Faculty Collaboration Database

Positive social interaction offsets impact of low socioeconomic status on stress. J Natl Med Assoc 2018 Aug;110(4):371-377

Date

08/22/2018

Pubmed ID

30126563

Pubmed Central ID

PMC6639010

DOI

10.1016/j.jnma.2017.07.006

Scopus ID

2-s2.0-85026628565 (requires institutional sign-in at Scopus site)   19 Citations

Abstract

BACKGROUND: Stress is associated with unhealthy behaviors and premature morbidity and mortality, especially among those of low socioeconomic status (SES). Clarifying the roles of stress-related risk and protective factors can guide interventions designed to reduce stress and improve health among socioeconomically disadvantaged populations.

PURPOSE: (1) Replicate prior research showing that lower SES is associated with higher stress in a predominantly racial minority, socioeconomically disadvantaged sample, and (2) test the hypothesis that different types of social support (a protective factor) mitigate the deleterious effects of SES on self-reported perceived stress.

METHODS: Low-income patients (N = 508, 54% male, 68% African American, M_age = 28) from a publicly-funded clinic provided demographic information and then completed measures of perceived stress and social support. Four types of social support were assessed (viz., affectionate, emotional/informational, positive social interaction, and tangible). Structural equation modeling tested the hypothesized associations among SES, social support, and stress.

RESULTS: Individuals of lower SES, β = -0.27 (0.08), p < 0.01, and lower overall social support, β = -0.47 (0.05), p < 0.001, reported higher stress. Social support moderated associations between SES and stress, with participants with lower SES benefitting the most from social support. Of the four types of social support that were measured, positive social interaction was the strongest moderator, β = 0.20 (0.08), p = 0.01.

CONCLUSIONS: The associations among SES, stress, and social support corroborate prior research. Positive social interaction was particularly important for decreasing stress among socioeconomically disadvantaged persons.

Author List

Woodward EN, Walsh JL, Senn TE, Carey MP

Author

Jennifer L. Walsh PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Female
Health Surveys
Humans
Male
Middle Aged
Models, Psychological
Poverty
Social Class
Social Support
Stress, Psychological
United States
Young Adult