Cited by 317Health disparities and outcomesPublic Health and Social InequalitiesEmployment and Welfare Studies

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Contribution of Psychosocial Factors to Socioeconomic Differences in Health

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Marmot, Michael G., Fuhrer, Rebecca, Ettner, Susan L., Marks, Nadine F., Bumpass, Larry L., Ryff, Carol D.·1998·The Milbank Quarterly

DOI 10.1111/1468-0009.00097PMC PMC2751083

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Abstract

The National Survey of Mid‐life Developments in the United States (MIDUS) is one of several studies that demonstrate socioeconomic gradients in mortality during midlife. When MIDUS findings on self‐reported health, waist to hip ratio, and psychological well‐being were analyzed for their possible roles in generating socioeconomic differences in health, they revealed clear educational gradients for women and men (i.e., higher education predicted better health). Certain potential mediating variables, like household income, parents’ education, smoking behavior, and social relations, contributed to an explanation of the socioeconomic gradient. In addition, two census‐based measures, combined into an area poverty index, independently predicted ill health. The results suggest that a set of both early and current life circumstances cumulatively contribute toward explaining why people of lower soeioeconomic status have worse health and lower psychological well‐being.

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Authors: Marmot, M. G., Fuhrer, R., Ettner, S. L., Marks, N. F., Bumpass, L. L., & Ryff, C. D.
Affiliations: University College London (GB)
Harvard University (US)
University of Wisconsin–Madison (US)
ORCID: Marmot, Michael G.
Fuhrer, Rebecca
Ettner, Susan L.
Ryff, Carol D.
Venue: The Milbank Quarterly
Publisher: Wiley
Published: 1998-09
Volume: 76
Issue: 3
Pages: 403-448
ISSN: 0887-378X (ISSN-L)
1468-0009
DOI: 10.1111/1468-0009.00097
PMC: PMC2751083
OpenAlex: W2101210178
Cited by: 317
References: 53
Citations by year: 2026: 4 · 2025: 2 · 2024: 5 · 2023: 7 · 2022: 5 · 2021: 6 · 2020: 4 · 2019: 11 · 2018: 7 · 2017: 8 · 2016: 9 · 2015: 15 · 2014: 12 · 2013: 11 · 2012: 10
FWCI: 28.66
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1212 d)
Locations: Milbank Quarterly (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Funders: University College London
Medical Research Council (WC1E 6BT)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Health › Public Health and Social Inequalities
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
Keywords: socioeconomic status, health disparities, psychosocial factors, educational gradient, psychological well-being, self-reported health, waist-to-hip ratio, household income, parental education, smoking, interpersonal relationships, midlife, mortality gradient, MIDUS
MeSH terms: Adult, Aged, Female, Health Status Indicators, Health Surveys, Humans, Male, Middle Aged, Morbidity, Obesity, Social Adjustment, Social Class, Social Environment, Socioeconomic Factors, United States

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Contribution of Psychosocial Factors to Socioeconomic Differences in Health

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