Objective and subjective socioeconomic status and susceptibility to the common cold.

OBJECTIVE: We ask whether subjective socioeconomic status (SES) predicts who develops a common cold when exposed to a cold virus. DESIGN: 193 healthy men and women ages 21-55 years were assessed for subjective (perceived rank) and objective SES, cognitive, affective and social dispositions, and health practices. Subsequently, they were exposed by nasal drops to a rhinovirus or influenza virus and monitored in quarantine for objective signs of illness and self-reported symptoms. MAIN OUTCOME MEASURES: Infection, signs and symptoms of the common cold, and clinical illness (infection and significant objective signs of illness). RESULTS: Increased subjective SES was associated with decreased risk for developing a cold for both viruses. This association was independent of objective SES and of cognitive, affective and social disposition that might provide alternative spurious (third factor) explanations for the association. Poorer sleep among those with lesser subjective SES may partly mediate the association between subjective SES and colds. CONCLUSIONS: Increased Subjective SES is associated with less susceptibility to upper respiratory infection, and this association is independent of objective SES, suggesting the importance of perceived relative rank to health.     

Stigma consciousness modulates cortisol reactivity to social stress in women

The aim of the current study was to examine whether stigma consciousness shapes cortisol responses to social stress among women in the laboratory. Undergraduate women (N = 45) completed background measures and then participated in a public speaking task, with assessments of cortisol prior to the stressor as well as 20 and 40 minutes post stressor onset. Results from multilevel models revealed that women higher in stigma consciousness evidenced blunted cortisol reactivity following social stress across the study session compared to women lower in stigma consciousness. This interaction was robust to adjustment for a number of covariates, including demographic (e.g., age), physiological (e.g., menstrual cycle), and psychological (e.g., depressive symptomatology) factors. Potential explanations for observed cortisol patterns are discussed, including hyporeactivity of the hypothalamic–pituitary–adrenal axis and elevated anticipatory stress. In conclusion, implications for health disparities research are considered.