The Behavioural Constellation of Deprivation: Causes and Consequences

BEHAVIORAL AND BRAIN SCIENCES (2017), Page 1 of 66 doi:10.1017/S0140525X1600234X, e314 The behavioural constellation of deprivation: Causes and consequences Gillian V. Pepper Institute of Neuroscience, Newcastle University, Newcastle NE2 4HH, United Kingdom [email protected] http://gillianpepper.com/ Daniel Nettle Institute of Neuroscience, Newcastle University, Newcastle NE2 4HH, United Kingdom [email protected] www.danielnettle.org.uk Abstract: Socioeconomic differences in behaviour are pervasive and well documented, but their causes are not yet well understood. Here, we make the case that a cluster of behaviours is associated with lower socioeconomic status (SES), which we call “the behavioural constellation of deprivation.” We propose that the relatively limited control associated with lower SES curtails the extent to which people can expect to realise deferred rewards, leading to more present-oriented behaviour in a range of domains. We illustrate this idea using the specific factor of extrinsic mortality risk, an important factor in evolutionary theoretical models. We emphasise the idea that the present-oriented behaviours of the constellation are a contextually appropriate response to structural and ecological factors rather than a pathology or a failure of willpower. We highlight some principles from evolutionary theoretical models that can deepen our understanding of how socioeconomic inequalities can become amplified and embedded. These principles are that (1) small initial disparities can lead to larger eventual inequalities, (2) feedback loops can embed early-life circumstances, (3) constraints can breed further constraints, and (4) feedback loops can operate over generations. We discuss some of the mechanisms by which SES may influence behaviour. We then review how the contextually appropriate response perspective that we have outlined fits with other findings about control and temporal discounting. Finally, we discuss the implications of this interpretation for research and policy. Keywords: behaviour; delay discounting; evolution; extrinsic mortality; health; inequalities; personal control; socioeconomic status; temporal discounting; time perspective 1. Introduction financial, health, and even environmental behaviours have been examined (Gifford & Nilsson 2014; Haushofer & Socioeconomic inequalities in life outcomes, such as health Fehr 2014; Pampel et al. 2010). However, these articles and life expectancy, are an issue of concern to policy address the literature in behavioural silos. They do not makers and to society as a whole. The public health litera- ask questions as to why all of these behaviours should be ture is replete with efforts to understand the forces that simultaneously socioeconomically patterned. The present generate and perpetuate health inequalities. This literature article aims to address that gap in the literature. We first shows that differences in behaviour contribute substantially make the case that a cluster of behaviours is associated to socioeconomic disparities in health and mortality with socioeconomic status (SES; see Glossary – sect. 10). (Pampel, Krueger, & Denney 2010). Yet why the people We call this cluster the behavioural constellation of depri- in society who face the most challenging life circumstances vation (BCD; see sect. 2). We then present an explanatory should respond to them with behaviours that exacerbate approach to the BCD by establishing it as a contextually their problems is deemed an unresolved paradox. Further- appropriate response to having limited control over the more, evidence suggests that this paradox is not restricted future outcomes of investments made in the present – an to health behaviour. In their high-profile review of eco- interpretation we call “the contextually appropriate nomic behaviour, Haushofer and Fehr (2014, p. 862) response perspective” (sects. 2.1 and 2.2). We go on to argued that “poverty may have particular psychological con- illustrate how one specific uncontrollable factor, extrinsic sequences that can lead to economic behaviours that make mortality risk, should lead people to devalue the future it difficult to escape poverty.” (sect. 2.3), and then we discuss examples of other uncon- There have been thorough reviews of socioeconomic trollable factors that may similarly influence behaviour gradients in individual types of behaviour. For example, (sect. 2.4). In the next section, we examine the ways in © Cambridge University Press 2017 0140-525X/17 Downloaded from https://www.cambridge.org/core. Newcastle University, on 26 Jan 2018 at 16:11:42, subject to the Cambridge Core terms of use, available at https://www.cambridge.org/core/terms1 . https://doi.org/10.1017/S0140525X1600234X Pepper and Nettle: The