Subjective Social Status and Adolescent Health: The Role of Stress and Sleep

Despite adolescence being a period marked by significant social changes, research on social status focuses largely on adults. This study examined whether school and societal subjective social status (SSS) are differentially associated with adolescent health above and beyond objective socioeconomic status (SES), and explored pathways linking SSS to health. Latino (n = 169) and Asian American (n = 77) adolescents (M age = 17.23, SD = 0.74; 59% female) completed self-reports of SSS, sleep, stress, and somatic symptoms. Parents reported income and education. Blood pressure (BP) measurements were obtained. Results indicate that independent of objective SES, lower school SSS was associated with higher diastolic BP whereas lower societal SSS was associated with more somatic symptoms. Sleep disruptions and perceived stress mediated the association between societal SSS and somatic symptoms. Results suggest that SSS may be more important to adolescent health than objective SES. Furthermore, school and societal SSS may differentially affect indicators of health through different pathways.