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Subjective Socioeconomic Status, Cognitive Abilities, and Personal Control: Associations With Health Behaviours
Pål Kraft1,2, Brage Kraft3, Thomas Hagen1
1Department of Psychology, University of Oslo, Oslo, Norway.
Objective:
To examine subjective and objective socioeconomic status (SSES and OSES, respectively) as predictors, cognitive abilities as confounders, and personal control perceptions as mediators of health behaviours.
Design:
A cross-sectional study including 197 participants aged 30-50 years, recruited from the crowd-working platform, Prolific.
Main Outcome Measure:
The Good Health Practices Scale, a 16-item inventory of health behaviours.
Results:
SSES was the most important predictor of health behaviours (beta = 0.19, p < 0.01). Among the OSES indicators, education (beta = 0.16, p < 0.05), but not income, predicted health behaviours. Intelligence (r = -0.16, p < 0.05) and memory (r = -0.22, p < 0.01) were negatively correlated with health-promoting behaviours, and the effect of memory was upheld in the multivariate model (beta = -0.17, p < 0.05). Personal control perceptions (mastery and constraints) did not act as mediators.
Conclusion:
SSES predicted health behaviours beyond OSES. The effect of socioeconomic indicators was not confounded by cognitive abilities. Surprisingly, cognitive abilities were negatively associated with health-promoting behaviours. Future research should emphasise SSES as a predictor of health behaviours. Delineating the psychological mechanisms linking SSES with health behaviours would be a valuable contribution toward improved understanding of socioeconomic disparities in health behaviours.
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