Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Objectives. We examined the association of childhood and adult socioeconomic status with longitudinal change in allostatic load (AL), a measure of biological dysfunction.
Methods. The study sample included 6135 participants from the Multi-Ethnic Study of Atherosclerosis, aged 45 to 84 years, recruited in 2000 from 6 US counties; 3 follow-up examinations took place through September 2011. We calculated standardized scores for several metabolic and cardiovascular components relative to accepted clinical cut points for "higher risk" and then summed them to create an overall index of AL. We used mixed effects growth curve models to assess the relationship between socioeconomic status and AL as a linear function of time passed since the baseline examination; we included random effects for the intercept and slope.
Results. Among those with lower baseline AL (< median), high adult education was associated with a significantly slower increase in AL over time, whereas there was no significant association among those with higher baseline AL.
Conclusions. The relationship between socioeconomic status and patterns of change in health parameters may vary over time and with the accumulation of biological risk.
Life Course Socioeconomic Status and Longitudinal Accumulation of Allostatic Load in Adulthood: Multi-Ethnic Study of Atherosclerosis
Creators
Sharon Stein Merkin - University of Washington
Arun Karlamangla - College Station Medical Center
Ana V. Diez Roux - Univ Michigan, Dept Epidemiol, Ann Arbor, MI 48109 USA
Sandi Shrager - University of Washington
Teresa E. Seeman - College Station Medical Center
Publication Details
American journal of public health (1971), v 104(4), pp E48-E55
Publisher
Amer Public Health Assoc Inc
Number of pages
8
Grant note
UL1-RR-024156; UL1-RR-025005 / National Center for Research Resources; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR)
N01HC095159 / DIVISION OF EPIDEMIOLOGY AND CLINICAL APPLICATIONS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI)
N01-HC-95159; N01-HC-95160; N01-HC-95161; N01-HC-95162; N01-HC-95163; N01-HC-95164; N01-HC-95165; N01-HC-95166 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
UL1RR024156 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR)
R01HL101161 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
R01 HI101161 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative; Drexel University
Web of Science ID
WOS:000341789200014
Scopus ID
2-s2.0-84896539129
Other Identifier
991020100056604721
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