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Journal article
Social Patterning of Cumulative Biological Risk by Education and Income Among African Americans
American journal of public health (1971), v 102(7), pp 1362-1369
01 Jul 2012
PMID: 22594727
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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. (Am J Public Health. 2012;102:1362-1369. doi:10.2105/AJPH.2011.300444)
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Details
- Title
- Social Patterning of Cumulative Biological Risk by Education and Income Among African Americans
- Creators
- DeMarc A. Hickson - Jackson State UniversityAna V. Diez Roux - Univ Michigan, Ctr Integrat Approaches Hlth Dispar, Ann Arbor, MI 48109 USASamson Y. Gebreab - Univ Michigan, Ctr Integrat Approaches Hlth Dispar, Ann Arbor, MI 48109 USASharon B. Wyatt - University of MississippiPatricia M. Dubbert - S Cent VA Hosp, Mental Illness Res Educ & Clin Ctr, Little Rock, AR USADaniel F. Sarpong - Jackson State UniversityMario SimsHerman A. Taylor - University of Mississippi
- Publication Details
- American journal of public health (1971), v 102(7), pp 1362-1369
- Publisher
- Amer Public Health Assoc Inc
- Number of pages
- 8
- Grant note
- University of Michigan Center for Integrative Approaches to Health Disparities N01HC095170 / DIVISION OF EPIDEMIOLOGY AND CLINICAL APPLICATIONS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI) National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 5001; N01 HC95170; N01 HC95171; N01 HC95172; P60MD002249 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) P60MD002249 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Drexel University
- Web of Science ID
- WOS:000306150800022
- Scopus ID
- 2-s2.0-84862888226
- Other Identifier
- 991020100059304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health