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Updated: May 16, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
[Health, sport and socioeconomic vulnerability in an urban community]
Isabel Aguilar-Palacio1, Marta Gil-Lacruz, Ana Isabel Gil-Lacruz
1Departamento de Microbiología, Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España. iaguilar@unizar.es
Objective:
To analyse the association between perceived and diagnosed health, sport practice, and the belonging to a vulnerable socioeconomic group.
Design:
Observational study. Questionnaire.
Setting:
Casablanca neighbourhood. Primary Health Care Area in the city of Zaragoza (Spain).
Participants:
1032 residents aged over 15 years.
Main Measurements:
a) Perceived health using the Health Perception Questionnaire of Davis and Ware; b) diagnosed morbidity; c) sport practice using the Healthy Lifestyles questionnaire-94 of Herrero, Musitu and Gracia, and d) socioeconomic vulnerability based on the occupational, educational and economic conditions of the family unit.
Results:
Socioeconomic vulnerability had a statistically significant association with diagnosed health, self-perceived health, and sport practice. Vulnerability and exercise showed a higher influence over self-perceived health than over diagnosed health. In the analysis stratified by gender, the association could only be observed in men.
Conclusions:
The impact of health social factors is modulated by gender. Social stratification and lifestyles, such as sport practice, are predictors of self-perceived health and, thus, of the relationship between the population and the use of health services.
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