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Published in: International Journal of Behavioral Medicine 4/2009

01-12-2009

Socioeconomic Disparities in Optimism and Pessimism

Authors: Kathryn A. Robb, Alice E. Simon, Jane Wardle

Published in: International Journal of Behavioral Medicine | Issue 4/2009

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Abstract

Background

Socioeconomic status (SES) exhibits a graded relationship with health. Dispositional optimism represents a potential mediator and has been strongly linked to health, but few studies have assessed its association with SES.

Purpose

To assess the relationship between SES and trait optimism and pessimism in a representative community sample of older British adults.

Method

Community samples of adults (55–64 years) from Scotland (N = 10,650) and England (N = 5,099) registered with Primary Care Practices were mailed self-report questionnaires. Optimism was measured by the Life Orientation Test (LOT), which generates a total score and positive (optimism) and negative (pessimism) subscale scores. SES was assessed with an individual-level index of socioeconomic deprivation based on education, housing tenure, and car ownership.

Results

In both samples, there was a strong SES gradient in the total LOT score, with higher SES being associated with higher scores. However, when pessimism and optimism subscales were analyzed separately, the gradient was strong for pessimism, but minimal for optimism.

Conclusion

The results suggest that lower SES is associated with viewing the future as containing more negative events, but there was little SES difference for positive events. It will be important to distinguish the roles of pessimism and optimism in other determinants of health.
Literature
go back to reference Adler NE, Boyce T, Chesney MA, Cohen S, Folkman S, Kahn RL, et al. Socioeconomic status and health. The challenge of the gradient. Am Psychol 1994;49:15–24.CrossRefPubMed Adler NE, Boyce T, Chesney MA, Cohen S, Folkman S, Kahn RL, et al. Socioeconomic status and health. The challenge of the gradient. Am Psychol 1994;49:15–24.CrossRefPubMed
go back to reference Atkin W, Edwards R, Wardle J, Northover J, Sutton S, Hart A, et al. Design of a multicentre randomised trial to evaluate flexible sigmoidoscopy in colorectal cancer screening. J Med Screen 2001;8:137–44.CrossRefPubMed Atkin W, Edwards R, Wardle J, Northover J, Sutton S, Hart A, et al. Design of a multicentre randomised trial to evaluate flexible sigmoidoscopy in colorectal cancer screening. J Med Screen 2001;8:137–44.CrossRefPubMed
go back to reference Bartley M. Health inequality: an introduction to theories, concepts and methods. Cambridge: Polity; 2004. Bartley M. Health inequality: an introduction to theories, concepts and methods. Cambridge: Polity; 2004.
go back to reference Baum A, Garofalo JP, Yali AM. Socioeconomic status and chronic stress: does stress account for SES effects on health? Ann NY Acad Sci 1999;896:131–44.CrossRefPubMed Baum A, Garofalo JP, Yali AM. Socioeconomic status and chronic stress: does stress account for SES effects on health? Ann NY Acad Sci 1999;896:131–44.CrossRefPubMed
go back to reference Brody GH, Murry VM, Kim S, Brown AC. Longitudinal pathways to competence and psychological adjustment among African American children living in rural single-parent households. Child Dev 2002;73:1505–16.CrossRefPubMed Brody GH, Murry VM, Kim S, Brown AC. Longitudinal pathways to competence and psychological adjustment among African American children living in rural single-parent households. Child Dev 2002;73:1505–16.CrossRefPubMed
