Evidence map›Paper›PMID 31546681›Full record

ArticleInternational journal of environmental research and public health2019

Unequal Associations between Educational Attainment and Occupational Stress across Racial and Ethnic Groups.

Shervin Assari, Mohsen Bazargan

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Trauma Erodes Financial Returns of Educational Attainment.Open journal of educational research · 2025
    Article
  9. Review
  10. Article
  11. High Systolic Blood Pressure of High-Income African American Children.Journal of racial and ethnic health disparities · 2024
    Article
  12. Article
  13. Chronic Stress Indicator: A Novel Tool for Comprehensive Stress Analysis.International journal of environmental research and public health · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Education Does Not Equally Increase Financial Well-being for All.Journal of social mathematical & human engineering sciences · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Shervin AssariDepartments of Family Medicine, College of Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA. assari@umich.edu.ORCID 0000-0002-5054-6250
Mohsen BazarganDepartments of Family Medicine, College of Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA. Mohsenbazargan@cdrewu.edu.
Charles R. Drew University of Medicine and Science · USUniversity of California, Los Angeles · US

Funding

Sustaining Faculty Development & Community EngagementS21MD000103 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CARLISLE, DAVID M · 2001 to 2015
$73.9M
Workshop for Junior Biostatisticians in Health ResearchU54MD007598 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI Piwen Wang · 2012 to 2026
$60.0M
The CDU-Clinical Research Education and Career Development ProgramR25MD007610 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI Roberto Balbino Vargas · 2012 to 2026
$7.8M
NIMHD NIH HHS R25 MD007610NIMHD NIH HHS S21 MD000103
6 · The paper itself

Abstract

backgroundAlthough other mechanisms are also involved, at least one reason high educational attainment (EA) is associated with better health is lower employment stress in individuals with high EA.

aimsWe aimed to compare racial and ethnic groups for the association between EA and occupational stress in a national sample of American adults.

methodsThe National Health Interview Survey (NHIS 2015), a cross-sectional survey, included 15,726 employed adults. Educational attainment was the dependent variable. Occupational stress was the outcome. Race and ethnicity were the moderators. Age, gender, number of jobs, and years in the job were the covariates.

resultsOverall, higher EA was associated with lower levels of occupational stress. Race and ethnicity both interacted with EA, suggesting that the association between high EA and reduced occupational stress is systemically smaller for AAs and Hispanics than it is for Whites.

conclusionsIn the United States, race and ethnicity limit the health gains that follow EA. While EA helps individuals avoid environmental risk factors, such as occupational stress, this is more valid for non-Hispanic Whites than AAs and Hispanics. The result is additional physical and mental health risks in highly educated AAs and Hispanics. The results are important, given racial and ethnic minorities are the largest growing section of the US population. We should not assume that EA is similarly protective across all racial and ethnic groups. In this context, EA may increase, rather than reduce, health disparities.

Indexed as

Occupational StressAcademic SuccessAdultBlack or African AmericanCross-Sectional StudiesEmploymentEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedMinority GroupsSocioeconomic FactorsUnited StatesWhite PeopleAfrican AmericansBlackseducationemploymentethnicityHispanicsLatinosoccupational stresspopulation groupsracesocioeconomic positionsocioeconomic statusstressWhiteswork

Identifiers

PMID31546681
PMCPMC6801852
OpenAlexW2974770527

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.