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Individual and neighborhood socioeconomic status and progressive chronic kidney disease in an elderly population: The Cardiovascular Health Study

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  • Merkin, Sharon Stein
  • Diez Roux, Ana V.
  • Coresh, Josef
  • Fried, Linda F.
  • Jackson, Sharon A.
  • Powe, Neil R.

Abstract

Few studies have focused on the association between socioeconomic status (SES) and progressive chronic kidney disease (pCKD) in an elderly population. We conducted a cohort study of 4735 Cardiovascular Health Study participants, ages 65 and older and living in 4 US communities, to examine the independent risk of pCKD associated with income, education and living in a low SES area. pCKD was defined as creatinine elevation [greater-or-equal, slanted]0.4Â mg/dL (35Â [mu]mol/L) over a 4-7 year follow-up or CKD hospitalization. Area SES was characterized using measures of income, wealth, education and occupation for 1990 (corresponding to time of enrollment) US Census block groups of residence. Age and study site-adjusted incidence rates (per 1000 person years) of pCKD by quartiles of area-level SES score, income and education showed decreasing rates with increasing SES. Cox proportional hazards models showed that living in the lowest SES area quartile, as opposed to the highest, was associated with 50% greater risk of pCKD, after adjusting for age, gender, study site, baseline creatinine, and individual-level SES. This increased risk and trend persisted after adjusting for lifestyle risk factors, diabetes and hypertension. We found no significant independent associations between pCKD and individual-level income or education (after adjusting for all other SES factors). As such, living in a low SES area is associated with greater risk of pCKD in an elderly US population.

Suggested Citation

  • Merkin, Sharon Stein & Diez Roux, Ana V. & Coresh, Josef & Fried, Linda F. & Jackson, Sharon A. & Powe, Neil R., 2007. "Individual and neighborhood socioeconomic status and progressive chronic kidney disease in an elderly population: The Cardiovascular Health Study," Social Science & Medicine, Elsevier, vol. 65(4), pages 809-821, August.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:4:p:809-821
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    1. Winkleby, M.A. & Jatulis, D.E. & Frank, E. & Fortmann, S.P., 1992. "Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease," American Journal of Public Health, American Public Health Association, vol. 82(6), pages 816-820.
    2. Pappas, G. & Hadden, W.C. & Kozak, L.J. & Fisher, G.F., 1997. "Potentially avoidable hospitalizations: Inequalities in rates between US socioeconomic groups," American Journal of Public Health, American Public Health Association, vol. 87(5), pages 811-816.
    3. Sabates, Ricardo & Feinstein, Leon, 2006. "The role of education in the uptake of preventative health care: The case of cervical screening in Britain," Social Science & Medicine, Elsevier, vol. 62(12), pages 2998-3010, June.
    4. Lawlor, D.A. & Smith, G.D. & Patel, R. & Ebrahim, S., 2005. "Life-course socioeconomic position, area deprivation, and coronary heart disease: Findings from the British women's heart and health study," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 91-97.
    5. Kaplan, G.A. & Seeman, T.E. & Cohen, R.D. & Knudsen, L.P. & Guralnik, J., 1987. "Mortality among the elderly in the Alameda County study: Behavioral and demographic risk factors," American Journal of Public Health, American Public Health Association, vol. 77(3), pages 307-312.
    6. Horowitz, C.R. & Colson, K.A. & Hebert, P.L. & Lancaster, K., 2004. "Barriers to buying healthy foods for people with diabetes: Evidence of environmental disparities," American Journal of Public Health, American Public Health Association, vol. 94(9), pages 1549-1554.
    7. Powell, L.M. & Slater, S. & Chaloupka, F.J. & Harper, D., 2006. "Availability of physical activity-related facilities and neighborhood demographic and socioeconomic characteristics: A national study," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1676-1680.
    8. Steenland, N.K. & Thun, M.J. & Ferguson, C.W. & Port, F.K., 1990. "Occupational and other exposures associated with male end-stage renal disease: A case/control study," American Journal of Public Health, American Public Health Association, vol. 80(2), pages 153-157.
    9. Moore, L.V. & Diez Roux, A.V., 2006. "Associations of neighborhood characteristics with the location and type of food stores," American Journal of Public Health, American Public Health Association, vol. 96(2), pages 325-331.
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    3. Bakshi, Sanjeev & Pathak, Prasanta, 2008. "A statistical analysis of various factors associated with selected health problems among older adults in India," MPRA Paper 40539, University Library of Munich, Germany.
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