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Life Course Socioeconomic Status and Longitudinal Accumulation of Allostatic Load in Adulthood: Multi-Ethnic Study of Atherosclerosis
Journal article   Open access   Peer reviewed

Life Course Socioeconomic Status and Longitudinal Accumulation of Allostatic Load in Adulthood: Multi-Ethnic Study of Atherosclerosis

Sharon Stein Merkin, Arun Karlamangla, Ana V. Diez Roux, Sandi Shrager and Teresa E. Seeman
American journal of public health (1971), v 104(4), pp E48-E55
01 Apr 2014
PMID: 24524526
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.2105/ajph.2013.301841View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

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.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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