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Health challenges

Does subjective social status predict health and change in health status better than objective status?

It’s all in our head: health status linked to subjective socioeconomic status

Authors: A. Singh-Manoux; M.G. Marmot; N.E. Adler
Publisher: American Psychosomatic Society, 2005

Is a persons’ health status better predicted by their subjective or objective socioeconomic status? This article examines this question and finds that:

  • when analysed independently, both subjective and objective measures of socioeconomic status were significantly associated with health outcomes and with decline in health status over time
  • when analysed simultaneously, subjective measures offer a better association to health and changes in health that objective measures
These results are discussed in terms of three possible explanations:
  • subjective socioeconomic status is a more precise measure of social position
  • the results support the idea that hierarchical rank influence health through direct and indirect mechanisms
  • the results could be a product of common method variance, where both subjective socioeconomic status and health ratings have no meaningful relationship to each other, rather they are affected by a common underlying variable