TY - JOUR
T1 - Body Mass Index and Subjective Social Status
T2 - The Coronary Artery Risk Development in Young Adults Study
AU - Dhurandhar, Emily J.
AU - Pavela, Gregory
AU - Kaiser, Kathryn A.
AU - Dutton, Gareth R.
AU - Fontaine, Kevin R.
AU - Kim, Daniel
AU - Shikany, James M.
AU - Allison, David B.
AU - Lewis, Cora E.
N1 - Funding Information:
Funding agencies: This work was supported in part by NIH grants 3R01AG043972-03S2, 3P30DK056336-13S1, and 2T32DK062710-11. Additionally, The Coronary Artery Risk Development in Young Adults Study is supported by contracts HHSN268201300025C, HHSN268201300026C, HHSN268201300027C, HHSN268201300028C, HHSN268201300029C, and HHSN268200900041C from the National Heart, Lung, and Blood Institute, the Intramural Research Program of the National Institute on Aging, and an intra-agency agreement between the National Institute on Aging and the National Heart, Lung, and Blood Institute (AG0005). The opinions expressed are those of the authors and not necessarily those of the NIH or any other organization. Disclosure: The authors declared no conflict of interest. Additional Supporting Information may be found in the online version of this article. Received: 11 April 2017; Accepted: 22 September 2017; Published online 27 December 2017. doi:10.1002/oby.22047
Publisher Copyright:
© 2017 The Obesity Society.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Objective: Subjective social status (SSS), or perceived social status, may explain, in part, the relationship between socioeconomic status (SES) and obesity. The objective of this study was to test whether SSS mediates the relationship between two indicators of SES (income and education) and body mass index (BMI). Methods: A cross-sectional, structural equation path analysis was applied to the Coronary Artery Risk Development in Young Adults (CARDIA) study (n = 2,624). The analysis tested whether SSS (MacArthur scale), education, and income were associated with BMI at the year 20 examination (adjusting for sex, age, and race), and it was hypothesized that the associations of education and income with BMI would be at least partly mediated by SSS. Results: SSS had a significant direct effect on BMI (−0.21, P = 0.018). Education had a significant direct relationship with SSS (0.11, P < 0.001) and a small but significant indirect relationship with BMI through SSS (−0.02, P = 0.022). Although income did not have a significant direct relationship with BMI, it did have a significant indirect relationship through SSS (b = −0.05, P = 0.019). Conclusions: Results are consistent with the hypothesized model in which SSS partially mediates the relationship between SES indicators and BMI.
AB - Objective: Subjective social status (SSS), or perceived social status, may explain, in part, the relationship between socioeconomic status (SES) and obesity. The objective of this study was to test whether SSS mediates the relationship between two indicators of SES (income and education) and body mass index (BMI). Methods: A cross-sectional, structural equation path analysis was applied to the Coronary Artery Risk Development in Young Adults (CARDIA) study (n = 2,624). The analysis tested whether SSS (MacArthur scale), education, and income were associated with BMI at the year 20 examination (adjusting for sex, age, and race), and it was hypothesized that the associations of education and income with BMI would be at least partly mediated by SSS. Results: SSS had a significant direct effect on BMI (−0.21, P = 0.018). Education had a significant direct relationship with SSS (0.11, P < 0.001) and a small but significant indirect relationship with BMI through SSS (−0.02, P = 0.022). Although income did not have a significant direct relationship with BMI, it did have a significant indirect relationship through SSS (b = −0.05, P = 0.019). Conclusions: Results are consistent with the hypothesized model in which SSS partially mediates the relationship between SES indicators and BMI.
UR - http://www.scopus.com/inward/record.url?scp=85040830630&partnerID=8YFLogxK
U2 - 10.1002/oby.22047
DO - 10.1002/oby.22047
M3 - Article
C2 - 29280341
AN - SCOPUS:85040830630
VL - 26
SP - 426
EP - 431
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 2
ER -