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Life-Course accumulation of neighborhood disadvantage and allostatic load: Empirical integration of three social determinants of health frameworks

Author

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  • Gustafsson, P.E.
  • Miguel, S.S.
  • Janlert, U.
  • Theorell, T.
  • Westerlund, H.
  • Hammarström, A.

Abstract

Objectives. We examined if the accumulation of neighborhood disadvantages from adolescence to mid-adulthood were related to allostatic load, a measure of cumulative biological risk, in mid-adulthood, and explored whether this association was similar in women and men. Methods. Data were from the participants in the Northern Swedish Cohort (analytical n = 818) at ages 16, 21, 30, and 43 years in 1981, 1986, 1995, and 2008. Personal living conditions were self-reported at each wave. At age 43 years, 12 biological markers were measured to operationalize allostatic load. Registered data for all residents in the cohort participants' neighborhoods at each wave were used to construct a cumulative measure of neighborhood disadvantage. Associations were examined in ordinary least-squares regression models. Results. We found that cumulative neighborhood disadvantage between ages 16 and 43 years was related to higher allostatic load at age 43 years after adjusting for personal living conditions in the total sample (B = 0.11; P = .004) and in men (B = 0.16; P = .004), but not in women (B = 0.07; P = .248). Conclusions. Our findings suggested that neighborhood disadvantage acted cumulatively over the life course on biological wear and tear, and exemplified the gains of integrating social determinants of health frameworks.

Suggested Citation

  • Gustafsson, P.E. & Miguel, S.S. & Janlert, U. & Theorell, T. & Westerlund, H. & Hammarström, A., 2014. "Life-Course accumulation of neighborhood disadvantage and allostatic load: Empirical integration of three social determinants of health frameworks," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 904-910.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301707_3
    DOI: 10.2105/AJPH.2013.301707
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    Cited by:

    1. Johnson, Sarah C. & Cavallaro, Francesca L. & Leon, David A., 2017. "A systematic review of allostatic load in relation to socioeconomic position: Poor fidelity and major inconsistencies in biomarkers employed," Social Science & Medicine, Elsevier, vol. 192(C), pages 66-73.
    2. Hooper, Alison & Hustedt, Jason T. & Slicker, Gerilyn & Hallam, Rena A. & Gaviria-Loaiza, Juana & Vu, Jennifer A. & Han, Myae, 2022. "Area Deprivation Index as a predictor of economic risk and social and neighborhood perceptions among families enrolled in Early Head Start," Children and Youth Services Review, Elsevier, vol. 137(C).
    3. Currie, Cheryl L. & Copeland, Jennifer L. & Metz, Gerlinde A., 2019. "Childhood racial discrimination and adult allostatic load: The role of Indigenous cultural continuity in allostatic resiliency," Social Science & Medicine, Elsevier, vol. 241(C).
    4. Lucy Prior, 2021. "Allostatic Load and Exposure Histories of Disadvantage," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    5. Stephen Jivraj & Owen Nicholas & Emily T. Murray & Paul Norman, 2021. "Life Course Neighbourhood Deprivation and Self-Rated Health: Does It Matter Where You Lived in Adolescence and Do Neighbourhood Effects Build Up over Life?," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    6. Bethany M. Wood & Catherine Cubbin & Esmeralda J. Rubalcava Hernandez & Diana M. DiNitto & Shetal Vohra-Gupta & Philip Baiden & Elizabeth J. Mueller, 2023. "The Price of Growing Up in a Low-Income Neighborhood: A Scoping Review of Associated Depressive Symptoms and Other Mood Disorders among Children and Adolescents," IJERPH, MDPI, vol. 20(19), pages 1-25, October.
    7. Mandelbaum, Jennifer & Moore, Spencer & Silveira, Patricia P. & Meaney, Michael J. & Levitan, Robert D. & Dubé, Laurette, 2020. "Does social capital moderate the association between children's emotional overeating and parental stress? A cross-sectional study of the stress-buffering hypothesis in a sample of mother-child dyads," Social Science & Medicine, Elsevier, vol. 257(C).
    8. Sarah A. Keller & Sarah Lim & William R. Buckingham & Amy J. H. Kind, 2023. "Life Course Assessment of Area-Based Social Disadvantage: A Systematic Review," IJERPH, MDPI, vol. 20(21), pages 1-10, October.
    9. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    10. Teemu Kemppainen & Marko Elovainio & Matti Kortteinen & Mari Vaattovaara, 2020. "Involuntary staying and self-rated health: A multilevel study on housing, health and neighbourhood effects," Urban Studies, Urban Studies Journal Limited, vol. 57(5), pages 1049-1067, April.
    11. Petteway, Ryan J. & Mujahid, Mahasin & Allen, Amani & Morello-Frosch, Rachel, 2019. "The body language of place: A new method for mapping intergenerational “geographies of embodiment” in place-health research," Social Science & Medicine, Elsevier, vol. 223(C), pages 51-63.
    12. Ana Isabel Ribeiro & Joana Amaro & Cosima Lisi & Silvia Fraga, 2018. "Neighborhood Socioeconomic Deprivation and Allostatic Load: A Scoping Review," IJERPH, MDPI, vol. 15(6), pages 1-15, May.
    13. Shawna Beese & Julie Postma & Janessa M. Graves, 2022. "Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood Research," IJERPH, MDPI, vol. 19(24), pages 1-23, December.
    14. Kelsey Lucyk & Lindsay McLaren, 2017. "Taking stock of the social determinants of health: A scoping review," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-24, May.
    15. Morgan Clennin & Asia Brown & Min Lian & Marsha Dowda & Natalie Colabianchi & Russell R. Pate, 2020. "Neighborhood Socioeconomic Deprivation Associated with Fat Mass and Weight Status in Youth," IJERPH, MDPI, vol. 17(17), pages 1-12, September.

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