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J Health Psychol. 2014 Sep;19(9):1185-96. doi: 10.1177/1359105313485486. Epub 2013 May 16.

Changes in self-rated health and subjective social status over time in a cohort of healthcare personnel.

Author information

1
Centers for Disease Control and Prevention (CDC), USA isq8@cdc.gov.
2
Scott & White Healthcare, USA; Texas A&M University, USA.
3
Center for Health Research, Kaiser Permanente Northwest, USA.
4
Battelle Memorial Institute, USA.
5
Abt Associates, Inc., USA.

Abstract

As part of a prospective cohort study of 1354 female and 347 male healthcare personnel, we examined the stability of subjective social status over ~7 months and the prospective association between subjective social status and self-rated health status. Most (82%) subjective social status ratings were stable (within ±1 point). Lower baseline subjective social status among healthcare personnel was associated with more subsequent reports of fatigue and headache and worsening global self-rated health status. Healthcare personnel who placed themselves on the bottom half of the subjective social status ladder were four times more likely to experience a decline in global self-rated health status and half as likely to improve to excellent self-rated health status.

KEYWORDS:

fatigue; headache; healthcare personnel; self-rated health status; socioeconomic status; subjective social status

PMID:
23682064
DOI:
10.1177/1359105313485486
[Indexed for MEDLINE]

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