Evidence map›Paper›PMID 34579546›Full record

ArticleAnnual review of psychology2022

What Are the Health Consequences of Upward Mobility?

Edith Chen, Gene H Brody, Gregory E Miller

Abstract read
In one paragraph

Article in Annual review of psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
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

52 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Prospective links between childhood family income and subclinical atherosclerosis in a sample of young men.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Skin-deep resilience in Black youth: Striving and sleep reactivity to daily stress.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Family wealth and adolescent physical health.Health psychology review · 2025
    Review
  19. Pathways to Racial/Ethnic Inequalities in Dementia.Annual review of clinical psychology · 2025
    Review
  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

3 authors.

Edith ChenInstitute for Policy Research and Department of Psychology, Northwestern University, Evanston, Illinois 60208, USA; email: edith.chen@northwestern.edu.
Gene H BrodyCenter for Family Research, University of Georgia, Athens, Georgia 30602, USA.
Gregory E MillerInstitute for Policy Research and Department of Psychology, Northwestern University, Evanston, Illinois 60208, USA; email: edith.chen@northwestern.edu.

Funding

Research Support CoreP50DA051361 · NIDA · UNIVERSITY OF GEORGIA · PI EHRLICH, KATHERINE BABCOCK · 2020 to 2024
$9.7M
Understanding Diverging Profiles of Academic and Physical Health Outcomes in African American YouthR01HD093718 · NICHD · NORTHWESTERN UNIVERSITY · PI CHEN, EDITH · 2018 to 2023
$4.3M
An Interpersonal Relationships Intervention for Improving Cardiovascular Health in YouthR01HL136676 · NHLBI · NORTHWESTERN UNIVERSITY · PI CHEN, EDITH, GRANT, KATHRYN E · 2018 to 2022
$4.0M
Understanding socioeconomic disparities in perinatal risk: The role of epigenetic and transcriptional regulation in the placentaR01MD011749 · NIMHD · NORTHWESTERN UNIVERSITY · PI BORDERS, ANN E.B., MILLER, GREGORY EVAN · 2017 to 2021
$3.9M
NHLBI NIH HHS R01 HL136676NICHD NIH HHS R01 HD093718NIDA NIH HHS P50 DA051361NIMHD NIH HHS R01 MD011749
6 · The paper itself

Abstract

Health disparities by socioeconomic status (SES) have been extensively documented, but less is known about the physical health implications of achieving upward mobility. This article critically reviews the evolving literature in this area, concluding that upward mobility is associated with a trade-off, whereby economic success and positive mental health in adulthood can come at the expense of physical health, a pattern termed skin-deep resilience. We consider explanations for this phenomenon, including prolonged high striving, competing demands between the environments upwardly mobile individuals seek to enter and their environments of origin, cultural mismatches between adaptive strategies from their childhood environments and those that are valued in higher-SES environments, and the sense of alienation, lack of belonging, and discrimination that upwardly mobile individuals face as they move into spaces set up by and for high-SES groups. These stressors are hypothesized to lead to unhealthy behaviors and a dysregulation of biological systems, with implications for cardiometabolic health.

Indexed as

Social ClassSocial MobilityAdultChildHumansMental Healthbiological processescardiovascular healthhealth behaviorssocioeconomic statusupward mobility

Identifiers

PMID34579546
PMCPMC10142907

What OpenQuestion holds

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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.