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Socioeconomic status and stress in Mexican–American women: a multi-method perspective

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Abstract

Stress is a hypothesized pathway in socioeconomic status (SES)-physical health associations, but the available empirical data are inconsistent. In part, this may reflect discrepancies in the approach to measuring stress across studies, and differences in the nature of SES-stress associations across demographic groups. We examined associations of SES (education, income) with general and domain-specific chronic stressors, stressful life events, perceived stress, and stressful daily experiences in 318 Mexican–American women (40–65 years old). Women with higher SES reported lower perceived stress and fewer low-control experiences in everyday life (ps < .05), but greater chronic stress (education only, p < .05). Domain-specific analyses showed negative associations of income with chronic housing and financial stress (ps < .05), but positive associations of SES with chronic work and caregiving stress (all ps < .05 except for income and caregiving stress, p < .10). Sensitivity analyses showed that most SES-stress associations were consistent across acculturation levels. Future research should adopt a multi-dimensional assessment approach to better understand links among SES, stress, and physical health, and should consider the sociodemographic context in conceptualizing the role of stress in SES-related health inequalities.

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References

  • Acquadro, C., Jambon, B., Ellis, D., & Marquis, P. (1996). Language and translation issues. In B. Spiker (Ed.), Quality of life and pharamcoeconomics in clinical trials (pp. 575–585). Philadelphia: Lippincott-Raven Publishers.

    Google Scholar 

  • Adler, N. E., & Snibbe, A. C. (2003). The role of psychosocial processes in explaining the gradient between socioeconomic status and health. Current Directions in Psychological Science, 12, 119–123.

    Article  Google Scholar 

  • Almeida, D. M., Neupert, S. D., Banks, S. R., & Serido, J. (2005). Do daily stress processes account for socioeconomic health disparities? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60(2), 34–39.

    Article  Google Scholar 

  • Argeseanu Cunningham, S., Ruben, J. D., & Venkat Narayan, K. M. (2008). Health of foreign-born people in the United States: A review. Health & Place, 14, 623–635.

    Article  Google Scholar 

  • Arias, E., Eschbach, K., Schauman, W. S., Backlund, E. L., & Sorlie, P. D. (2010). The Hispanic mortality advantage and ethnic misclassification on US death certificates. American Journal of Public Health, 100, S171–S177.

    Article  PubMed  Google Scholar 

  • Avis, N. E., Ory, M., Matthews, K. A., Schocken, M., Bromberger, J., & Colvin, A. (2003). Health-related quality of life in a multiethnic sample of middle-aged women: Study of Women’s Health Across the Nation (SWAN). Medical Care, 41, 1262–1276.

    Article  PubMed  Google Scholar 

  • Baum, A., Garofalo, J. P., & Yali, A. M. (1999). Socioeconomic status and chronic stress. Does stress account for SES effects on health? In N. E. Adler, M. Marmot, J. Stewart, & B. McEwen (Eds.), Socioeconomic status and health in industrial nations: Social, psychological, and biological pathways. Annals of the New York Academy of Sciences (Vol. 896, pp. 131–144). New York: New York Academy of Sciences.

    Google Scholar 

  • Bosma, H., Schrijvers, C., & Mackenbach, J. P. (1999). Socioeconomic inequalities in mortality and importance of perceived control: Cohort study. British Medical Journal, 319, 1469–1470.

    Article  PubMed  CAS  Google Scholar 

  • Bosma, H., Van Jaarsveld, C. H., Tuinstra, J., Sanderman, R., Ranchor, A. V., Van Eijk, J. T., et al. (2005). Low control beliefs, classical coronary risk factors, and socio-economic differences in heart disease in older persons. Social Science and Medicine, 60, 737–745.

    Article  PubMed  CAS  Google Scholar 

  • Braveman, P. A., Cubbin, C., Egerter, S., Williams, D. R., & Pamuk, E. (2010). Socioeconomic disparities in health in the United States: What the patterns tell us. American Journal of Public Health, 100, S186–S196.

    Article  PubMed  Google Scholar 

  • Bromberger, J. T., Harlow, S., Avis, N., Kravitz, H. M., & Cordal, A. (2004). Racial/ethnic differences in the prevalence of depressive symptoms among middle-aged women: The Study of Women’s Health Across the Nation (SWAN). American Journal of Public Health, 94, 1378–1385.

