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STRESS PERCEPTION: A PATHWAY FROM SOCIO-ECONOMIC STATUS TO HEALTH

stmm. 2022 (2): 162-176

DOI https://doi.org/10.15407/sociology2022.02.162

KATERYNA MALTSEVA, Candidate of Sciences in Philosophy (2003), PhD in Anthropology (2010); Associate Professor at the Sociology Department of the Faculty of Social Sciences and Social Technologies, National University of “Kyiv-Mohyla Academy” (8/5, Voloska St., block 4, room 213, Kyiv, 04655); Affiliated Research Scientist at the University of Connecticut (USA)

maltsevaKS@ukma.edu.ua

https://orcid.org/0000-0001-6540-8734

Scopus author Id=12139513400

Stress research is an important area in medical sociology. Psychosocial stress accounts for negative health outcomes across various physiological systems and can have far-reaching consequences for the organism’s health. Socio-economic status, in its turn, influences the likelihood of stress exposure and how its consequences will be addressed. All in all, there is ample systematic evidence in support of complex associations between socio-economic status, stress and health outcomes. Following a series of discoveries in the biomedical sphere, our understanding of stress became considerably more complex, and the causal mechanisms of this process have become more prominent in research literature over the last few decades. Integration of this new data from biology, genetics and medicine into sociological, anthropological and socio-epidemiological research of stress has changed not only how this research niche conceptualizes and measures stress but also how the role that the society and social structures play in patterned distribution of disease, aging and mortality is understood. Although the link between stress and health is well studied, the mechanisms linking socio-economic status, the stress process and health outcomes have received rather less attention. An online quantitative study (n = 902) carried out in Kyiv during 2020–2021 focused on the question of the SES–stress link in the context of health outcomes. Specifically, the study tested the following propositions: (a) stress affects self-rated health and wellness of individuals; (b) current SES affects individual self-rated health and wellness; (c) individuals from low SES categories face higher current perceived stress levels compared to individuals from higher SES categories; (d) individuals who report having low SES in childhood have higher perceived stress levels during the COVID-19 pandemic compared to their counterparts whose familial socio-economic status was higher when they were children; and (e) having chronic conditions exacerbates individual stress levels.

Keywords: stress, socio-economic status, self-rated health, health outcomes, causal mechanisms, quantitative methods

