2011). Affiliation and control during marital disagreement, history of divorce, and asymptomatic coronary artery calcification in older couples. Psychosomatic Medicine, 73, 350–357.PubMedCrossRef

Sorlie, P. D., Backlund, E., & Keller, J. B. (1995). US mortality by economic, demographic, and social characteristics: The National Longitudinal Mortality study. American Journal of Public Health, 85, 949–956.PubMedCentralPubMedCrossRef

Starr, J. M., & Deary, I. J. (2011). Blood pressure, socioeconomic status and health in the Lothian 1921 birth cohort: A longitudinal study. Public Health, 125, 196–200. doi:10.1016/j.puhe.2010.11.017 PubMedCrossRef

Steffen, P. R. (2006). The cultural gradient: Culture moderates the relationship between socioeconomic status (SES) and ambulatory blood pressure. Journal of Behavioral Medicine, 29, 501–510.PubMedCrossRef

Steptoe, A., Fedlman, P. J., Kunz, S., Owen, N., Willemsen, G., & Marmot, M. (2002). Stress responsivity and socioeconomic status: A mechanism for increased cardiovascular disease risk? Eurpoean Heart Journal, 23, 1757–1763.CrossRef

Torssander, J., & Erikson, R. (2009). Stratification and mortality: A comparison of education, class, status, and income. European Sociological Review, 26, 465–474.CrossRef

Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51, S54–S66.

Verdecchia, P. (2000). Prognostic value of ambulatory blood pressure. Hypertension, 35, 844–851.PubMedCrossRef

Winkelby, M. A., Jatulis, D. E., Frank, E., & Fortmann, S. P. (1992). Socioeconomic status and health: How education, income and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health, 82, 816–820.CrossRef

Zanstra, Y. J., & Johnston, D. W. (2011). Cardiovascular reactivity in real life settings: Measurement, mechanisms and meaning. Biological Psychology, 86, 98–105.PubMedCentralPubMedCrossRef

Titel: Socioeconomic status and health: education and income are independent and joint predictors of ambulatory blood pressure
Auteurs: Jenny M. Cundiff
Bert N. Uchino
Timothy W. Smith
Wendy Birmingham
Publicatiedatum: 01-02-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-013-9515-8

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