    Article  PubMed  Google Scholar 

  • Bromberger, J. T., & Matthews, K. A. (1996). A “feminine” model of vulnerability to depressive symptoms: A longitudinal investigation of middle-aged women. Journal of Personality and Social Psychology, 70, 591–598.

    Article  PubMed  CAS  Google Scholar 

  • Brunner, E. (1997). Stress and the biology of inequality. British Medical Journal, 314, 1472–1476.

    Article  PubMed  CAS  Google Scholar 

  • Cho, Y., Frisbie, W. P., Hummer, R. A., & Rogers, R. G. (2004). Nativity, duration of residence, and the health of Hispanic adults in the United States. International Migration Review, 38, 184–211.

    Article  Google Scholar 

  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.

    Article  PubMed  CAS  Google Scholar 

  • Cohen, S., Kessler, R. C., & Gordon, L. U. (1995). Measuring stress: A guide for health and social scientists. New York, NY: Oxford University Press.

    Google Scholar 

  • Cohen, S., & Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health (pp. 31–67). Newbury Park, CA: Sage.

    Google Scholar 

  • Dimsdale, J. E. (2008). Psychological stress and cardiovascular disease. Journal of the American College of Cardiology, 51, 1237–1246.

    Article  PubMed  Google Scholar 

  • Dohrenwend, B. (1981). Life stress and illness: Formulation of the issues. New York: Prodist.

    Google Scholar 

  • Dohrenwend, B. S., Krasnoff, L., Askenasy, A. R., & Dohrenwend, B. P. (1978). Exemplification of a method for scaling life events: The PERI Life Events Scale. Journal of Health and Social Behavior, 19, 205–229.

    Article  PubMed  CAS  Google Scholar 

  • Escarce, J. J., Morales, L. S., & Rumbaut, R. G. (2006). The health status and health behaviors of Hispanics. In M. Tienda & F. Mitchell (Eds.), Hispanics and the future of America (pp. 362–409). Washington, DC: National Academies Press.

    Google Scholar 

  • Eschbach, K., Stimpson, J. P., Kuo, Y. F., & Goodwin, J. S. (2007). Mortality of foreign-born and US-born Hispanic adults at younger ages: A reexamination of recent patterns. American Journal of Public Health, 97, 1297–1304.

    Article  PubMed  Google Scholar 

  • Gallo, L. C., Bogart, L. M., & Vranceanu, A. M. (2005). Socioeconomic status, resources, psychological experiences, and emotional responses: A test of the Reserve Capacity Model. Journal of Personality and Social Psychology, 88, 386–399.

    Article  PubMed  Google Scholar 

  • Gallo, L. C., Espinosa De Los Monteros, K., Allison, M., Diez-Roux, A. V., Polak, J. F., & Morales, L. S. (2009a). Do socioeconomic gradients in subclinical atherosclerosis vary according to acculturation level? Analyses of Mexican-Americans in the Multi-Ethnic Study of Atherosclerosis. Psychosomatic Medicine, 71, 756–762.

    Article  PubMed  Google Scholar 

  • Gallo, L. C., Fortmann, A. L., Espinosa De Los Monteros, K., Mills, P. J., Barrett-Connor, E., Roesch, S. C., et al. (2012). Individual and neighborhood socioeconomic status and inflammation in Mexican-American women: What is the role of obesity? Psychosomatic Medicine. doi:10.1097/PSY.0b013e31824f5f6d

  • Gallo, L.C., Fortmann, A.L., Roesch, S.C., Barrett-Connor, E., Elder, J.P., Espinosa De Los Monteros, et al. (2011a). Socioeconomic status, psychosocial resources and risk, and cardiometabolic risk in Mexican-American women. Health Psychology. doi:10.1037/a0025689

  • Gallo, L. C., Jimenez, J. A., Shivpuri, S., Espinosa De Los Monteros, K., & Mills, P. J. (2011b). Domains of chronic stress, lifestyle factors, and allostatic load in middle-aged mexican-american women. Annals of Behavioral Medicine, 41, 21–31.