go back to reference Carver CS, Pozo C, Harris SD, Noriega V, Scheier MF, Robinson DS, et al. How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. J Pers Soc Psychol 1993;65:375–90.CrossRefPubMed Carver CS, Pozo C, Harris SD, Noriega V, Scheier MF, Robinson DS, et al. How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. J Pers Soc Psychol 1993;65:375–90.CrossRefPubMed
go back to reference Ek E, Remes J, Sovio U. Social and developmental predictors of optimism from infancy to early adulthood. Soc Indic Res 2004;69:219–42.CrossRef Ek E, Remes J, Sovio U. Social and developmental predictors of optimism from infancy to early adulthood. Soc Indic Res 2004;69:219–42.CrossRef
go back to reference Epping-Jordan JE, Compas BE, Osowiecki DM, Oppedisano G, Gerhardt C, Primo K, et al. Psychological adjustment in breast cancer: processes of emotional distress. Health Psychol 1999;18:315–26.CrossRefPubMed Epping-Jordan JE, Compas BE, Osowiecki DM, Oppedisano G, Gerhardt C, Primo K, et al. Psychological adjustment in breast cancer: processes of emotional distress. Health Psychol 1999;18:315–26.CrossRefPubMed
go back to reference Gallo LC, Matthews KA. Understanding the association between socioeconomic status and physical health: do negative emotions play a role? Psychol Bull 2003;129:10–51.CrossRefPubMed Gallo LC, Matthews KA. Understanding the association between socioeconomic status and physical health: do negative emotions play a role? Psychol Bull 2003;129:10–51.CrossRefPubMed
go back to reference Giltay EJ, Geleijnse JM, Zitman FG, Hoekstra T, Schouten EG. Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Arch Gen Psychiatry 2004;61:1126–35.CrossRefPubMed Giltay EJ, Geleijnse JM, Zitman FG, Hoekstra T, Schouten EG. Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Arch Gen Psychiatry 2004;61:1126–35.CrossRefPubMed
go back to reference Greater Glasgow Health Board. Indicators of deprivation. Glasgow: Health Information Unit; 1995. Greater Glasgow Health Board. Indicators of deprivation. Glasgow: Health Information Unit; 1995.
go back to reference Griffin JM, Fuhrer R, Stansfeld SA, Marmot M. The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? Soc Sci Med 2002;54:783–8.CrossRefPubMed Griffin JM, Fuhrer R, Stansfeld SA, Marmot M. The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? Soc Sci Med 2002;54:783–8.CrossRefPubMed
go back to reference Grundy E, Holt G. The socioeconomic status of older adults: how should we measure it in studies of health inequalities? J Epidemiol Community Health 2001;55:895–904.CrossRefPubMed Grundy E, Holt G. The socioeconomic status of older adults: how should we measure it in studies of health inequalities? J Epidemiol Community Health 2001;55:895–904.CrossRefPubMed
go back to reference Heinonen K, Raikkonen K, Matthews KA, Scheier MF, Raitakari OT, et al. Socioeconomic status in childhood and adulthood: associations with dispositional optimism and pessimism over a 21-year follow-up. J Pers 2006;74:1111–26.CrossRefPubMed Heinonen K, Raikkonen K, Matthews KA, Scheier MF, Raitakari OT, et al. Socioeconomic status in childhood and adulthood: associations with dispositional optimism and pessimism over a 21-year follow-up. J Pers 2006;74:1111–26.CrossRefPubMed
go back to reference Herzberg PY, Glaesmer H, Hoyer J. Separating optimism and pessimism: a robust psychometric analysis of the revised life orientation test (LOT-R). Psychol Assess 2006;18:433–8.CrossRefPubMed Herzberg PY, Glaesmer H, Hoyer J. Separating optimism and pessimism: a robust psychometric analysis of the revised life orientation test (LOT-R). Psychol Assess 2006;18:433–8.CrossRefPubMed
go back to reference Howell DC. Statistical methods for psychology. 4th ed. Belmont: Wadsworth; 1997. Howell DC. Statistical methods for psychology. 4th ed. Belmont: Wadsworth; 1997.
