Abstract

AbstractA growing body of research suggests that inequality can be stressful for all within a society. We consider this assertion by exploring whether there is evidence of physiological stress responses to different income and inequality conditions in a hypothetical society. The combined effect of inequality for different income groups on cardiovascular reactivity was assessed while participants engaged in purchasing decisions. The study included 102 participants, 84 of which had full data for analyses (42 male, 41 female, 1 unspecified). The average age was 23 years. A 3 × 2 design manipulated both inequality (stable, increasing, and decreasing) and income (high and low). Cardiovascular reactivity was operationalized as change in heart rate (HR) and blood pressure (BP; diastolic and systolic) responses at the end of the purchasing task compared with baseline. Although there was no direct association between income, inequality, and BP, results indicated that low‐income participants had the higher HR reactivity to stable inequality compared with increasing inequality. These findings indicate that inequality has the hallmarks of a stressor; this is contingent on the type of inequality. This suggests that inequality itself may be detrimental to future health via the stress pathway. These findings highlight that the nature of inequality, increasing, decreasing, or stable is relevant to its impact and that these impacts of inequality may extend to the biological.

Highlights

  • The idea that inequality negatively impacts population health is not a new one, it is a key concern of epidemiological research (Wilkinson & Pickett, 2018)

  • Income group moderated the effects of inequality on heart rate (HR) at the final purchase point for stable inequality using increasing inequality as a reference category, b = −4.67, SE = 1.91, p = .017, 95% CI [−8.48, −0.85]

  • We showed that in a hypothetical virtual society, inequality has an effect on physiological responses, which is moderated by income group

Read more

Summary

Introduction

The idea that inequality negatively impacts population health is not a new one, it is a key concern of epidemiological research (Wilkinson & Pickett, 2018). Prosperity has not delivered health across society in developed countries. It would seem some egalitarian countries have better overall population health even compared with more affluent countries (Scheepers & Ellemers, 2018; Wilkinson & Pickett, 2010). We conceptualize stress response using cardiovascular reactivity. Perturbation of cardiovascular activity in response to acute psychological challenge is consistent with the reactivity hypothesis (Obrist et al, 1986) and is routinely used as a measure of stress in the health research literature (Blascovich & Tomaka, 1996; Kim et al, 2017).

Objectives
Methods
Findings
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call