    Article  PubMed  Google Scholar 

  • Gallo, L. C., & Matthews, K. A. (2003). Understanding the association between socioeconomic status and physical health: Do negative emotions play a role? Psychological Bulletin, 129, 10–51.

    Article  PubMed  Google Scholar 

  • Gallo, L. C., Matthews, K. A., Kuller, L. H., Sutton-Tyrrell, K., & Edmundowicz, D. (2001). Educational attainment and coronary and aortic calcification in postmenopausal women. Psychosomatic Medicine, 63, 925–935.

    PubMed  CAS  Google Scholar 

  • Gallo, L. C., Penedo, F. J., Espinosa De Los Monteros, K., Monteros, K., & Arguelles, W. (2009b). Resiliency in the face of disadvantage: Do Hispanic cultural characteristics protect health outcomes? Journal of Personality, 77, 1707–1746.

    Article  PubMed  Google Scholar 

  • Goldman, N., Kimbro, R. T., Turra, C. M., & Pebley, A. R. (2006). Socioeconomic gradients in health for white and Mexican-origin populations. American Journal of Public Health, 96, 2186–2193.

    Article  PubMed  Google Scholar 

  • Grzywacz, J. G., Almeida, D. M., Neupert, S. D., & Ettner, S. L. (2004). Socioeconomic status and health: A micro-level analysis of exposure and vulnerability to daily stressors. Journal of Health and Social Behavior, 45, 1–16.

    Article  PubMed  Google Scholar 

  • Grzywacz, J. G., Arcury, T. A., Marin, A., Carrillo, L., Burke, B., Coates, M. L., et al. (2007). Work-family conflict: Experiences and health implications among immigrant Latinos. Journal of Applied Psychology, 92, 1119–1130.

    Article  PubMed  Google Scholar 

  • Haffner, S., Gonzalez Villalpando, C., Hazuda, H. P., Valdez, R., Mykkanen, L., & Stern, M. (1994). Prevalence of hypertension in Mexico City and San Antonio, Texas. Circulation, 90, 1542–1549.

    Article  PubMed  CAS  Google Scholar 

  • Hazuda, H. P., Stern, M. P., & Haffner, S. M. (1988). Acculturation and assimilation among Mexican Americans: Scales and population-based data. Social Science Quarterly, 69, 687–706.

    Google Scholar 

  • Henson, R. K. (2001). Understanding internal consistency reliability estimates: A conceptual primer on coefficient alpha. Measurement and Evaluation in Counseling and Development, 34, 177–189.

    Google Scholar 

  • Kamarck, T. W., Shiffman, S., & Wethington, E. (2011). Measuring psychosocial stress using ecological momentary assessment methods. In Baum. Contrada (Ed.), The handbook of stress science: Biology, psychology, and health (pp. 597–617). New York, NY: Springer Publishing Co.

    Google Scholar 

  • Kane, E. W. (2000). Racial and ethnic variations in gender-related attitudes. Annual Review of Sociology, 26, 419–439.

    Article  Google Scholar 

  • Karlamangla, A. S., Merkin, S. S., Crimmins, E. M., & Seeman, T. E. (2010). Socioeconomic and ethnic disparities in cardiovascular risk in the United States, 2001–2006. Annals of Epidemiology, 20, 617–628.

    Article  PubMed  Google Scholar 

  • Karlamangla, A. S., Singer, B. H., McEwen, B. S., Rowe, J. W., & Seeman, T. E. (2002). Allostatic load as a predictor of functional decline. MacArthur studies of successful aging. Journal of Clinical Epidemiology, 55, 696–710.

    Article  PubMed  Google Scholar 

  • Kimbro, R. T., Bzostek, S., Goldman, N., & Rodriguez, G. (2008). Race, ethnicity, and the education gradient in health. Health Affairs, 27, 361–372.

    Article  PubMed  Google Scholar 

  • Kosteniuk, J. G., & Dickinson, H. D. (2003). Tracing the social gradient in the health of Canadians: Primary and secondary determinants. Social Science and Medicine, 57, 263–276.

    Article  PubMed  Google Scholar 

  • Landale, N. S., Oropesa, R. S., & Bradatan, C. (2006). Hispanic families in the United States: Family structure and process in an era of family change. In M. Tienda & F. Mitchell (Eds.), Hispanics and the future of America (pp. 138–178). Washington, DC: National Academies Press.

