Seeing Class in Ladders: An Integrated Approach to Subjective Status and Health Inequality

Subjective social status, or one’s perceived rank within society, predicts individual health, often matching objective socioeconomic status (SES) indicators such as education or income in this capacity. While rank- or ladder-based measurement of subjective status is typical, subjective social class identification (e.g., seeing oneself as “working class” or “middle class”) remains a relatively neglected approach. Drawing on two recent national datasets and several measures of subjective status, I find that subjective class identification partly explains links between objective SES and subjective ladder scores. Adjusted distributions of ladder scores differ strikingly by subjective social class, with peaks and troughs highly dependent on class identity and ladder question wording. Crucially, subjective class and ladder systems both contribute to predicting self-rated health, net of each other and at similar, substantial levels. In sum, Americans significantly associate ladders with class. Thus, a sole emphasis on ladder-based approaches misses the categorical and cultural construction of subjective status, limiting our insight into health inequality.