Under similar stress, rich live longer than poor, study reports

December 3, 2012 by Randy Dotinga, Healthday Reporter
Under similar stress, rich live longer than poor: study
People with money have more methods for coping, one expert says.

(HealthDay)—Money may not buy you happiness, but it can help you avoid the ill effects of unhappiness and stress. That's the upshot of a new British study that finds stressed-out rich people live longer than the stressed-out poor.

The findings show that the combination of and "is a bomb," said study lead author Dr. Antonio Ivan Lazzarino, clinical research associate at University College London. "Those people have really higher , more than you would expect by just adding the two separate effects."

Researchers already know that stress and poverty take a toll on . The new research aims to "study both stress and income to see how their combinations—low-low, low-high, high-low, high-high—affect mortality," Lazzarino said.

The research design doesn't specify how much longer someone may live if he's rich and stressed versus poor and stressed. And why wealthier people may tolerate stress better biologically is not well understood. Also, the study only found an association with wealth, stress and mortality, it didn't prove cause-and-effect.

For the study, published online Dec. 3 in the , the researchers examined a database of more than 66,500 people in England who were 35 years or older between 1994 and 2004. The participants were questioned about their jobs—whether they were unskilled workers or held managerial jobs, for instance—and whether they had symptoms of anxiety, depression, low confidence or social dysfunction. None had cancer or at the start of the study, which followed participants for eight years on average.

After adjusting their statistics so they wouldn't be thrown off by factors such as age or gender, the researchers found that poor and stressed-out people died earlier.

Having more money seemed to serve as a buffer, even when wealthier people had high . In the other direction, it seems that "low income amplifies the adverse ," Lazzarino said.

One expert wasn't surprised by the findings. Poorer people have fewer ways to combat stress, said Glyn Lewis, professor of psychiatric epidemiology at the University of Bristol in England.

"For example, if your car breaks down, then a wealthier person could afford to rent a new car or get their old one mended quickly or will have insurance for this," Lewis said. "It is much less stressful if you have the money to seek out alternatives."

The study authors suggest that wealthier people may have better ways to manage or contain their distress and more people around them who can help. Also, previous research has shown that the cardiovascular systems of richer people recover faster from acute stress, which might contribute less to long-term cardiovascular damage, the authors noted.

However, the study didn't document how stress levels changed over time, and the authors acknowledge that that is a limitation of their study.
Still, Lazzarino said the findings might help researchers refine tools for stress measurement. "Since we know that stress is very bad for your health, one could argue that every person on the planet should do tests to measure his/her own stress and that family doctors should screen all patients they have for stress," he said.

"However, this strategy may not be cost-effective," he added. "We say that if you specifically target low-income people, stress screening may be very useful and cost-effective."

Explore further: High to moderate levels of stress lead to higher mortality rate

More information: For more about health and stress, visit the U.S. National Library of Medicine.

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not rated yet Dec 03, 2012
Another self obvious study that didn't need to be done.
5 / 5 (1) Dec 03, 2012
You are probably right Rosser. I work a great deal with the very poor. This article shows some good understanding of what many people here in the U.S have to handle. The credit system is insane. You can have and income of $600 a month - and they will give you a credit card, and $150 a month cell phone plan - and then be upset when you get behind on your bills. So maybe we do need a conversation about how the 47% do live - and what we can do as a society to even the playing field. Obviously the stakes are pretty high.
not rated yet Dec 03, 2012
"they will give you a credit card, and $150 a month cell phone plan" - Dir

Isn't that pretty much how a crank dealer gets his customers hooked?

4 / 5 (1) Dec 04, 2012
Would not junk food vs proper food explain some of the difference?
not rated yet Dec 04, 2012
It would appear this study was intended to generate attention and sufficient controversy that more funding would be forthcoming.
The inverse relationship, that successful mechanisms for coping with stress are associated with better money management skills (= less impulse spending = less money spent on 'comfort foods' or tobacco or alcohol or drugs), and thus less povery, is also a possibility.
1 / 5 (2) Dec 04, 2012
Obviously NHS is a resounding success.

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