Subjective social status in adolescents with asthma: Psychosocial and physical health outcomes
| Autor: | Ke Ding, Stefania Pinto, Marie L. Chardon, Molly C Basch, Rachel Sweenie, Ratna Acharya, David M. Janicke, David A. Fedele |
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| Rok vydání: | 2020 |
| Předmět: |
Male
030505 public health Adolescent business.industry Health Status medicine.disease Mental health Asthma Health equity 03 medical and health sciences Psychiatry and Mental health medicine Humans Psychology Female 0305 other medical science business Body mass index Psychosocial Socioeconomic status Applied Psychology Social status Adolescent health Clinical psychology |
| Zdroj: | Health Psychology. 39:172-178 |
| ISSN: | 1930-7810 0278-6133 |
| DOI: | 10.1037/hea0000822 |
| Popis: | Objective Asthma prevalence and morbidity are disproportionately higher among youth with lower socioeconomic status (SES). Examination of subjective social status (SSS) may improve understanding of associations between SES and health outcomes in pediatric asthma. Method Fifty adolescents with asthma (Mage = 13.2 years, SD = 1.23; 54% male; 55.1% African American) completed the MacArthur Scale of Subjective Social Status-Youth Version, Daily Life Stressors Scale, Children's Depression Inventory-Short Form, Adolescent Sleep-Wake Scale-short version, and Asthma Control Test during the baseline visit of a study of health behaviors. Body mass index z scores (BMIz) were calculated using height and weight obtained during the visits. Hierarchical linear regressions examined associations between SSS and psychosocial and physical health outcomes, controlling for caregiver-reported objective SES. Results Caregiver-reported objective SES was not associated with adolescent SSS. SSS-society was associated with daily stress (b = -3.14), t(47) = -2.13, p = .033; asthma control (β = .34, p = .045); BMIz (β = .38, p = .013); and sleep quality (β = .49, p = .001). SSS-community was associated with daily stress (b = -3.76), t(46) = -3.07, p = .002, and sleep quality (β = .36, p = .010). SSS was not associated with depressive symptoms. Conclusions Adolescents' SSS may not always reflect caregiver's objective SES. Perceived social status may play a role in the experience of daily stress, asthma control, BMIz, and sleep quality among adolescents with asthma. SSS may offer a novel means of assessing health disparities in pediatric asthma. (PsycINFO Database Record (c) 2020 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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