ArticleScientific reports2019
A Comparative Analysis of the Status Anxiety Hypothesis of Socio-economic Inequalities in Health Based on 18,349 individuals in Four Countries and Five Cohort Studies.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 43 citations in OpenAlex.
- The long reach of childhood income inequality: a multinational twin study of gene-environment interplay on adult depressive symptoms.Psychological medicine · 2026Article
- Biological embodiment of educational attainment and future risk of breast cancer: findings from a French prospective cohort.BMJ open · 2025Article
- Is the mediating effect of psychosocial stress on the income-health relationship moderated by income inequality?SSM - population health · 2022Article
- Comparisons of disease cluster patterns, prevalence and health factors in the USA, Canada, England and Ireland.BMC public health · 2021Article
- Metabolic profiles of socio-economic position: a multi-cohort analysis.International journal of epidemiology · 2021Article
- Measuring Child Socio-Economic Position in Birth Cohort Research: The Development of a Novel Standardized Household Income Indicator.International journal of environmental research and public health · 2020Article
- Concerned Whether You'll Make It in Life? Status Anxiety Uniquely Explains Job Satisfaction.Frontiers in psychology · 2020Article
- Special Report: The Biology of Inequalities in Health: The Lifepath Consortium.Frontiers in public health · 2020Article
- The use of an interdental brush mitigates periodontal health inequalities: the Korean National Health and nutrition examination survey (KNHANES).BMC oral health · 2019Article
- Neighbourhood socioeconomic deprivation and allostatic load: a multi-cohort study.Scientific reports · 2019Article
- Health Disparities in Czechia and Portugal at Country and Municipality Levels.International journal of environmental research and public health · 2019Article
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Authors and funding
8 authors at 5 institutions in 4 countries.
Funding
Abstract
The status anxiety hypothesis proposes that systematic inflammation as a consequence of chronic psycho-social stress is a possible pathway linking socio-economic position (SEP) to premature ageing and is a possible explanation for cross-national variation in patterns of health and well-being. Harmonised data from the LIFEPATH consortium on 18,349 individuals aged 50 to 75 and 30,632 observations are used to measure variation in the association between inflammation measured as C-reactive protein and SEP across four countries (Britain, Ireland, Portugal and Switzerland) and five studies (ELSA, Whitehall II, TILDA, EPIPorto and SKIPOGH). Adjusting for population composition, mean concentrations of CRP are highest in Portugal, the country with the highest income inequality and lowest in Switzerland, a lower income inequality country. Across all of the studies, lower SEP groups have higher mean concentrations of CRP and, as predicted by the theory, absolute differentials between SEP groups reflect the pattern of societal income inequality. Adjustment for lifestyle indicators reduces SEP differentials by between 45% and 52% but cannot account for country variation in mean inflammation.
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