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

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  • Subramanyam, Malavika A.
  • Diez-Roux, Ana V.
  • Hickson, DeMarc A.
  • Sarpong, Daniel F.
  • Sims, Mario
  • Taylor, Herman A.
  • Williams, David R.
  • Wyatt, Sharon B.

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.

Suggested Citation

  • Subramanyam, Malavika A. & Diez-Roux, Ana V. & Hickson, DeMarc A. & Sarpong, Daniel F. & Sims, Mario & Taylor, Herman A. & Williams, David R. & Wyatt, Sharon B., 2012. "Subjective social status and psychosocial and metabolic risk factors for cardiovascular disease among African Americans in the Jackson Heart Study," Social Science & Medicine, Elsevier, vol. 74(8), pages 1146-1154.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:8:p:1146-1154
    DOI: 10.1016/j.socscimed.2011.12.042
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    References listed on IDEAS

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    Cited by:

    1. Emma Zang & Anthony R. Bardo, 2019. "Objective and Subjective Socioeconomic Status, Their Discrepancy, and Health: Evidence from East Asia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 143(2), pages 765-794, June.
    2. Jens Hoebel & Ulrike E Maske & Hajo Zeeb & Thomas Lampert, 2017. "Social Inequalities and Depressive Symptoms in Adults: The Role of Objective and Subjective Socioeconomic Status," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-18, January.
    3. Nobles, Jenna & Weintraub, Miranda Ritterman & Adler, Nancy E., 2013. "Subjective socioeconomic status and health: Relationships reconsidered," Social Science & Medicine, Elsevier, vol. 82(C), pages 58-66.
    4. François Dengah, H.J., 2014. "How religious status shapes psychological well-being: Cultural consonance as a measure of subcultural status among Brazilian Pentecostals," Social Science & Medicine, Elsevier, vol. 114(C), pages 18-25.
    5. Elizabeth A Gage-Bouchard & Katie A Devine, 2014. "Examining Parents’ Assessments of Objective and Subjective Social Status in Families of Children with Cancer," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-10, March.

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