Race/ethnic differences in adult mortality: The role of perceived stress and health behaviors

Patrick M. Krueger, Jarron M. Saint Onge, Virginia W. Chang

Research output: Contribution to journalArticle

Abstract

We examine the role of perceived stress and health behaviors (i.e., cigarette smoking, alcohol consumption, physical inactivity, sleep duration) in shaping differential mortality among whites, blacks, and Hispanics. We use data from the 1990 National Health Interview Survey (N = 38,891), a nationally representative sample of United States adults, to model prospective mortality through 2006. Our first aim examines whether unhealthy behaviors and perceived stress mediate race/ethnic disparities in mortality. The black disadvantage in mortality, relative to whites, closes after adjusting for socioeconomic status (SES), but re-emerges after adjusting for the lower smoking levels among blacks. After adjusting for SES, Hispanics have slightly lower mortality than whites; that advantage increases after adjusting for the greater physical inactivity among Hispanics, but closes after adjusting for their lower smoking levels. Perceived stress, sleep duration, and alcohol consumption do not mediate race/ethnic disparities in mortality. Our second aim tests competing hypotheses about race/ethnic differences in the relationships among unhealthy behaviors, perceived stress, and mortality. The social vulnerability hypothesis predicts that unhealthy behaviors and high stress levels will be more harmful for race/ethnic minorities. In contrast, the Blaxter (1990) hypothesis predicts that unhealthy lifestyles will be less harmful for disadvantaged groups. Consistent with the social vulnerability perspective, smoking is more harmful for blacks than for whites. But consistent with the Blaxter hypothesis, compared to whites, current smoking has a weaker relationship with mortality for Hispanics, and low or high levels of alcohol consumption, high levels of physical inactivity, and short or long sleep hours have weaker relationships with mortality for blacks.

Original languageEnglish (US)
Pages (from-to)1312-1322
Number of pages11
JournalSocial Science and Medicine
Volume73
Issue number9
DOIs
StatePublished - Nov 2011

Fingerprint

Health Behavior
health behavior
mortality
Mortality
smoking
Hispanic Americans
Smoking
alcohol consumption
sleep
Alcohol Drinking
Sleep
Social Class
social status
vulnerability
Vulnerable Populations
Health Surveys
national minority
Life Style
Interviews
interview

Keywords

  • Ethnicity
  • Health behaviors
  • Mortality
  • Race
  • Stress
  • USA

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

Cite this

Race/ethnic differences in adult mortality : The role of perceived stress and health behaviors. / Krueger, Patrick M.; Saint Onge, Jarron M.; Chang, Virginia W.

In: Social Science and Medicine, Vol. 73, No. 9, 11.2011, p. 1312-1322.

Research output: Contribution to journalArticle

Krueger, Patrick M. ; Saint Onge, Jarron M. ; Chang, Virginia W. / Race/ethnic differences in adult mortality : The role of perceived stress and health behaviors. In: Social Science and Medicine. 2011 ; Vol. 73, No. 9. pp. 1312-1322.
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