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Associations Between Socioeconomic Status and Allostatic Load: Effects of Neighborhood Poverty and Tests of Mediating Pathways

SCHULZ, Amy J ; MENTZ, Graciela ; LACHANCE, Laurie ; JOHNSON, Jonetta ; GAINES, Causandra ; ISRAEL, Barbara A

American journal of public health (1971), 2012-09, Vol.102 (9), p.1706-1714 [同儕審閱期刊]

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題名:
Associations Between Socioeconomic Status and Allostatic Load: Effects of Neighborhood Poverty and Tests of Mediating Pathways
著者: SCHULZ, Amy J ; MENTZ, Graciela ; LACHANCE, Laurie ; JOHNSON, Jonetta ; GAINES, Causandra ; ISRAEL, Barbara A
主題: Adult ; African Continental Ancestry Group ; Allostasis - physiology ; Biological and medical sciences ; Blood pressure ; Censuses ; Cholesterol ; Cross-Sectional Studies ; Demographics ; Environmental conditions ; European Continental Ancestry Group ; Exercise ; Family income ; Female ; General aspects ; Glucose ; Health Behavior ; Health care ; Health Surveys ; High density lipoprotein ; Hispanic Americans ; Hispanic people ; Households ; Humans ; Hypertension ; Hypotheses ; Influence ; Lipids ; Lipoproteins ; Male ; Medical sciences ; Metabolic disorders ; Metabolism ; Michigan - epidemiology ; Middle Aged ; Miscellaneous ; Mortality ; Neighborhoods ; Nutrition research ; Physiology ; Poverty ; Poverty - statistics & numerical data ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regression Analysis ; Research and Practice ; Residence Characteristics - statistics & numerical data ; Self report ; Social Class ; Socioeconomic factors ; Stress, Psychological - epidemiology ; Studies ; Triglycerides ; Urban Population
所屬期刊: American journal of public health (1971), 2012-09, Vol.102 (9), p.1706-1714
描述: We examined relationships between neighborhood poverty and allostatic load in a low- to moderate-income multiracial urban community. We tested the hypothesis that neighborhood poverty is associated with allostatic load, controlling for household poverty. We also examined the hypotheses that this association was mediated by psychosocial stress and health-related behaviors. We conducted multilevel analyses using cross-sectional data from a probability sample survey in Detroit, Michigan (n = 919) and the 2000 US Census. The outcome measure was allostatic load. Independent variables included neighborhood and household poverty, psychosocial stress, and health-related behaviors. Covariates included neighborhood and individual demographic characteristics. Neighborhood poverty was positively associated with allostatic load (P < .05), independent of household poverty and controlling for potential confounders. Relationships between neighborhood poverty were mediated by self-reported neighborhood environment stress but not by health-related behaviors. Neighborhood poverty is associated with wear and tear on physiological systems, and this relationship is mediated through psychosocial stress. These relationships are evident after accounting for household poverty levels. Efforts to promote health equity should focus on neighborhood poverty, associated stressful environmental conditions, and household poverty.
出版者: Washington, DC: American Public Health Association
語言: 英文
識別號: ISSN: 0090-0036
EISSN: 1541-0048
DOI: 10.2105/AJPH.2011.300412
PMID: 22873478
CODEN: AJPEAG
資源來源: Academic Search Premier
Healthcare Administration Database
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Agricultural & Environmental Science Collection
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Associations Between Socioeconomic Status and Allostatic Load: Effects of Neighborhood Poverty and Tests of Mediating Pathways

SCHULZ, Amy J ; MENTZ, Graciela ; LACHANCE, Laurie ; JOHNSON, Jonetta ; GAINES, Causandra ; ISRAEL, Barbara A

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