    Google Scholar 

  • Lantz, P. M., House, J. S., Mero, R. P., & Williams, D. R. (2005). Stress, life events, and socioeconomic disparities in health: Results from the Americans’ Changing Lives Study. Journal of Health and Social Behavior, 46, 274–288.

    Article  PubMed  Google Scholar 

  • Macleod, J., Davey, S. G., Metcalfe, C., & Hart, C. (2005). Is subjective social status a more important determinant of health than objective social status? Evidence from a prospective observational study of Scottish men. Social Science and Medicine, 61, 1916–1929.

    Article  PubMed  Google Scholar 

  • Markides, K. S., & Eschbach, K. (2011). Hispanic paradox in adult mortality in the United States. In R. G. Rogers & E. M. Crimmins (Eds.), International handbook of adult mortality (Vol. 2, pp. 227–240). Springer: Netherlands.

    Chapter  Google Scholar 

  • Markus, H. R., & Schwartz, B. (2010). Does choice mean freedom and well-being? Journal of Consumer Research, 37, 344–355.

    Article  Google Scholar 

  • Matthews, K. A., & Gallo, L. C. (2011). Psychological perspectives on pathways linking socioeconomic status and physical health. Annual Review of Psychology, 62, 501–530.

    Article  PubMed  Google Scholar 

  • Matthews, K. A., Gallo, L. C., & Taylor, S. E. (2010). Are psychosocial factors mediators of socioeconomic status and health connections? Annals of the New York Academy of Sciences, 1186, 146–173.

    Article  PubMed  Google Scholar 

  • Matthews, K. A., Räikkönen, K., Gallo, L. C., & Kuller, L. H. (2008). Association between socioeconomic status and metabolic syndrome in women: Testing the Reserve Capacity Model. Health Psychology, 27, 576–583.

    Article  PubMed  Google Scholar 

  • Monroe, S. M. (2008). Modern approaches to conceptualizing and measuring human life stress. Annual Review of Clinical Psychology, 4, 33–52.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2006). Mplus. Los Angeles: Muthén & Muthén.

    Google Scholar 

  • Myers, H. F. (2009). Ethnicity- and socio-economic status-related stresses in context: An integrative conceptual model. Journal of Behavioral Medicine, 32, 9–19.

    Article  PubMed  Google Scholar 

  • Nguyen, V. K., & Peschard, K. (2003). Anthropology, inequality, and disease: A review. Annual Review of Anthropology, 32, 447–474.

    Article  Google Scholar 

  • Parrado, E. A., & Flippen, C. A. (2005). Migration and gender among Mexican Women. American Sociological Review, 70, 606–632.

    Article  Google Scholar 

  • Passel, J. S., Cohn, D. V., & Lopez, M. H. (2011). Census 2010: 50 Million Latinos (Pew Hispanic Center report). Washington, DC: Pew Hispanic Center.

    Google Scholar 

  • Pouwer, F., Kupper, N., & Adriaanse, M. C. (2010). Does emotional stress cause type 2 diabetes mellitus? A review from the European Depression in Diabetes (EDID) Research Consortium. Discovery Medicine, 9(45), 112–118.

    PubMed  Google Scholar 

  • Roehling, P. V., Jarvis, L. H., & Swope, H. E. (2005). Variations in negative work-family spillover among White, Black, and Hispanic American men and women. Journal of Family Issues, 26, 840–865.

    Article  Google Scholar 

  • Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Adams, R. J., Berry, J. D., Brown, T. M., et al. (2011). Heart disease and stroke statistics–2011 update: A report from the American Heart Association. Circulation, 123, e18–e209.

    Article  PubMed  Google Scholar 

  • Schmitt, N. (1996). Uses and abuses of coefficient alpha. Psychological Assessment, 8, 350–353.

    Article  Google Scholar 

  • Seeman, T. E., McEwen, B. S., Rowe, J. W., & Singer, B. H. (2001). Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging. Proceedings of the National academy of Sciences of the United States of America, 98, 4770–4775.

