Annals of Behavioral Medicine

, Volume 45, Issue 2, pp 173–179 | Cite as

Wealth, Health, and the Moderating Role of Implicit Social Class Bias

  • Neha John-Henderson
  • Emily G. Jacobs
  • Rodolfo Mendoza-Denton
  • Darlene D. Francis
Original Article



Subjective social status (captured by the MacArthur Scale of Subjective Social Status) is in many cases a stronger predictor of health outcomes than objective socioeconomic status (SES).


The study aims to test whether implicit beliefs about social class moderate the relationship between subjective social status and inflammation.


We measured implicit social class bias, subjective social status, SES, and baseline levels of interleukin-6 (IL-6), a marker of inflammation, in 209 healthy adults.


Implicit social class bias significantly moderated the relationship between subjective social status and levels of IL-6, with a stronger implicit association between the concepts “lower class” and “bad” predicting greater levels of IL-6.


Implicit social class bias moderates the relationship between subjective social status and health outcomes via regulation of levels of the inflammatory cytokine IL-6. High implicit social class bias, particularly when one perceives oneself as having low social standing, may increase vulnerability to inflammatory processes.


Inflammation Socioeconomic status Implicit attitudes Subjective social status 


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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Neha John-Henderson
    • 1
  • Emily G. Jacobs
    • 2
  • Rodolfo Mendoza-Denton
    • 1
  • Darlene D. Francis
    • 3
  1. 1.Department of PsychologyUniversity of CaliforniaBerkeleyUSA
  2. 2.Robert Wood Johnson Foundation Health and Society Scholars programUniversity of CaliforniaBerkeley and San FranciscoUSA
  3. 3.School of Public Health and Helen Wills Neuroscience InstituteUniversity of CaliforniaBerkeleyUSA

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