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Page 4 News Street Roots • Aug. 28-Sept. 3, 2015 The stress of achievement A new study shows poor kids who study hard and succeed could actually be damaging their health BY AMANDA WALDROUPE CONTRIBÙTING WRITER he stresses of poverty are well known among scientists and public policy experts. The effects of erratic sleep while homeless, the constant worry low-income people feel about whether their paychecks will pay the bills, fear of harassment or discrimination while living on the street and other experiences of living in poverty are recognized for leading to poor physical and mental health. New research suggests that young people who escape poverty by doing well in school may suffer from negative health as they age — simply because they work hard. A study published in July in the Proceedings of the National Academy of Sciences followed 496 black teenagers from working-poor families living in rural Georgia. The teenagers were “strivers” - children who exhibit more self- control and resilience and, despite their impoverished backgrounds, do well in school, go on to lead successful careers and live lives better than their parents’. Their hard wofk and resilience does not come without cost. The researchers found the cells of teenagers who grow up in low socioeconomic circumstances, but work hard and succeed, age much faster than children from more affluent backgrounds. To come to that conclusion, researchers measured the teens’ DNA methylation, the process in which hydrocarbon molecules are added onto DNA, which can impact how genes express themselves at the cellular level. The study refers to the phenomenon as “skin-deep resilience” - on the surface, poor teens who work hard are just that: kids who overcome all obstacles to better their lives. But underneath that surface, that hard work could be causing irreparable damage. Dr. Gregory Miller, a professor of psychology and medical-social sciences at Northwestern University, led the study and spoke with Street Roots about self-control among poor teens and the ramifications of the study. ^ health cost That’s sobering because it’s unjust and unfair for the kid and it’s bad for our country in terms of human capital and the economy and public health. If the very people who are succeeding are the ones getting the sickest and the fastest, it makes you worry a lot about what we can do to reduce disparity. A.W.: Underlying your answer seems to be a critique of the American Dream - the idea that if you work hard, you can improve your life, climb up the socioeconomic ladder, have a more financially secure life. You seem to be saying that comes with a cost. G.M.: There might be. We need more research to be sure. This certainly suggests that in low-income kids in our sample, the American Dream is costly. What is even more sobering is that this is not more true for the kids in our sample who are less disadvantaged. What we are seeing happening happens amongst the worst off kids in the study - the really, really disadvantaged. For the somewhat disadvantaged, thenot- A.W.: What do you find sobering about the findings? G.M.: What is so sobering for me is that the traits that allow kids from disadvantaged backgrounds to succeed in school and have good mental health, (are the) same traits that seem to forecast worse physical health. What’s sobering is that you have these kids who are beating the odds, doing exactly what you’d want them to do in many domains of life and who at the same time are, we think, experiencing a G.M.: In disadvantaged communities, there are kids who statistically you would expect to be at-risk for poor outcomes in school, in the workplace, mental health wise, criminal justice-wise. But there is a significant subset of these kids who beat these numbers and beat those odds. What we see in talking with them and interviewing them is that they are striving for better outcomes, to go further in school than their parents have, their grandparents, and they’re striving in putting in lots and lots of effort. They seem, relative to other groups .of kids, to be very intensely focused on achievement and doing well. What we often hear with middle class and upper class kids is that they’re trying to succeed in school (and) get into prestigious colleges and universities, but at the same time, they’re really busy filling out their resumes with extracurriculars like music or cultural efforts. These kids, by contrast, are solely focused on school. A.W.: Why do they focus so intensely on school? What is at stake for them? G.M.: We have not studied why that is yet. My hunch is that they realize the deck is stacked against them. The normal trajectory is to move from high school into an industrial job. Going to college isn’t the normative thing to do. So you have to strive and you have to work differently and pour yourself more into school than average. . A.W.: Tell me about the concept of resilience from a psychological perspective. G.M.: You can think of self-control as the ability, which varies from person, to person and context to context, to stay focused on long-term goals and achieving them. And to do that, you need to both resist the temptation to take detours on short-term gratification and engage in behaviors that may not be immediately gratifying or rewarding, but over the long term are going to move you toward the larger abstract goals. . Amanda Waldroupe: Your study concludes that kids from low-income, disadvantaged backgrounds who succeed in school and go onto college - unlike many people in their demographic - end up having poor health. That seems counterintuitive. You would think that their education would teach them to treat themselves well. Greg Miller: The finding is a little counterintuitive, and why it is intriguing and sobering. We generally believe, and the data supports, the idea that upward mobility is associated with access to more resources like better health care, more money for better food, more time for physical activity, et cetera. All the expectations (are) that strivers’ health is better. But that’s not what we find. We still don’t know why. The research is still in its early stages. What we think is going on is that the striving itself is costing. It is taxing for thè body. Maybe it is something unique to this population that faces multiple kinds of disadvantage or a more general phenomenon. It’s a little bit early to make any firm conclusions. The general theory coming out of this study is that this single-minded focus on achievement may be good for achievement, but the downside may be health. A.W.: Your study refers to these high-achieving, disadvantaged kids as “strivers. ” What does that mean? r A.W.: What is epigenetic aging? G.M.: Epigenetic aging is just a way to measure how old people blood cells look, relative to chronologically, and how much turbulence those cells have taken. disadvantaged, these Same traits of self-control arid perseverance and striving are related to better physical health. It suggests ... that for the most vulnerable among us, the American Dream is not only hard to attain, but could be quite costly to aftain in terms of physical health. A.W.: What is the connection between self-control and aging faster at the cellular level? G.M.: Self Control is hard for everybody, right? It is a limited resource regardless of how privileged or disadvantaged you might be financially. That’s why we all A.W.: Why does the study focus solely on African-American need vacations, that’s why we all need to relax, why we all teens living in the rural South? I imagine the findings of your lose willpower and dive into that chocolate cake or cigarette research apply to other segments of the disadvantaged « or television. What we know about self-control is, in general, population. is that it is depletable, but also renewable if you have a little respite. G.M.: African-American kids, particularly in the rural But this having to be on all the time, focused and South, face a lot of different and unique challenges. The watching yourself, is hard work. Eventually, people just most at-risk kids demographically can be identified when become physiologically taxed. If you’re African American you look at a combination of outcomes academically, from a low-income family from a rural area, you have to occupationally, in criminal justice and mental health. These work many more times as hard to get to the same place as kids by virtue of race, class and geography... stand out for your peers from an affluent suburb. It’s a lot more effort, their risks. We’re interested in what places these children at discipline and a lot more self-control. And there aren’t as risk and what protective options exist to create better many respites. outcomes. See ACHIEVEMENT, page 7