A Comparative Analysis of the Status Anxiety Hypothesis of Socio-economic Inequalities in Health Based on 18,349 individuals in Four Countries and Five Cohort Studies.

Détails

Ressource 1Télécharger: BIB_CB9BBACDB726.pdf (1545.24 [Ko])
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_CB9BBACDB726
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A Comparative Analysis of the Status Anxiety Hypothesis of Socio-economic Inequalities in Health Based on 18,349 individuals in Four Countries and Five Cohort Studies.
Périodique
Scientific reports
Auteur(s)
Layte R., McCrory C., Cheallaigh C.N., Bourke N., Kivimaki M., Ribeiro A.I., Stringhini S., Vineis P.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Statut éditorial
Publié
Date de publication
28/01/2019
Peer-reviewed
Oui
Volume
9
Numéro
1
Pages
796
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
The status anxiety hypothesis proposes that systematic inflammation as a consequence of chronic psycho-social stress is a possible pathway linking socio-economic position (SEP) to premature ageing and is a possible explanation for cross-national variation in patterns of health and well-being. Harmonised data from the LIFEPATH consortium on 18,349 individuals aged 50 to 75 and 30,632 observations are used to measure variation in the association between inflammation measured as C-reactive protein and SEP across four countries (Britain, Ireland, Portugal and Switzerland) and five studies (ELSA, Whitehall II, TILDA, EPIPorto and SKIPOGH). Adjusting for population composition, mean concentrations of CRP are highest in Portugal, the country with the highest income inequality and lowest in Switzerland, a lower income inequality country. Across all of the studies, lower SEP groups have higher mean concentrations of CRP and, as predicted by the theory, absolute differentials between SEP groups reflect the pattern of societal income inequality. Adjustment for lifestyle indicators reduces SEP differentials by between 45% and 52% but cannot account for country variation in mean inflammation.
Mots-clé
Aged, Anxiety/immunology, C-Reactive Protein/analysis, Cohort Studies, Female, Health Status Disparities, Humans, Ireland, Male, Middle Aged, Portugal, Poverty/psychology, Poverty/statistics & numerical data, Social Class, Switzerland, United Kingdom
Pubmed
Web of science
Open Access
Oui
Création de la notice
15/02/2019 15:02
Dernière modification de la notice
25/07/2020 5:19
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