Skip to main content
Erschienen in: International Journal of Public Health 4/2013

01.08.2013 | Original Article

Income-related health inequalities: does perceived discrimination matter?

verfasst von: Audrey Maria Wilhelmina Simons, Daniëlle Adriana Irene Groffen, Hans Bosma

Erschienen in: International Journal of Public Health | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

Objectives

Because of their meritocratic ideology, Western countries might promote the belief that every individual is responsible for his or her socioeconomic position. These beliefs might enhance discrimination which, in turn, might affect health. Therefore, the aim of the study was to investigate the role of perceived discrimination within income-related health inequalities.

Methods

Two-year follow-up data (2008–2010) from the Dutch Longitudinal Internet Studies for the Social sciences panel (N = 2,139) were used to examine the relation between income, perceived discrimination, and self-rated health and feeling hindered by health problems.

Results

Results showed that poor health was more prevalent in the low income and in the discriminated group. Participants from the low income group were also more likely to perceive discrimination (OR = 1.57, 95 % CI = 1.03–2.42). However, there was no substantial evidence for a mediating effect of perceived discrimination on the income–health association.

Conclusions

The results emphasise the importance of a more in-depth study of discrimination in relation to socioeconomic health inequalities. Since ethnicity was a major confounder, it is recommended to take account of the complex interplay between discrimination and both the socioeconomic and ethnic background.
Literatur
Zurück zum Zitat Ahmed AT, Mohammed SA, Williams DR (2007) Racial discrimination and health: pathways and evidence. Indian J Med Res 126(4):318–327PubMed Ahmed AT, Mohammed SA, Williams DR (2007) Racial discrimination and health: pathways and evidence. Indian J Med Res 126(4):318–327PubMed
Zurück zum Zitat Aldabe B, Anderson R, Lyly-Yrjanainen M, Parent-Thirion A, Vermeylen G, Kelleher CC, Niedhammer I (2011) Contribution of material, occupational, and psychosocial factors in the explanation of social inequalities in health in 28 countries in Europe. J Epidemiol Community Health 65(12):1123–1131. doi:10.1136/jech.2009.102517 PubMedCrossRef Aldabe B, Anderson R, Lyly-Yrjanainen M, Parent-Thirion A, Vermeylen G, Kelleher CC, Niedhammer I (2011) Contribution of material, occupational, and psychosocial factors in the explanation of social inequalities in health in 28 countries in Europe. J Epidemiol Community Health 65(12):1123–1131. doi:10.​1136/​jech.​2009.​102517 PubMedCrossRef
Zurück zum Zitat Bambra C, Netuveli G, Eikemo TA (2010) Welfare state regime life courses: the development of western European welfare state regimes and age-related patterns of educational inequalities in self-reported health. Int J Health Serv 40(3):399–420PubMedCrossRef Bambra C, Netuveli G, Eikemo TA (2010) Welfare state regime life courses: the development of western European welfare state regimes and age-related patterns of educational inequalities in self-reported health. Int J Health Serv 40(3):399–420PubMedCrossRef
Zurück zum Zitat Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51(6):1173PubMedCrossRef Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51(6):1173PubMedCrossRef
Zurück zum Zitat Baum A, Garofalo JP, Yali AM (1999) Socioeconomic status and chronic stress: does stress account for SES effects on health? Ann N Y Acad Sci 896:131–144PubMedCrossRef Baum A, Garofalo JP, Yali AM (1999) Socioeconomic status and chronic stress: does stress account for SES effects on health? Ann N Y Acad Sci 896:131–144PubMedCrossRef
Zurück zum Zitat Bosma H, Simons A, Groffen D, Klabbers G (2012) Stigmatisation and socioeconomic differences in health in modern welfare states. Eur J Public Health 22(5):616–617PubMedCrossRef Bosma H, Simons A, Groffen D, Klabbers G (2012) Stigmatisation and socioeconomic differences in health in modern welfare states. Eur J Public Health 22(5):616–617PubMedCrossRef