References

  1. Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. https://dx.doi.org/10.1001/archpsyc.1961.01710120031004
  2. Berkman, L.F., Kawachi, I., & Glymour, M.M. (Eds.) (2014). Social epidemiology (2nd ed.). Oxford, England: Oxford University Press.
  3. Christensen, D.S., Dich, N., Flensborg-Madsen, T., Garde, E., Hansen, A.M., & Mortensen, E.L. (2019). Objective and subjective stress, personality, and allostatic load. Brain and Behavior, 9(9), e01386. https://dx.doi.org/10.1002/brb3.1386
  4. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). Perceived Stress Scale [Database record]. APA PsycTests. https://dx.doi.org/10.1037/t02889-000
  5. Cohen, S., Murphy, M.L.M., & Prather, A.A. (2019). Ten surprising facts about stressful life events and disease risk. Annual Review of Psychology, 70, 577–597. https://dx.doi.org/10.1146/annurev-psych-010418-102857
  6. Cole, S.W. (2010). Elevating the perspective on human stress genomics. Psychoneuroendocrinology, 35(7), 955–962. https://dx.doi.org/10.1016/j.psyneuen.2010.06.008
  7. Cundiff, J.M., Boylan, J.M., & Muscatell, K.A. (2020). The pathway from social status to physical health: Taking a closer look at stress as a mediator. Current Directions in Psychological Science, 29(2), 147–153. https://dx.doi.org/10.1177/0963721420901596
  8. Daniel, J. (2012). Choosing the size of the sample. In Sampling essentials: Practical guidelines for making sampling choices (pp. 236–253). Thousand Oaks, CA: Sage. https://dx.doi.org/10.4135/9781452272047.n7
  9. Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D., Oishi, S., & Biswas-Diener, R. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97(2), 143–156. https://dx.doi.org/10.1007/s11205-009-9493-y
  10. Epel, E.S., Crosswell, A.D., Mayer, S.E., Prather, A.A., Slavich, G.M., Puterman, E., & Mendes, W.B. (2018). More than a feeling: A unified view of stress measurement for population science. Frontiers in Neuroendocrinology, 49, 146–169. https://dx.doi.org/10.1016/j.yfrne.2018.03.001
  11. Feldman, M.S., Bell, J., & Berger, M.T. (Eds.). (2003). Gaining access: A practical and theoretical guide for qualitative researchers. Walnut Creek, CA: AltaMira Press.
  12. Fogelman, N., & Canli, T. (2019, August 2). Early life stress, physiology, and genetics: A review. Frontiers in Psychology. https://dx.doi.org/10.3389/fpsyg.2019.01668
  13. Goldstein, D.S., & McEwen, B. (2002). Allostasis, homeostats, and the nature of stress. Stress: The International Journal on the Biology of Stress, 5(1), 55–58. https://dx.doi.org/10.1080/102538902900012345
  14. Hughes, B.M., Steffen, P.R., & Thayer, J.F. (2018). The psychophysiology of stress and adaptation: Models, pathways, and implications. International Journal of Psychophysiology: Official Journal of the International Organisation of Psychophysiology, 131, 1–3.
  15. IBM Corp. Released. (2017). IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
  16. Kiecolt-Glaser, J.K., Renna, M.E., Shrout, M.R., & Madison, A.A. (2020). Stress reactivity: What pushes us higher, faster, and longer — and why it matters. Current Directions in Psychological Science, 29(5), 492–498. https://dx.doi.org/10.1177/0963721420949521
  17. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.
  18. Lea, A.J., Waigwa, C., Muhoya, B., Lotukoi, F., Peng, J., Henry, L.P., ... Ayroles, J. F. (2021). Social gradients in health vary between rural and urban Turkana. Retrieved from https://www.medrxiv.org/content/10.1101/2021.07.23.21260771v1
  19. Lopez-Roldan, P., & Fachelli, S. (Eds.). (2021). Towards a comparative analysis of social inequalities between Europe and Latin America. Cham, Switzerland: Springer. https://dx.doi.org/10.1007/978-3-030-48442-2
  20. McEwen, B.S. (2019). The good side of “stress”. Stress: The International Journal on the Biology of Stress, 22(5). 524–525. https://dx.doi.org/10.1080/10253890.2019.1631794
  21. McEwen, B.S., & Akil, H. (2020). Revisiting the stress concept: Implications for affective disorders. Journal of Neuroscience, 40(1), 12–21. https://dx.doi.org/10.1523/JNEUROSCI.0733-19.2019
  22. McLeod, J.D. (2012). The meanings of stress: Expanding the stress process model. Society and Mental Health, 2(3), 172–186. https://dx.doi.org/10.1177/2156869312452877
  23. Miller, G.E., Chen, E., & Parker, K.J. (2011). Psychological stress in childhood and susceptibility to the chronic diseases of aging: Moving toward a model of behavioral and biological mechanisms. Psychological Bulletin, 137(6), 959–997. https://dx.doi.org/10.1037/a0024768
  24. Mullainathan, S., & Shafir, E. (2013). Scarcity: Why having too little means so much. New York, NY: Times Books.
  25. Pearlin, L.I. (1989). The sociological study of stress. Journal of Health and Social Behavior, 30(3), 241–256. https://dx.doi.org/10.2307/2136956
  26. Reynolds, J.R., & Turner, R.J. (2008). Major life events: Their personal meaning, resolution, and mental health significance. Journal of Health and Social Behavior, 49(2), 223–237. https://dx.doi.org/10.1177/002214650804900208
  27. Schieman, S. (2019). Ordinary lives and the sociological character of stress: How work, family, and status contribute to emotional inequality. Society and Mental Health, 9(2), 127–142. https://dx.doi.org/10.1177/2156869319844805
  28. Segerstrom, S.C., & O’Connor, D.B. (2012). Stress, health and illness: Four challenges for the future. Psychology & Health, 27(2), 128–140. https://dx.doi.org/10.1080/08870446.2012.659516
  29. Turner, A.I., Smyth, N., Hall, S.J., Torres, S.J., Hussein, M., Jayasinghe, S.U., … Clow, A.J. (2020). Psychological stress reactivity and future health and disease outcomes: A systematic review of prospective evidence. Psychoneuroendocrinology, 114, 104599. https://dx.doi.org/10.1016/j.psyneuen.2020.104599

