Literature DB >> 24161083

Race, life course socioeconomic position, racial discrimination, depressive symptoms and self-rated health.

Darrell L Hudson1, Eli Puterman, Kirsten Bibbins-Domingo, Karen A Matthews, Nancy E Adler.   

Abstract

Greater levels of socioeconomic position (SEP) are generally associated with better health. However results from previous studies vary across race/ethnicity and health outcomes. Further, the majority of previous studies do not account for the effects of life course SEP on health nor the effects of racial discrimination, which could moderate the effects of SEP on health. Using data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, we examined the relationship between a life course SEP measure on depressive symptoms and self-rated health. A life course SEP was constructed for each participant, using a framework that included parental education and occupation along with respondents' highest level of education and occupation. Interaction terms were created between life course SEP and racial discrimination to determine whether the association between SEP and health was moderated by experiences of racial discrimination. Analyses revealed that higher levels of life course SEP were inversely related to depressive symptoms. Greater life course SEP was positively associated with favorable self-rated health. Racial discrimination was associated with more depressive symptoms and poorer self-rated health. Analyses indicated a significant interaction between life course SEP and racial discrimination on depressive symptoms in the full sample. This suggested that for respondents with greater levels of SEP, racial discrimination was associated with reports of more depressive symptoms. Future research efforts should be made to examine whether individuals' perceptions and experiences of racial discrimination at the interpersonal and structural levels limits their ability to acquire human capital as well as their advancement in education and occupational status.
Copyright © 2013 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Depressive symptoms; Life course; Race; Racial discrimination; Self-reported health; Socioeconomic position

Mesh:

Year:  2013        PMID: 24161083     DOI: 10.1016/j.socscimed.2013.07.031

Source DB:  PubMed          Journal:  Soc Sci Med        ISSN: 0277-9536            Impact factor:   4.634


  69 in total

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