Zurück zum Zitat Cozzarelli C, Wilkinson AV, Tagler MJ (2001) Attitudes toward the poor and attributions for poverty. J Soc Issues 57(2):207–227CrossRef Cozzarelli C, Wilkinson AV, Tagler MJ (2001) Attitudes toward the poor and attributions for poverty. J Soc Issues 57(2):207–227CrossRef
Zurück zum Zitat D’Anna LH, Ponce NA, Siegel JM (2010) Racial and ethnic health disparities: evidence of discrimination’s effects across the SEP spectrum. Ethn Health 15(2):121–143PubMedCrossRef D’Anna LH, Ponce NA, Siegel JM (2010) Racial and ethnic health disparities: evidence of discrimination’s effects across the SEP spectrum. Ethn Health 15(2):121–143PubMedCrossRef
Zurück zum Zitat De Botton A (2004) Statusangst. Olympus, Amsterdam De Botton A (2004) Statusangst. Olympus, Amsterdam
Zurück zum Zitat De Vos K (2008) Imputation of income in household questionnaire LISS panel. CentERdata, Tilburg De Vos K (2008) Imputation of income in household questionnaire LISS panel. CentERdata, Tilburg
Zurück zum Zitat Fuller-Rowell TE, Evans GW, Ong AD (2012) Poverty and health: the mediating role of perceived discrimination. Psychol Sci 23(7):734–739PubMedCrossRef Fuller-Rowell TE, Evans GW, Ong AD (2012) Poverty and health: the mediating role of perceived discrimination. Psychol Sci 23(7):734–739PubMedCrossRef
Zurück zum Zitat Gamarel KE, Reisner SL, Parsons JT, Golub SA (2012) Association between socioeconomic position discrimination and psychological distress: findings from a community-based sample of gay and bisexual men in New York City. Am J Public Health 102(11):2094–2101 Gamarel KE, Reisner SL, Parsons JT, Golub SA (2012) Association between socioeconomic position discrimination and psychological distress: findings from a community-based sample of gay and bisexual men in New York City. Am J Public Health 102(11):2094–2101
Zurück zum Zitat Kessler RC, Mickelson KD, Williams DR (1999) The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav 40(3):208–230PubMedCrossRef Kessler RC, Mickelson KD, Williams DR (1999) The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav 40(3):208–230PubMedCrossRef
Zurück zum Zitat Krieger N, Kosheleva A, Waterman PD, Chen JT, Koenen K (2011) Racial discrimination, psychological distress, and self-rated health among US-born and foreign-born Black Americans. Am J Public Health 101(9):1704–1713. doi:10.2105/AJPH.2011.300168 PubMed Krieger N, Kosheleva A, Waterman PD, Chen JT, Koenen K (2011) Racial discrimination, psychological distress, and self-rated health among US-born and foreign-born Black Americans. Am J Public Health 101(9):1704–1713. doi:10.​2105/​AJPH.​2011.​300168 PubMed
Zurück zum Zitat Liu WM (2010) Social class, classism, and mental and physical health. In: Social class and classism in the helping professions: research, theory, and practice. Sage Publicationa, Inc., California Liu WM (2010) Social class, classism, and mental and physical health. In: Social class and classism in the helping professions: research, theory, and practice. Sage Publicationa, Inc., California
Zurück zum Zitat Mackenbach JP (2006) Health inequalities: Europe in profile. Produced by COI for the Dept. of Health Mackenbach JP (2006) Health inequalities: Europe in profile. Produced by COI for the Dept. of Health
Zurück zum Zitat Mackenbach JP, Stirbu I, Roskam AJR, Schaap MM, Menvielle G, Leinsalu M, Kunst AE (2008) Socioeconomic inequalities in health in 22 European countries. N Engl J Med 358(23):2468–2481. doi:10.1056/NEJMsa0707519 PubMedCrossRef Mackenbach JP, Stirbu I, Roskam AJR, Schaap MM, Menvielle G, Leinsalu M, Kunst AE (2008) Socioeconomic inequalities in health in 22 European countries. N Engl J Med 358(23):2468–2481. doi:10.​1056/​NEJMsa0707519 PubMedCrossRef
Zurück zum Zitat McCoy SK, Major B (2007) Priming meritocracy and the psychological justification of inequality. J Exp Soc Psychol 43(3):341–351CrossRef McCoy SK, Major B (2007) Priming meritocracy and the psychological justification of inequality. J Exp Soc Psychol 43(3):341–351CrossRef