Received 04.09.2021

STRESS PERCEPTION: A PATHWAY FROM SOCIO-ECONOMIC STATUS TO HEALTH

stmm. 2022 (2): 162-176

DOI https://doi.org/10.15407/sociology2022.02.162

KATERYNA MALTSEVA, Candidate of Sciences in Philosophy (2003), PhD in Anthropology (2010); Associate Professor at the Sociology Department of the Faculty of Social Sciences and Social Technologies, National University of “Kyiv-Mohyla Academy” (8/5, Voloska St., block 4, room 213, Kyiv, 04655); Affiliated Research Scientist at the University of Connecticut (USA)

maltsevaKS@ukma.edu.ua

https://orcid.org/0000-0001-6540-8734

Scopus author Id=12139513400

Stress research is an important area in medical sociology. Psychosocial stress accounts for negative health outcomes across various physiological systems and can have far-reaching consequences for the organism’s health. Socio-economic status, in its turn, influences the likelihood of stress exposure and how its consequences will be addressed. All in all, there is ample systematic evidence in support of complex associations between socio-economic status, stress and health outcomes. Following a series of discoveries in the biomedical sphere, our understanding of stress became considerably more complex, and the causal mechanisms of this process have become more prominent in research literature over the last few decades. Integration of this new data from biology, genetics and medicine into sociological, anthropological and socio-epidemiological research of stress has changed not only how this research niche conceptualizes and measures stress but also how the role that the society and social structures play in patterned distribution of disease, aging and mortality is understood. Although the link between stress and health is well studied, the mechanisms linking socio-economic status, the stress process and health outcomes have received rather less attention. An online quantitative study (n = 902) carried out in Kyiv during 2020–2021 focused on the question of the SES–stress link in the context of health outcomes. Specifically, the study tested the following propositions: (a) stress affects self-rated health and wellness of individuals; (b) current SES affects individual self-rated health and wellness; (c) individuals from low SES categories face higher current perceived stress levels compared to individuals from higher SES categories; (d) individuals who report having low SES in childhood have higher perceived stress levels during the COVID-19 pandemic compared to their counterparts whose familial socio-economic status was higher when they were children; and (e) having chronic conditions exacerbates individual stress levels.

Keywords: stress, socio-economic status, self-rated health, health outcomes, causal mechanisms, quantitative methods