behavioural constellation of deprivation: Causes and consequences which the BCD may cause deprivation to become embed- that best illustrate the story we want to tell, often citing only ded and amplified through additive routes and feedback a selection of relevant articles for brevity. loops (sect. 3.2). We then review the psychological and physiological mechanisms by which limited control over future outcomes may lead to the BCD (sect. 4), emphasis- 2. The behavioural constellation of deprivation ing that none of these mechanisms is necessarily incompat- ible with the contextually appropriate response perspective. In this section, we review a cluster of behaviours that have Some of the ideas we have pulled together in this review been consistently found to vary with SES, the cluster we are are well accepted in the evolutionary behavioural sciences referring to as “the BCD.” Before we review these behav- (e.g., Del Giudice et al. 2004; Dunkel & Kruger 2014; iours, it is helpful to remember that SES is a complex con- Frankenhuis et al. 2016; Kruger et al. 2008; Tybur et al. struct that aims to define a person’s ranking in a social and 2012). Yet they do not seem to be widely discussed, or economic hierarchy. It is generally measured by such applied, in related fields, such as public health or develop- factors as education, occupation, income, or wealth. mental psychology, where they could be most useful. Thus, However, subjective measures are often used, and neigh- this article outlines how the contextually appropriate bourhood-level factors, such as average house price, response perspective, which draws on evolutionary think- crime rates, and disrepair, have become popular (Brave- ing, converges with, and differs from, other attempts to man et al. 2005; Krieger et al. 1997; Lakshman et al. understand socioeconomic differences in behaviour in 2011). Thus, when researchers examine associations terms of control and temporal discounting (sects. 5 and 6). between SES and other factors, such as behaviour or This is important, because evolutionary explanations are health outcomes, we are often using SES as a proxy frequently assumed to be mutually exclusive of other measure to capture the experience of being generally less explanations, an assumption that changes once we make well off than others in society. Our use of the term “depri- the distinction between proximate and ultimate explana- vation” rather than “SES” in the BCD therefore represents tions (sect. 4; see also Pepper & Nettle 2014c). Finally, an acknowledgment that it is not necessarily income, edu- we highlight some key implications of the contextually cation, or occupation per se that should lead to differences appropriate response perspective for policy and future in behaviour but the experience of various hardships, or research (sect. 7) and make some necessary clarifications deprivations, that are often associated with being of lower and caveats (sect. 8). By drawing together, explaining, SES. and extending the principles listed previously, and their At first glance, the behaviours of the BCD may seem relevance to key empirical findings, we hope to promote varied and unrelated. However, we argue that they have their application and stimulate interdisciplinary debate a common theme – that of balancing costs and benefits in around them. the present with those likely to be realised in the future. A great deal of work has been done that is relevant to the People of lower SES tend to incur more debt, save less topics discussed in this article. However, this article inte- for the future, and invest less in education than those of grates ideas across the broad traditions of psychology, higher SES (Blanden & Gregg 2004; Chowdry et al. social science, and evolutionary biology, and it is not possi- 2011; Lea et al. 1993; Livingstone & Lunt 1992; Sirin ble to cite all of the relevant literature. Thus, in the concep- 2005; White 1982). They have children sooner, an effect tual sections of this article, we acknowledge the works most visible at its extreme with the consistent socioeconomic patterning of teen pregnancies (e.g., Imamura et al. 2007; Johns 2010; Nettle 2010a; G. D. Smith 1993). They also tend to invest less in their children, not only GILLIAN PEPPER is a Postdoctoral Research Associate at fi Newcastle University. She is primarily interested in the nancially but also through other efforts, such as breast- ecological drivers of socioeconomic differences in pref- feeding, reading to them, and taking an interest in their erences and behaviours and how these relate to inequal- education (Hango 2007; Kiernan & Huerta 2008; Kohl- ities in health, ageing, and mortality. She combines huber et al. 2008; Nettle 2010a). scientific approaches from evolutionary biology, experi-

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