Zurück zum Zitat Mickelson KD, Williams SL (2008) Perceived stigma of poverty and depression: examination of interpersonal and intrapersonal mediators. J Soc Clin Psychol 27(9):903–930CrossRef Mickelson KD, Williams SL (2008) Perceived stigma of poverty and depression: examination of interpersonal and intrapersonal mediators. J Soc Clin Psychol 27(9):903–930CrossRef
Zurück zum Zitat Rüsch N, Todd A, Bodenhausen G, Corrigan P (2010) Do people with mental illness deserve what they get? Links between meritocratic worldviews and implicit versus explicit stigma. Eur Arch Psychiatry Clin Neurosci 260(8):617–625. doi:10.1007/s00406-010-0111-4 PubMedCrossRef Rüsch N, Todd A, Bodenhausen G, Corrigan P (2010) Do people with mental illness deserve what they get? Links between meritocratic worldviews and implicit versus explicit stigma. Eur Arch Psychiatry Clin Neurosci 260(8):617–625. doi:10.​1007/​s00406-010-0111-4 PubMedCrossRef
Zurück zum Zitat Skalická V, van Lenthe F, Bambra C, Krokstad S, Mackenbach J (2009) Material, psychosocial, behavioural and biomedical factors in the explanation of relative socio-economic inequalities in mortality: evidence from the HUNT study. Int J Epidemiol 38(5):1272–1284. doi:10.1093/ije/dyp262 PubMedCrossRef Skalická V, van Lenthe F, Bambra C, Krokstad S, Mackenbach J (2009) Material, psychosocial, behavioural and biomedical factors in the explanation of relative socio-economic inequalities in mortality: evidence from the HUNT study. Int J Epidemiol 38(5):1272–1284. doi:10.​1093/​ije/​dyp262 PubMedCrossRef
Zurück zum Zitat Vrooman C, Hoff S, Otten F, Bos W (2007) Armoedemonitor 2007. Netherlands Institue for Social Research (SCP) and Statistics Netherlands (CBS), The Hague Vrooman C, Hoff S, Otten F, Bos W (2007) Armoedemonitor 2007. Netherlands Institue for Social Research (SCP) and Statistics Netherlands (CBS), The Hague
Zurück zum Zitat Ward PR, Meyer SB, Verity F, Gill TK, Luong TC (2011) Complex problems require complex solutions: the utility of social quality theory for addressing the Social Determinants of Health. BMC Public Health 11:630. doi:10.1186/1471-2458-11-630 PubMedCrossRef Ward PR, Meyer SB, Verity F, Gill TK, Luong TC (2011) Complex problems require complex solutions: the utility of social quality theory for addressing the Social Determinants of Health. BMC Public Health 11:630. doi:10.​1186/​1471-2458-11-630 PubMedCrossRef
Zurück zum Zitat Weeks M, Lupfer MB (2004) Complicating race: the relationship between prejudice, race, and social class categorizations. Pers Soc Psychol Bull 30(8):972PubMedCrossRef Weeks M, Lupfer MB (2004) Complicating race: the relationship between prejudice, race, and social class categorizations. Pers Soc Psychol Bull 30(8):972PubMedCrossRef
Zurück zum Zitat Wilkinson RG, Pickett K (2010) The spirit level: Why equality is better for everyone. Penguin Group, New York Wilkinson RG, Pickett K (2010) The spirit level: Why equality is better for everyone. Penguin Group, New York
Zurück zum Zitat Williams WR (2009) Struggling with poverty: implications for theory and policy of increasing research on social class-based stigma. Anal Soc Issues Public Policy 9(1):37–56CrossRef Williams WR (2009) Struggling with poverty: implications for theory and policy of increasing research on social class-based stigma. Anal Soc Issues Public Policy 9(1):37–56CrossRef
Zurück zum Zitat Williams DR, Yu Y, Jackson JS, Anderson NB (1997) Racial differences in physical and mental health: socioeconomic status, stress, and discrimination. J Health Psychol 2(3):335–351PubMedCrossRef Williams DR, Yu Y, Jackson JS, Anderson NB (1997) Racial differences in physical and mental health: socioeconomic status, stress, and discrimination. J Health Psychol 2(3):335–351PubMedCrossRef
Metadaten
Titel
Income-related health inequalities: does perceived discrimination matter?
verfasst von
Audrey Maria Wilhelmina Simons
Daniëlle Adriana Irene Groffen
Hans Bosma
Publikationsdatum
01.08.2013
Verlag
Springer Basel
Erschienen in
International Journal of Public Health / Ausgabe 4/2013
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-012-0429-y

Weitere Artikel der Ausgabe 4/2013

International Journal of Public Health 4/2013 Zur Ausgabe