Friday, December 3, 2010

Stress is Bad at the Bottom of the Hierarchy...Luckily Your Attitude Counts for Something

I just read this amazing article in Wired about the connection between stress, your physical health, and your emotional state. This article describes how anthropologist Robert Sapolsky proved that baboons at the bottom of the social hierarchy were more stressed out and had more health problems than baboons at the top of the hierarchy. This article cites studies of stress in baboons, Oscar nominees/winners, and British civil servants, showing that there is a direct connection between stress and your health:

Stress hollows out our bones and atrophies our muscles. It triggers adult-onset diabetes and is a leading cause of male impotence. In fact, numerous studies of human longevity in developed countries have found that psychosocial factors such as stress are the single most important variable in determining the length of a life. It’s not that genes and risk factors like smoking don’t matter. It’s that our levels of stress matter more.
The shocking part of the article for me was the finding that it’s not necessarily a stressful, demanding job that is so “deadly,” but rather the feeling like you have no control or that your work is meaningless…sound familiar to anyone?!

While doctors speculated for years that increasing rates of cardiovascular disease in women might be linked to the increasing number of females employed outside the home, that correlation turned out to be nonexistent. Working women didn’t have more heart attacks. There were, however, two glaring statistical exceptions to the rule: Women developed significantly more heart disease if they performed menial clerical work or when they had an unsupportive boss. The work, in other words, wasn’t the problem. It was the subordination.
This passage also points to the fact that some groups are more vulnerable than others. In this case, women. That got me thinking about our campus hierarchy and our limited term employees, roughly 75 percent of which are women. It is even more troubling to think that many of these women, probably the most vulnerable in our campus community to stress-related health problems, have no health insurance, paid time off, and don’t make a living wage.

I was floored by the description of the following study by Michael Marmot about British Civil Servants. For the past 25 years the study has tracked 28,000 British men and women working in Civil Servant positions who all have access to the same health care system, who “don’t have to worry about getting laid off,” and “spend most of their workdays shuffling papers.” Here is a description of the findings:

The differences are dramatic. After tracking thousands of civil servants for decades, Marmot was able to demonstrate that between the ages of 40 and 64, workers at the bottom of the hierarchy had a mortality rate four times higher than that of people at the top. Even after accounting for genetic risks and behaviors like smoking and binge drinking, civil servants at the bottom of the pecking order still had nearly double the mortality rate of those at the top.
This study is haunting to me because our campus has the same type of hierarchical Civil Servant system. If the people at the bottom of the hierarchy have “double the mortality rate” in a situation where they have the same benefits as people at the top of the hierarchy, what about the people at the bottom of the hierarchy who DON’T have benefits? What would a study of stress reveal about this population?

In light of these thoughts, the following quote really stuck with me, and I’ll be thinking about how I can be more aware of my own emotional state and my attitude and how these affect my health.

The moral is that the most dangerous kinds of stress don’t feel that stressful. It’s not the late night at the office that’s going to kill us; it’s the feeling that nothing can be done. The person most at risk for heart disease isn’t the high-powered executive anxious about their endless to-do list — it’s the frustrated janitor stuck with existential despair.
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