go back to reference Ironson G, Balbin E, Stuetzle R, Fletcher MA, O’Cleirigh C, Laurenceau JP, et al. Dispositional optimism and the mechanisms by which it predicts slower disease progression in HIV: proactive behavior, avoidant coping, and depression. Int J Behav Med 2005;12:86–97.CrossRefPubMed Ironson G, Balbin E, Stuetzle R, Fletcher MA, O’Cleirigh C, Laurenceau JP, et al. Dispositional optimism and the mechanisms by which it predicts slower disease progression in HIV: proactive behavior, avoidant coping, and depression. Int J Behav Med 2005;12:86–97.CrossRefPubMed
go back to reference Krieger N, Chen JT, Waterman PD, Rehkopf DH, Subramanian SV. Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the Public Health Disparities Geocoding Project. Am J Public Health 2005;95:312–23.CrossRefPubMed Krieger N, Chen JT, Waterman PD, Rehkopf DH, Subramanian SV. Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the Public Health Disparities Geocoding Project. Am J Public Health 2005;95:312–23.CrossRefPubMed
go back to reference Lawlor DA, Smith GD, Ebrahim S. Association between childhood socioeconomic status and coronary heart disease risk among postmenopausal women: findings from the British Women’s Heart and Health Study. Am J Public Health 2004;94:1386–92.CrossRefPubMed Lawlor DA, Smith GD, Ebrahim S. Association between childhood socioeconomic status and coronary heart disease risk among postmenopausal women: findings from the British Women’s Heart and Health Study. Am J Public Health 2004;94:1386–92.CrossRefPubMed
go back to reference Lobel M, DeVincent CJ, Kaminer A, Meyer BA. The impact of prenatal maternal stress and optimistic disposition on birth outcomes in medically high-risk women. Health Psychol 2000;19:544–53.CrossRefPubMed Lobel M, DeVincent CJ, Kaminer A, Meyer BA. The impact of prenatal maternal stress and optimistic disposition on birth outcomes in medically high-risk women. Health Psychol 2000;19:544–53.CrossRefPubMed
go back to reference Lynch JW, Kaplan GA, Shema SJ. Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. N Engl J Med 1997;337:1889–95.CrossRefPubMed Lynch JW, Kaplan GA, Shema SJ. Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. N Engl J Med 1997;337:1889–95.CrossRefPubMed
go back to reference Marmot M. Status syndrome—how your social standing directly affects your health and life expectancy.London: Bloomsbury & Henry Holt New York; 2004. Marmot M. Status syndrome—how your social standing directly affects your health and life expectancy.London: Bloomsbury & Henry Holt New York; 2004.
go back to reference Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 1997;350:235–9.CrossRefPubMed Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 1997;350:235–9.CrossRefPubMed
go back to reference Marmot MG, Shipley MJ, Rose G. Inequalities in death-specific explanations of a general pattern? Lancet 1984;1:1003–6.CrossRefPubMed Marmot MG, Shipley MJ, Rose G. Inequalities in death-specific explanations of a general pattern? Lancet 1984;1:1003–6.CrossRefPubMed
go back to reference Marmot MG, Smith GD, Stansfeld S, Patel C, North F, Head J, et al. Health inequalities among British civil servants: the Whitehall II Study. Lancet 1991;337:1387–93.CrossRefPubMed Marmot MG, Smith GD, Stansfeld S, Patel C, North F, Head J, et al. Health inequalities among British civil servants: the Whitehall II Study. Lancet 1991;337:1387–93.CrossRefPubMed
go back to reference McCaffery K, Wardle J, Nadel M, Atkin W. Socioeconomic variation in participation in colorectal cancer screening. J Med Screen 2002;9:104–8.CrossRefPubMed McCaffery K, Wardle J, Nadel M, Atkin W. Socioeconomic variation in participation in colorectal cancer screening. J Med Screen 2002;9:104–8.CrossRefPubMed
