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.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Layte, R.
Auteure/Auteur
McCrory, C.
Auteure/Auteur
Cheallaigh, C.N.
Auteure/Auteur
Bourke, N.
Auteure/Auteur
Kivimaki, M.
Auteure/Auteur
Ribeiro, A.I.
Auteure/Auteur
Stringhini, S.
Auteure/Auteur
Vineis, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2045-2322
Statut éditorial
Publié
Date de publication
2019-01-28
Volume
9
Numéro
1
Première page
796
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: epublish
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.
PID Serval
serval:BIB_CB9BBACDB726
PMID
Open Access
Oui
Date de création
2019-02-15T14:02:59.519Z
Date de création dans IRIS
2025-05-20T23:53:52Z
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Nom
BIB_CB9BBACDB726.pdf
Version du manuscrit
published
Taille
1.51 MB
Format
Adobe PDF
PID Serval
serval:BIB_CB9BBACDB726.P001
URN
urn:nbn:ch:serval-BIB_CB9BBACDB7262
Somme de contrôle
(MD5):46f41ce313f9dfadfee79807bff2ea27