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Social position and functional somatic disorders: The DanFunD study.

Signe U Schovsbo1, Thomas M Dantoft1, Betina H Thuesen1

  • 1Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Capital Region of Denmark, Denmark.

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|November 19, 2021
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Summary
This summary is machine-generated.

Lower social position increases the risk of functional somatic disorders (FSDs). This association is particularly strong for more severe FSDs, indicating a vulnerable population group.

Keywords:
DanFunDSocial positionbodily distress syndromecohabitationeducationemploymentepidemiologyfunctional somatic disordersfunctional somatic syndromessubjective social status

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Area of Science:

  • Social epidemiology
  • Psychiatry
  • Public health

Background:

  • Functional somatic disorders (FSDs) are understood to arise from biological, psychological, and social factors.
  • The role of social position in FSDs is not well-established, with existing literature being inconsistent.
  • This study investigates the link between social position and FSD risk in a population-based cohort.

Purpose of the Study:

  • To test the hypothesis that lower social position is associated with an increased risk of FSD.
  • To examine the relationship between various measures of social position and FSD prevalence.
  • To explore if the association varies by FSD severity.

Main Methods:

  • Cross-sectional study design utilizing population-based data.
  • Assessed social position through vocational training, employment status, cohabitation, and subjective social status.
  • Defined FSDs using criteria for irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia, and bodily distress syndrome.
  • Employed logistic regression to calculate odds ratios and 95% confidence intervals, adjusting for age and sex.

Main Results:

  • Lower vocational training, unemployment, and living alone were significantly associated with a higher risk of FSD.
  • A negative association was observed between subjective social status and FSD risk.
  • These associations persisted after multiple adjustments and were more pronounced for severe FSD types.

Conclusions:

  • Lower social position is a significant risk factor for developing FSDs.
  • Individuals in lower social positions, particularly those with severe FSDs, represent a vulnerable group.
  • The underlying mechanisms driving the association between social position and FSDs require further investigation.