Table 3

Stratified analyses of pooled ORs (95% CI) of hypertension, diabetes and obesity comparing the bottom versus the top of the subjective social status ladder (number of pooled studies in parenthesis after effect estimate)

HypertensionDiabetesObesity
OR (95% CI)Heterogeneity p valueMeta-regression p valueOR (95% CI)Heterogeneity p valueMeta-regression p valueOR (95% CI)Heterogeneity p valueMeta-regression p value
Ethnicity
 Predominantly (≥75% of sample) Caucasian2.61 (1.42 to 4.79) (4)0.0020.2382.35 (1.35 to 4.10) (4)0.1530.1753.01 (1.24 to 7.34) (2)0.0820.065
 Not predominantly (<75% of sample) Caucasian1.24 (0.84 to 1.83) (2)0.5351.37 (0.87 to 2.15) (2)0.8381.06 (0.76 to 1.48) (3)0.772
Sex
 Male1.57 (1.03 to 2.38) (4)0.0110.6351.99 (1.40 to 2.84) (5)0.2460.8191.02 (0.76 to 1.37) (3)0.4050.245
 Female1.77 (1.27 to 2.49) (4)0.1332.14 (1.34 to 3.42) (5)0.0691.66 (0.88 to 3.13) (3)0.026
Outcome measure*
 Objective 1.75 (0.69 to 4.47) (3)0.3690.910 
 Subjective1.93 (1.29 to 2.88) (3)0.031
Adjustment of non-SES confounders
 Adequate (adjustment for more than age alone)2.81 (1.25 to 6.28) (2)0.1080.3222.35 (1.35 to 4.10) (4)0.1530.1753.01 (1.24 to 7.34) (2)0.0820.065
 Inadequate (no adjustment or for age alone)1.51 (1.00 to 2.28) (3)0.1071.37 (0.87 to 2.15) (2)0.8381.06 (0.76 to 1.48) (3)0.772
Selection bias†
 Lower selection bias (not convenience sample and <20% exclusion rate) 2.21 (0.93 to 5.29) (3)0.0740.4032.18 (1.08 to 4.41) (3)0.0300.221
 Higher selection bias (convenience sample or ≥20% exclusion rate)1.62 (1.12 to 2.35) (3)0.4120.99 (0.66 to 1.49) (2)0.676
  • *Stratified analysis not performed for hypertension (5 of 6 studies had objective outcomes), or obesity (4 of 5 studies had objective outcomes).

  • †Stratified analysis not performed for hypertension (5 of 6 studies had lower selection bias).

  • SES, socioeconomic status.