Cited by 639Stress Responses and CortisolHealth disparities and outcomesEmployment and Welfare Studies

Socioeconomic Status Is Associated With Stress Hormones

Open access
Cohen, Sheldon, Doyle, William J., Baum, Andrew·2006·Psychosomatic Medicine

Abstract

Objective: We assess whether socioeconomic status (SES) is associated with basal levels of cortisol and catecholamines and determine if any association between SES and these hormones can be explained (is mediated) by behavioral, social, and emotional differences across the SES gradient. Methods: One hundred ninety-three adult subjects, including men and women and whites and African-Americans, provided 24-hour urine catecholamine samples on each of 2 days and seven saliva cortisol samples on each of 3 days beginning 1 hour after wakeup and ending 14 to 16 hours later. Values for both hormones were averaged across days to obtain basal levels. Results: Lower SES (income and education) was associated with higher levels of cortisol and epinephrine and marginally higher levels of norepinephrine. These associations were independent of race, age, gender, and body mass. Low SES was also associated with a greater likelihood of smoking, of not eating breakfast, and with less diverse social networks. Further analyses provided evidence consistent with the hypothesis that these behavioral and social variables mediate the link between SES and the three stress hormones. Conclusions: Lower SES was associated in a graded fashion with higher basal levels of cortisol and catecholamines. These associations occurred independent of race, and the data were consistent with mediation by health practices and social factors. AUC = area under the curve; BMI = body mass index; CARDIA = Coronary Artery Risk Development in Young Adults Study; ELISA = enzyme-linked immunosorbent assay; HPA = hypothalamic-pituitary adrenocortical axis; ISEL = Interpersonal Support Evaluation List; LET = Life Engagement Test; SES = socioeconomic status; SNS = sympathetic nervous system.

Integrity signals

Registry

Crossref · 10.1097/01.psy.0000221236.37158.b9

Cites

38 of 38 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • At birth, placenta and cord blood from babies born to mothers of lower socioeconomic status exhibit a transcriptional profile of higher immune activation and delayed maturation, illustrating that the in utero response to stress results in molecular signaling changes.

    “At birth, the placenta and cord blood from babies born to mothers of lower socioeconomic status, which has been associated with psychological stress, cortisol dysregulation, and poor environmental conditions, exhibit a transcriptional profile of higher immune activation and delayed maturation, illustrating that the in utero response to stress results in molecular signaling changes [114,115,116].”

    From Stress and the HPA Axis: Balancing Homeostasis and Fertility. (2017) · cites this paper as [114]

Cites

Flagged first, then by citations

1 of the 39 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Cohen, S., Doyle, W. J., & Baum, A.
Affiliations
John D. and Catherine T. MacArthur Foundation (US)
Corresponding author
Cohen, Sheldon
Venue
Psychosomatic Medicine
Published
2006-05
Volume
68
Issue
3
Pages
414-420
ISSN
0033-3174 (ISSN-L)
OpenAlex
W2046597351
Cited by
639
References
39
Citations by year
2026: 16 · 2025: 29 · 2024: 61 · 2023: 28 · 2022: 41 · 2021: 21 · 2020: 83 · 2019: 44 · 2018: 24 · 2017: 29 · 2016: 30 · 2015: 25 · 2014: 39 · 2013: 31 · 2012: 27
FWCI
8.23
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • KiltHub Repository (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • KiltHub Repository
Funders
National Heart, Lung, and Blood Institute (HL65111, HL65112, P50HL065112, P50HL065111)
Topics
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
Keywords
socioeconomic status, cortisol, catecholamines, epinephrine, norepinephrine, stress hormones, mediation, smoking, breakfast skipping, social networks, health behavior, African Americans, hypothalamic-pituitary-adrenal axis, sympathetic nervous system
MeSH terms
Adult, Catecholamines, Female, Humans, Hydrocortisone, Male, Middle Aged, Social Class, Social Support, Stress, Physiological, Stress, Psychological, Health Behavior

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review