go back to reference Mickelson KD, Kubzansky LD. Social distribution of social support: the mediating role of life events. Am J Community Psychol 2003;32:265–81.CrossRefPubMed Mickelson KD, Kubzansky LD. Social distribution of social support: the mediating role of life events. Am J Community Psychol 2003;32:265–81.CrossRefPubMed
go back to reference Mirowsky J, Ross CE. Education, social status, and health. New York: Aldine de Gruyter; 2003. Mirowsky J, Ross CE. Education, social status, and health. New York: Aldine de Gruyter; 2003.
go back to reference Peterson C, Bossio LM. Optimism and physical well-being. In: Chang EC, editor. Optimism & pessimism: implications for theory, research, and practice. Washington: American Psychological Association; 2001. p. 127–45.CrossRef Peterson C, Bossio LM. Optimism and physical well-being. In: Chang EC, editor. Optimism & pessimism: implications for theory, research, and practice. Washington: American Psychological Association; 2001. p. 127–45.CrossRef
go back to reference Robbins AS, Spence JT, Clark H. Psychological determinants of health and performance: the tangled web of desirable and undesirable characteristics. J Pers Soc Psychol 1991;61:755–65.CrossRefPubMed Robbins AS, Spence JT, Clark H. Psychological determinants of health and performance: the tangled web of desirable and undesirable characteristics. J Pers Soc Psychol 1991;61:755–65.CrossRefPubMed
go back to reference Robinson-Whelen S, Kim C, MacCallum RC, Kiecolt-Glaser JK. Distinguishing optimism from pessimism in older adults: is it more important to be optimistic or not to be pessimistic? J Pers Soc Psychol 1997;73:1345–53.CrossRefPubMed Robinson-Whelen S, Kim C, MacCallum RC, Kiecolt-Glaser JK. Distinguishing optimism from pessimism in older adults: is it more important to be optimistic or not to be pessimistic? J Pers Soc Psychol 1997;73:1345–53.CrossRefPubMed
go back to reference Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol 1985;4:219–47.CrossRefPubMed Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol 1985;4:219–47.CrossRefPubMed
go back to reference Scheier MF, Weintraub JK, Carver CS. Coping with stress: divergent strategies of optimists and pessimists. J Pers Soc Psychol 1986;51:1257–64.CrossRefPubMed Scheier MF, Weintraub JK, Carver CS. Coping with stress: divergent strategies of optimists and pessimists. J Pers Soc Psychol 1986;51:1257–64.CrossRefPubMed
go back to reference Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a re-evaluation of the Life Orientation Test. J Pers Soc Psychol 1994;67:1063–78.CrossRefPubMed Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a re-evaluation of the Life Orientation Test. J Pers Soc Psychol 1994;67:1063–78.CrossRefPubMed
go back to reference Schou I, Ekeberg O, Ruland CM, Sandvik L, Karesen R. Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psychooncology 2004;13:309–20.CrossRefPubMed Schou I, Ekeberg O, Ruland CM, Sandvik L, Karesen R. Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psychooncology 2004;13:309–20.CrossRefPubMed
go back to reference Schulz R, Bookwala J, Knapp JE, Scheier M, Williamson GM. Pessimism, age, and cancer mortality. Psychol Aging 1996;11:304–9.CrossRefPubMed Schulz R, Bookwala J, Knapp JE, Scheier M, Williamson GM. Pessimism, age, and cancer mortality. Psychol Aging 1996;11:304–9.CrossRefPubMed
go back to reference Schutte JW, Valerio JK, Carrillo V. Optimism and socioeconomic status: a cross-cultural study. Soc Behav Pers 1996;24:9–18.CrossRef Schutte JW, Valerio JK, Carrillo V. Optimism and socioeconomic status: a cross-cultural study. Soc Behav Pers 1996;24:9–18.CrossRef
