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Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances

In the literature on social inequalities in health, subjective socioeconomic position (SEP) is increasingly applied as a determinant of health, motivated by the hypothesis that having a high subjective SEP is health-enhancing. However, the relative importance of determinants of subjective SEP is not...

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Detalles Bibliográficos
Autores principales: Lindberg, Marie Hella, Chen, Gang, Olsen, Jan Abel, Abelsen, Birgit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278415/
https://www.ncbi.nlm.nih.gov/pubmed/34286060
http://dx.doi.org/10.1016/j.ssmph.2021.100864
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author Lindberg, Marie Hella
Chen, Gang
Olsen, Jan Abel
Abelsen, Birgit
author_facet Lindberg, Marie Hella
Chen, Gang
Olsen, Jan Abel
Abelsen, Birgit
author_sort Lindberg, Marie Hella
collection PubMed
description In the literature on social inequalities in health, subjective socioeconomic position (SEP) is increasingly applied as a determinant of health, motivated by the hypothesis that having a high subjective SEP is health-enhancing. However, the relative importance of determinants of subjective SEP is not well understood. Objective SEP indicators, such as education, occupation and income, are assumed to determine individuals' position in the status hierarchy. Furthermore, an extensive literature has shown that past childhood SEP affects adult health. Does it also affect subjective SEP? In this paper, we estimate the relative importance of i) the common objective SEP indicators (education, occupation and income) in explaining subjective SEP, and ii) childhood SEP (childhood financial circumstances and parents' education) in determining subjective SEP, after controlling for objective SEP. Given that the relative importance of these factors is expected to differ across institutional settings, we compare data from two countries: Australia and Norway. We use data from an online survey based on adult samples, with N ≈ 1400 from each country. Ordinary least squares regression is conducted to assess how objective and childhood SEP indicators predict subjective SEP. We use Shapley value decomposition to estimate the relative importance of these factors in explaining subjective SEP. Income was the strongest predictor of subjective SEP in Australia; in Norway, it was occupation. Of the childhood SEP variables, childhood financial circumstances were significantly associated with subjective SEP, even after controlling for objective SEP. This association was the strongest in the Norwegian sample. Only the mother's education had a significant impact on subjective SEP. Our findings highlight the need to understand the specific mechanisms between objective and subjective SEP as determinants of inequalities in health, and to assess the role of institutional factors in influencing these complex relationships.
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spelling pubmed-82784152021-07-19 Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances Lindberg, Marie Hella Chen, Gang Olsen, Jan Abel Abelsen, Birgit SSM Popul Health Article In the literature on social inequalities in health, subjective socioeconomic position (SEP) is increasingly applied as a determinant of health, motivated by the hypothesis that having a high subjective SEP is health-enhancing. However, the relative importance of determinants of subjective SEP is not well understood. Objective SEP indicators, such as education, occupation and income, are assumed to determine individuals' position in the status hierarchy. Furthermore, an extensive literature has shown that past childhood SEP affects adult health. Does it also affect subjective SEP? In this paper, we estimate the relative importance of i) the common objective SEP indicators (education, occupation and income) in explaining subjective SEP, and ii) childhood SEP (childhood financial circumstances and parents' education) in determining subjective SEP, after controlling for objective SEP. Given that the relative importance of these factors is expected to differ across institutional settings, we compare data from two countries: Australia and Norway. We use data from an online survey based on adult samples, with N ≈ 1400 from each country. Ordinary least squares regression is conducted to assess how objective and childhood SEP indicators predict subjective SEP. We use Shapley value decomposition to estimate the relative importance of these factors in explaining subjective SEP. Income was the strongest predictor of subjective SEP in Australia; in Norway, it was occupation. Of the childhood SEP variables, childhood financial circumstances were significantly associated with subjective SEP, even after controlling for objective SEP. This association was the strongest in the Norwegian sample. Only the mother's education had a significant impact on subjective SEP. Our findings highlight the need to understand the specific mechanisms between objective and subjective SEP as determinants of inequalities in health, and to assess the role of institutional factors in influencing these complex relationships. Elsevier 2021-07-03 /pmc/articles/PMC8278415/ /pubmed/34286060 http://dx.doi.org/10.1016/j.ssmph.2021.100864 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lindberg, Marie Hella
Chen, Gang
Olsen, Jan Abel
Abelsen, Birgit
Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances
title Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances
title_full Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances
title_fullStr Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances
title_full_unstemmed Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances
title_short Explaining subjective social status in two countries: The relative importance of education, occupation, income and childhood circumstances
title_sort explaining subjective social status in two countries: the relative importance of education, occupation, income and childhood circumstances
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278415/
https://www.ncbi.nlm.nih.gov/pubmed/34286060
http://dx.doi.org/10.1016/j.ssmph.2021.100864
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