Moderating effect of socioeconomic status on the relationship between health cognitions and behaviors

Mark Conner, Rosemary McEachan, Cath Jackson, Brian Mcmillan, Mike Woolridge, Rebecca Lawton

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: There is an established link between socioeconomic status (SES) and performance of health behaviors with more health protective and fewer health-risking behaviors in higher SES groups.

PURPOSE: This research is novel in testing the moderating effect of SES on the relationship among intention, self-efficacy, and subsequent behavior.

METHODS: Effects were tested on data from three prospective correlational studies examining smoking initiation in adolescents (N = 826), breastfeeding in primiparous women (N = 202), and physical activity in working adults (N = 509).

RESULTS: Despite examining different behaviors, samples, time intervals, and measures of SES, each study showed significant interactions between intention and SES in predicting behavior. In all three tests, the intention-behavior relationship was attenuated among individuals from lower SES groups. No moderation effects of SES were found for self-efficacy.

CONCLUSIONS: The intention-health behavior relationship can be attenuated in lower SES samples. This finding may contribute to our understanding of SES differences in health behaviors.

Original languageEnglish
Pages (from-to)19-30
Number of pages12
JournalAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine
Volume46
Issue number1
DOIs
Publication statusPublished - Aug 2013

Keywords

  • Adolescent
  • Adult
  • Breast Feeding
  • Child
  • Cognition
  • Female
  • Health Behavior
  • Humans
  • Intention
  • Male
  • Motor Activity
  • Prospective Studies
  • Risk-Taking
  • Self Efficacy
  • Smoking
  • Social Class
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Journal Article

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