TY - JOUR
T1 - Explaining subjective social status in two countries
T2 - the relative importance of education, occupation, income and childhood circumstances
AU - Lindberg, Marie Hella
AU - Chen, Gang
AU - Olsen, Jan Abel
AU - Abelsen, Birgit
N1 - Funding Information:
This project was part of the Tracing causes of inequalities in health and wellbeing project funded by the Research Council of Norway (RCN) , grant 273812 . This research was conducted at the Department of Community Medicine, UiT – Arctic University of Norway (UiT), and received funding from UiT and RCN . We are thankful to colleagues and conference/seminar participants for helpful comments to earlier versions.
Funding Information:
This project was part of the Tracing causes of inequalities in health and wellbeing project funded by the Research Council of Norway (RCN), grant 273812. This research was conducted at the Department of Community Medicine, UiT ? Arctic University of Norway (UiT), and received funding from UiT and RCN. We are thankful to colleagues and conference/seminar participants for helpful comments to earlier versions.
Publisher Copyright:
© 2021 The Authors
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/9
Y1 - 2021/9
N2 - 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.
AB - 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.
KW - Subjective social status
KW - Socioeconomic position
KW - Childhood circumstances
KW - Health inequalities
KW - Australia
KW - Norway
UR - http://www.scopus.com/inward/record.url?scp=85109425922&partnerID=8YFLogxK
U2 - 10.1016/j.ssmph.2021.100864
DO - 10.1016/j.ssmph.2021.100864
M3 - Article
C2 - 34286060
SN - 2352-8273
VL - 15
JO - SSM - Population Health
JF - SSM - Population Health
M1 - 100864
ER -