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The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire

The Whitehall II Study

Bibliographic Data

ID11032995
AuthorsHarry Hemingway (0000-0003-2279-0624, Public Health England), A Nicholson (0000-0002-3858-3403), Mark Stafford (0000-0001-8411-1653), R Roberts (0000-0003-2416-9268), Ed Roberts (0000-0002-3656-5906), Michael Marmot (0000-0002-2431-6419)
Year1997
Volume87
Issue9
Pages1484-1490
Publication date1997-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.87.9.1484
PMID9314801
OpenAlexW1976292638
LanguageEN
Citations received83
References cited31

OBJECTIVES: This study measured the association between socioeconomic status and the eight scale scores of the Medical Outcomes Study short form 36 (SF-36) general health survey in the Whitehall II study of British civil servants. It also assessed, for the physical functioning scale, whether this association was independent of disease. METHODS: A questionnaire containing the SF-36 was administered at the third phase of the study to 5766 men and 2589 women aged 39 through 63 years. Socioeconomic status was measured by means of six levels of employment grades. RESULTS: There were significant improvements with age in general mental health, role-emotional, vitality, and social functioning scale scores. In men, all the scales except vitality showed significant age-adjusted gradients across the employment grades (lower grades, worse health). Among women, a similar relationship was found for the physical functioning, pain, and social functioning scales. For physical functioning, the effect of grade was found in those with and without disease. CONCLUSIONS: Low socioeconomic status was associated with poor health functioning, and the effect sizes were comparable to those for some clinical conditions. For physical functioning, this association may act both via and independently of disease

Association (psychology) · Disease · Environmental health · Health related quality of life · Mental health · Population · Psychiatry · Scale (ratio) · SF-36 · Socioeconomic status · Vitality · Demography · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Physical Activity and Health · Psychology · Gerontology

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Unique citing works83
Citations per year2,86
Citation span1997 - 2024 (28)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 81
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