A Competing Neurobehavioral Decision Systems model of SES-related health and behavioral disparities.
Prev Med
; 68: 37-43, 2014 Nov.
Article
in En
| MEDLINE
| ID: mdl-25008219
ABSTRACT
We propose that executive dysfunction is an important component relating to the socio-economic status gradient of select health behaviors. We review and find evidence supporting an SES gradient associated with (1) negative health behaviors (e.g., obesity, excessive use of alcohol, tobacco and other substances), and (2) executive dysfunction. Moreover, the evidence supports that stress and insufficient cognitive resources contribute to executive dysfunction and that executive dysfunction is evident among individuals who smoke cigarettes, are obese, abuse alcohol, and use illicit drugs. Collectively these data support the dual system model of cognitive control, referred to here as the Competing Neurobehavioral Decision Systems hypothesis. The implications of these relationships for intervention and social justice considerations are discussed.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Social Class
/
Health Behavior
/
Cognition
/
Decision Making
/
Health Status Disparities
Type of study:
Prognostic_studies
Aspects:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Prev Med
Year:
2014
Document type:
Article