go back to reference Stansfeld S, Marmot M. Deriving a survey measure of social support: the reliability and validity of the Close Persons Questionnaire. Soc Sci Med 1992;35:1027–35.CrossRefPubMed Stansfeld S, Marmot M. Deriving a survey measure of social support: the reliability and validity of the Close Persons Questionnaire. Soc Sci Med 1992;35:1027–35.CrossRefPubMed
go back to reference Stansfeld SA, Head J, Fuhrer R, Wardle J, Cattell V. Social inequalities in depressive symptoms and physical functioning in the Whitehall II Study: exploring a common cause explanation. J Epidemiol Community Health 2003;57:361–7.CrossRefPubMed Stansfeld SA, Head J, Fuhrer R, Wardle J, Cattell V. Social inequalities in depressive symptoms and physical functioning in the Whitehall II Study: exploring a common cause explanation. J Epidemiol Community Health 2003;57:361–7.CrossRefPubMed
go back to reference Stanton AL, Snider PR. Coping with a breast cancer diagnosis: a prospective study. Health Psychol 1993;12:16–23.CrossRefPubMed Stanton AL, Snider PR. Coping with a breast cancer diagnosis: a prospective study. Health Psychol 1993;12:16–23.CrossRefPubMed
go back to reference Steptoe A, Wardle J, Vinck J, Tuomisto M, Holte A, Wichstrom L. Personality and attitudinal correlates of healthy and unhealthy lifestyles in young adults. Psychol Health 1994;9:331–3.CrossRef Steptoe A, Wardle J, Vinck J, Tuomisto M, Holte A, Wichstrom L. Personality and attitudinal correlates of healthy and unhealthy lifestyles in young adults. Psychol Health 1994;9:331–3.CrossRef
go back to reference Taylor SE, Seeman TE. Psychosocial resources and the SES–health relationship. Ann NY Acad Sci 1999;896:210–25.CrossRefPubMed Taylor SE, Seeman TE. Psychosocial resources and the SES–health relationship. Ann NY Acad Sci 1999;896:210–25.CrossRefPubMed
go back to reference Townsend P, Phillimore P, Beattie A. Health and deprivation: inequality and the north. Kent: Croom Helm; 1988. Townsend P, Phillimore P, Beattie A. Health and deprivation: inequality and the north. Kent: Croom Helm; 1988.
go back to reference Turner RJ, Marino F. Social support and social structure: a descriptive epidemiology. J Health Soc Behav 1994;35:193–212.CrossRefPubMed Turner RJ, Marino F. Social support and social structure: a descriptive epidemiology. J Health Soc Behav 1994;35:193–212.CrossRefPubMed
go back to reference UK Flexible Sigmoidoscopy Screening Trial Investigators. Single flexible sigmoidoscopy screening to prevent colorectal cancer: baseline findings of a UK multicentre randomised trial, Lancet 2002;359:1291–300.CrossRef UK Flexible Sigmoidoscopy Screening Trial Investigators. Single flexible sigmoidoscopy screening to prevent colorectal cancer: baseline findings of a UK multicentre randomised trial, Lancet 2002;359:1291–300.CrossRef
go back to reference Walsh K. Evaluation of the use of general practice age-sex registers in epidemiological research. Br J Gen Pract 1994;44:118–22.PubMed Walsh K. Evaluation of the use of general practice age-sex registers in epidemiological research. Br J Gen Pract 1994;44:118–22.PubMed
go back to reference Wardle J, McCaffery K, Nadel M, Atkin W. Socioeconomic differences in cancer screening participation: comparing cognitive and psychosocial explanations. Soc Sci Med 2004;59:249–61.CrossRefPubMed Wardle J, McCaffery K, Nadel M, Atkin W. Socioeconomic differences in cancer screening participation: comparing cognitive and psychosocial explanations. Soc Sci Med 2004;59:249–61.CrossRefPubMed
Metadata
Title
Socioeconomic Disparities in Optimism and Pessimism
Authors
Kathryn A. Robb
Alice E. Simon
Jane Wardle
Publication date
01-12-2009
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 4/2009
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-008-9018-0

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