    Article  PubMed  CAS  Google Scholar 

  • Shivpuri, S., Gallo, L., Crouse, J., & Allison, M. (2011). The association between chronic stress type and C-reactive protein in the multi-ethnic study of atherosclerosis: does gender make a difference? Journal of Behavioral Medicine, 1–12. doi:10.1007/s10865-011-9345-5

  • Stephens, N. M., Markus, H. R., & Townsend, S. S. (2007). Choice as an act of meaning: The case of social class. Journal of Personality and Social Psychology, 93, 814–830.

    Article  PubMed  Google Scholar 

  • Stone, A. A., Schwartz, J. E., Neale, J. M., Shiffman, S., Marco, C. A., Hickcox, M., et al. (1998). A comparison of coping assessed by ecological momentary assessment and retrospective recall. Journal of Personality and Social Psychology, 74, 1670–1680.

    Article  PubMed  CAS  Google Scholar 

  • Su, D., Richardson, C., & Wang, G. (2010). Assessing cultural assimilation of Mexican Americans: How rapidly do their gender-role attitudes converge to the U.S. mainstream? Social Science Quarterly, 91, 762–776.

    Article  Google Scholar 

  • Thoits, P. A. (2010). Stress and health. Journal of Health and Social Behavior, 51, S41–S53.

    Article  PubMed  Google Scholar 

  • Tillman, K. H., & Weiss, U. K. (2009). Nativity status and depressive symptoms among Hispanic young adults: The role of stress exposure. Social Science Quarterly, 90, 1228–1250.

    Article  PubMed  Google Scholar 

  • Turner, R. (2010). Understanding health disparities: The promise of the stress process model. In W. R. Avison, C. S. Aneshensel, S. Schieman, & B. Wheaton (Eds.), Advances in the conceptualization and study of the stress process: Essays in honor of Leonard I. Pearlin (pp. 3–21). New York: Springer.

    Google Scholar 

  • Turner, R. J., & Avison, W. R. (2003). Status variations in stress exposure: Implications for the interpretation of research on race, socioeconomic status, and gender. Journal of Health and Social Behavior, 44, 488–505.

    Article  PubMed  Google Scholar 

  • Turner, R. J., & Lloyd, D. A. (1999). The stress process and the social distribution of depression. Journal of Health and Social Behavior, 40, 374–404.

    Article  PubMed  CAS  Google Scholar 

  • Turner, R. J., Lloyd, D. A., & Taylor, J. (2006). Stress burden, drug dependence and the nativity paradox among U.S. Hispanics. Drug and Alcohol Dependence, 83, 79–89.

    Article  PubMed  Google Scholar 

  • Turra, C. M., & Goldman, N. (2007). Socioeconomic differences in mortality among U.S. adults: Insights into the Hispanic Paradox. The Journals of Gerontology: Psychological Sciences and Social Sciences, 62B, S184–S192.

    Article  Google Scholar 

  • Zsembik, B. A., & Fennell, D. (2005). Ethnic variation in health and the determinants of health among Latinos. Social Science and Medicine, 61, 53–63.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, San Diego State University, 9245 Sky Park Court Suite 105, San Diego, CA, 92123, USA

    Linda C. Gallo & Scott C. Roesch

  2. SDSU/UCSD Joint Doctoral Program in Clinical Psychology, 9245 Sky Park Court Suite 105, San Diego, CA, 92123, USA

    Linda C. Gallo, Smriti Shivpuri, Addie L. Fortmann & Karla Espinosa de los Monteros

  3. Graduate School of Public Health, San Diego State University, 9245 Sky Park Court Suite 105, San Diego, CA, 92123, USA

    Patricia Gonzalez

  4. University of Pittsburgh School of Medicine, Pittsburgh, PA, 15260, USA

    Karen A. Matthews

  5. Graduate School of Public Health, San Diego State University, 9245 Sky Park Court Suite 110, San Diego, CA, 92123, USA

    Gregory A. Talavera

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  1. Linda C. Gallo
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  2. Smriti Shivpuri
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  3. Patricia Gonzalez
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  7. Gregory A. Talavera
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Correspondence to Linda C. Gallo.

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Gallo, L.C., Shivpuri, S., Gonzalez, P. et al. Socioeconomic status and stress in Mexican–American women: a multi-method perspective. J Behav Med 36, 379–388 (2013). https://doi.org/10.1007/s10865-012-9432-2

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