title: Changes in self-rated health and subjective social status over time in a cohort of healthcare personnel.
abstract: As part of a prospective cohort study of 1354 female and 347 male healthcare personnel, we examined the stability of subjective social status over ~7 months and the prospective association between subjective social status and self-rated health status. Most (82%) subjective social status ratings were stable (within ±1 point). Lower baseline subjective social status among healthcare personnel was associated with more subsequent reports of fatigue and headache and worsening global self-rated health status. Healthcare personnel who placed themselves on the bottom half of the subjective social status ladder were four times more likely to experience a decline in global self-rated health status and half as likely to improve to excellent self-rated health status.
authors.affiliation: Centers for Disease Control and Prevention (CDC), USA isq8@cdc.gov.
authors.forename: Mark G
authors.initials: MG
authors.lastname: Thompson
authors.affiliation: Scott & White Healthcare, USA; Texas A&M University, USA.
authors.forename: Manjusha J
authors.initials: MJ
authors.lastname: Gaglani
authors.affiliation: Center for Health Research, Kaiser Permanente Northwest, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Naleway
authors.affiliation: Battelle Memorial Institute, USA.
authors.forename: Swathi
authors.initials: S
authors.lastname: Thaker
authors.affiliation: Abt Associates, Inc., USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Ball
mesh_terms: D000328:Adult; D059026:Diagnostic Self Evaluation; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012647:Self-Assessment; D012923:Social Class
keywords: fatigue; headache; healthcare personnel; self-rated health status; socioeconomic status; subjective social status