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Subjective social status and health: Multidisciplinary explanations and methodological challenges

Journal

JOURNAL OF HEALTH PSYCHOLOGY
Volume 25, Issue 2, Pages 173-185

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1359105318800804

Keywords

health inequalities; psychological distress; psychosocial factors; social class; social determinants of health; socioeconomic position

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Since the early 2000s, evidence has been accumulating that subjective social status - a person's sense of their own position on the social ladder - affects health above and beyond objective socioeconomic status. To date, however, little is known about how these distinct health effects of subjective social status can be explained. This article narratively reviews different explanatory approaches and key methodological challenges, backed up by empirical findings and supplemented by the authors' own reflections. Both social-psychological and psychoneurobiological explanations can make a theoretically plausible contribution to explaining the subjective social status-health relationship. Experimental and panel designs appear promising for addressing important methodological challenges in this strand of research.

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