Changes in self-rated health and subjective social status over time in a cohort of healthcare personnel

J Health Psychol. 2014 Sep;19(9):1185-96. doi: 10.1177/1359105313485486. Epub 2013 May 16.

Abstract

As part of a prospective cohort study of 1354 female and 347 male healthcare personnel, we examined the stability of subjective social status over ~7 months and the prospective association between subjective social status and self-rated health status. Most (82%) subjective social status ratings were stable (within ±1 point). Lower baseline subjective social status among healthcare personnel was associated with more subsequent reports of fatigue and headache and worsening global self-rated health status. Healthcare personnel who placed themselves on the bottom half of the subjective social status ladder were four times more likely to experience a decline in global self-rated health status and half as likely to improve to excellent self-rated health status.

Keywords: fatigue; headache; healthcare personnel; self-rated health status; socioeconomic status; subjective social status.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Diagnostic Self Evaluation
  • Female
  • Health Personnel / psychology*
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Self-Assessment
  • Social Class*