Social Patterning of Cumulative Biological Risk by Education and Income Among African Americans.
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| Title: | Social Patterning of Cumulative Biological Risk by Education and Income Among African Americans. |
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| Authors: | Hickson, DeMarc A. (AUTHOR), Diez Roux, Ana V. (AUTHOR), Gebreab, Samson Y. (AUTHOR), Wyatt, Sharon B. (AUTHOR), Dubbert, Patricia M. (AUTHOR), Sarpong, Daniel F. (AUTHOR), Sims, Mario (AUTHOR), Taylor, Herman A. (AUTHOR) |
| Source: | American Journal of Public Health. Jul2012, Vol. 102 Issue 7, p1362-1369. 8p. |
| Subjects: | Black people, Hypothesis, Anthropometry, Biomarkers, Cardiovascular diseases risk factors, Statistical correlation, Health behavior, Homeostasis, Income, Questionnaires, Research funding, Self-management (Psychology), Physiological stress, Psychological stress, Secondary analysis, Socioeconomic factors, Educational attainment, Cross-sectional method, Body burden, Descriptive statistics |
| Geographic Terms: | Mississippi |
| Abstract: | Objectives. We examined the social patterning of cumulative dysregulation of multiple systems, or allostatic load, among African Americans adults. Methods. We examined the cross-sectional associations of socioeconomic status (SES) with summary indices of allostatic load and neuroendocrine, metabolic, autonomic, and immune function components in 4048 Jackson Heart Study participants. Results. Lower education and income were associated with higher allostatic load scores in African American adults. Patterns were most consistent for the metabolic and immune dimensions, less consistent for the autonomic dimension, and absent for the neuroendocrine dimension among African American women. Associations of SES with the global allostatic load score and the metabolic and immune domains persisted after adjustment for behavioral factors and were stronger for income than for education. There was some evidence that the neuroendocrine dimension was inversely associated with SES after behavioral adjustment in men, but the immune and autonomic components did not show clear dose-response trends, and we observed no associations for the metabolic component. Conclusions. Findings support our hypothesis that allostatic load is socially patterned in African American women, but this pattern is less consistent in African American men. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objectives. We examined the social patterning of cumulative dysregulation of multiple systems, or allostatic load, among African Americans adults. Methods. We examined the cross-sectional associations of socioeconomic status (SES) with summary indices of allostatic load and neuroendocrine, metabolic, autonomic, and immune function components in 4048 Jackson Heart Study participants. Results. Lower education and income were associated with higher allostatic load scores in African American adults. Patterns were most consistent for the metabolic and immune dimensions, less consistent for the autonomic dimension, and absent for the neuroendocrine dimension among African American women. Associations of SES with the global allostatic load score and the metabolic and immune domains persisted after adjustment for behavioral factors and were stronger for income than for education. There was some evidence that the neuroendocrine dimension was inversely associated with SES after behavioral adjustment in men, but the immune and autonomic components did not show clear dose-response trends, and we observed no associations for the metabolic component. Conclusions. Findings support our hypothesis that allostatic load is socially patterned in African American women, but this pattern is less consistent in African American men. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00900036 |
| DOI: | 10.2105/AJPH.2011.300444 |
