Cited by 408Health disparities and outcomesPublic Health and Social InequalitiesEmployment and Welfare Studies

Socioeconomic Status and Health: Mediating and Moderating Factors

Chen, Edith, Miller, Gregory E.·2013·Annual Review of Clinical Psychology

Abstract

Health disparities (differences in health by socioeconomic groups) are a pressing issue in our society. This article provides an overview of a multilevel approach that seeks to understand the mechanisms underlying health disparities by considering factors at the individual, family, and neighborhood levels. In addition, we describe an approach to connecting these factors to various levels of biological processes (systemic inflammation, cellular processes, and genomic pathways) that drive disease pathophysiology. In the second half of the article, we address the question of why some low-socioeconomic-status (low-SES) individuals manage to maintain good physical health. We identify naturally occurring psychosocial factors that help buffer these individuals from adverse physiological responses and pathogenic processes leading to chronic disease. What is protective for low-SES individuals is not the same as what is protective for high-SES individuals, and this needs to be taken into account in interventions aimed at reducing health disparities.

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Crossref · 10.1146/annurev-clinpsy-050212-185634

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Authors
Chen, E., & Miller, G. E.
Affiliations
Northwestern University (US)
Venue
Annual Review of Clinical Psychology
Published
2013-03-28
Volume
9
Issue
1
Pages
723-749
ISSN
  • 1548-5943 (ISSN-L)
  • 1548-5951
OpenAlex
W2142659997
Cited by
402
References
175
Citations by year
2026: 21 · 2025: 38 · 2024: 29 · 2023: 32 · 2022: 37 · 2021: 36 · 2020: 41 · 2019: 26 · 2018: 39 · 2017: 40 · 2016: 26 · 2015: 19 · 2014: 15 · 2013: 3
FWCI
2.29
Type
journal article
Language
en
Open access
closed
Locations
  • Annual Review of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Canadian Institutes of Health Research (FRN: 97872)
  • National Institute on Minority Health and Health Disparities
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD058502, R01HD058502)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Public Health and Social Inequalities
  • Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
Keywords
socioeconomic status, health disparities, low socioeconomic status, multilevel analysis, neighborhood effects, family factors, systemic inflammation, genomic pathways, cellular processes, disease pathophysiology, protective factors, psychosocial factors, chronic disease, health interventions
MeSH terms
Humans, Social Class, Social Environment, Stress, Psychological, Health Status Disparities, Resilience, Psychological

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