References

  1. Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. https://dx.doi.org/10.1001/archpsyc.1961.01710120031004
  2. Berkman, L.F., Kawachi, I., & Glymour, M.M. (Eds.) (2014). Social epidemiology (2nd ed.). Oxford, England: Oxford University Press.
  3. Christensen, D.S., Dich, N., Flensborg-Madsen, T., Garde, E., Hansen, A.M., & Mortensen, E.L. (2019). Objective and subjective stress, personality, and allostatic load. Brain and Behavior, 9(9), e01386. https://dx.doi.org/10.1002/brb3.1386
  4. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). Perceived Stress Scale [Database record]. APA PsycTests. https://dx.doi.org/10.1037/t02889-000
  5. Cohen, S., Murphy, M.L.M., & Prather, A.A. (2019). Ten surprising facts about stressful life events and disease risk. Annual Review of Psychology, 70, 577–597. https://dx.doi.org/10.1146/annurev-psych-010418-102857
  6. Cole, S.W. (2010). Elevating the perspective on human stress genomics. Psychoneuroendocrinology, 35(7), 955–962. https://dx.doi.org/10.1016/j.psyneuen.2010.06.008
  7. Cundiff, J.M., Boylan, J.M., & Muscatell, K.A. (2020). The pathway from social status to physical health: Taking a closer look at stress as a mediator. Current Directions in Psychological Science, 29(2), 147–153. https://dx.doi.org/10.1177/0963721420901596
  8. Daniel, J. (2012). Choosing the size of the sample. In Sampling essentials: Practical guidelines for making sampling choices (pp. 236–253). Thousand Oaks, CA: Sage. https://dx.doi.org/10.4135/9781452272047.n7
  9. Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D., Oishi, S., & Biswas-Diener, R. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97(2), 143–156. https://dx.doi.org/10.1007/s11205-009-9493-y
  10. Epel, E.S., Crosswell, A.D., Mayer, S.E., Prather, A.A., Slavich, G.M., Puterman, E., & Mendes, W.B. (2018). More than a feeling: A unified view of stress measurement for population science. Frontiers in Neuroendocrinology, 49, 146–169. https://dx.doi.org/10.1016/j.yfrne.2018.03.001
  11. Feldman, M.S., Bell, J., & Berger, M.T. (Eds.). (2003). Gaining access: A practical and theoretical guide for qualitative researchers. Walnut Creek, CA: AltaMira Press.
  12. Fogelman, N., & Canli, T. (2019, August 2). Early life stress, physiology, and genetics: A review. Frontiers in Psychology. https://dx.doi.org/10.3389/fpsyg.2019.01668
  13. Goldstein, D.S., & McEwen, B. (2002). Allostasis, homeostats, and the nature of stress. Stress: The International Journal on the Biology of Stress, 5(1), 55–58. https://dx.doi.org/10.1080/102538902900012345
  14. Hughes, B.M., Steffen, P.R., & Thayer, J.F. (2018). The psychophysiology of stress and adaptation: Models, pathways, and implications. International Journal of Psychophysiology: Official Journal of the International Organisation of Psychophysiology, 131, 1–3.
  15. IBM Corp. Released. (2017). IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
  16. Kiecolt-Glaser, J.K., Renna, M.E., Shrout, M.R., & Madison, A.A. (2020). Stress reactivity: What pushes us higher, faster, and longer — and why it matters. Current Directions in Psychological Science, 29(5), 492–498. https://dx.doi.org/10.1177/0963721420949521
  17. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.
  18. Lea, A.J., Waigwa, C., Muhoya, B., Lotukoi, F., Peng, J., Henry, L.P., ... Ayroles, J. F. (2021). Social gradients in health vary between rural and urban Turkana. Retrieved from https://www.medrxiv.org/content/10.1101/2021.07.23.21260771v1
  19. Lopez-Roldan, P., & Fachelli, S. (Eds.). (2021). Towards a comparative analysis of social inequalities between Europe and Latin America. Cham, Switzerland: Springer. https://dx.doi.org/10.1007/978-3-030-48442-2
  20. McEwen, B.S. (2019). The good side of “stress”. Stress: The International Journal on the Biology of Stress, 22(5). 524–525. https://dx.doi.org/10.1080/10253890.2019.1631794
  21. McEwen, B.S., & Akil, H. (2020). Revisiting the stress concept: Implications for affective disorders. Journal of Neuroscience, 40(1), 12–21. https://dx.doi.org/10.1523/JNEUROSCI.0733-19.2019
  22. McLeod, J.D. (2012). The meanings of stress: Expanding the stress process model. Society and Mental Health, 2(3), 172–186. https://dx.doi.org/10.1177/2156869312452877
  23. Miller, G.E., Chen, E., & Parker, K.J. (2011). Psychological stress in childhood and susceptibility to the chronic diseases of aging: Moving toward a model of behavioral and biological mechanisms. Psychological Bulletin, 137(6), 959–997. https://dx.doi.org/10.1037/a0024768
  24. Mullainathan, S., & Shafir, E. (2013). Scarcity: Why having too little means so much. New York, NY: Times Books.
  25. Pearlin, L.I. (1989). The sociological study of stress. Journal of Health and Social Behavior, 30(3), 241–256. https://dx.doi.org/10.2307/2136956
  26. Reynolds, J.R., & Turner, R.J. (2008). Major life events: Their personal meaning, resolution, and mental health significance. Journal of Health and Social Behavior, 49(2), 223–237. https://dx.doi.org/10.1177/002214650804900208
  27. Schieman, S. (2019). Ordinary lives and the sociological character of stress: How work, family, and status contribute to emotional inequality. Society and Mental Health, 9(2), 127–142. https://dx.doi.org/10.1177/2156869319844805
  28. Segerstrom, S.C., & O’Connor, D.B. (2012). Stress, health and illness: Four challenges for the future. Psychology & Health, 27(2), 128–140. https://dx.doi.org/10.1080/08870446.2012.659516
  29. Turner, A.I., Smyth, N., Hall, S.J., Torres, S.J., Hussein, M., Jayasinghe, S.U., … Clow, A.J. (2020). Psychological stress reactivity and future health and disease outcomes: A systematic review of prospective evidence. Psychoneuroendocrinology, 114, 104599. https://dx.doi.org/10.1016/j.psyneuen.2020.104599

Received 04.09.2021

LATEST PRINTED ISSUE

LATEST FREELY ACCESSIBLE MATERIALS

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