IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v65y2007i4p809-821.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(07)00196-7
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    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. 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.
    9. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.
    2. Yasuo Imanishi & Shingo Fukuma & Angelo Karaboyas & Bruce M Robinson & Ronald L Pisoni & Takanobu Nomura & Takashi Akiba & Tadao Akizawa & Kiyoshi Kurokawa & Akira Saito & Shunichi Fukuhara & Masaaki , 2017. "Associations of employment status and educational levels with mortality and hospitalization in the dialysis outcomes and practice patterns study in Japan," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-11, March.
    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.
    4. Rong Xu & Qing-Feng Han & Tong-Ying Zhu & Ye-Ping Ren & Jiang-Hua Chen & Hui-Ping Zhao & Meng-Hua Chen & Jie Dong & Yue Wang & Chuan-Ming Hao & Rui Zhang & Xiao-Hui Zhang & Mei Wang & Na Tian & Hai-Ya, 2012. "Impact of Individual and Environmental Socioeconomic Status on Peritoneal Dialysis Outcomes: A Retrospective Multicenter Cohort Study," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-8, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sharon Merkin & Hadar Arditi-Babchuk & Tamy Shohat, 2015. "Neighborhood socioeconomic status and self-rated health in Israel: the Israel National Health Interview Survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 651-658, September.
    2. Chen, Duan-Rung & Wen, Tzai-Hung, 2010. "Socio-spatial patterns of neighborhood effects on adult obesity in Taiwan: A multi-level model," Social Science & Medicine, Elsevier, vol. 70(6), pages 823-833, March.
    3. repec:ags:aaea22:335946 is not listed on IDEAS
    4. Forsyth, Ann & Lytle, Leslie & Van Riper, David, 2010. "Finding food: Issues and challenges in using Geographic Information Systems (GIS) to measure food access," The Journal of Transport and Land Use, Center for Transportation Studies, University of Minnesota, vol. 3(1), pages 43-65.
    5. Rahkovsky, Ilya & Snyder, Samantha, 2015. "Food Choices and Store Proximity," Economic Research Report 210316, United States Department of Agriculture, Economic Research Service.
    6. Jarrett Thibodeaux, 2016. "City racial composition as a predictor of African American food deserts," Urban Studies, Urban Studies Journal Limited, vol. 53(11), pages 2238-2252, August.
    7. Steven Prus, 2007. "Age, SES, and Health: A Population Level Analysis of Health Inequalities over the Life Course," Social and Economic Dimensions of an Aging Population Research Papers 181, McMaster University.
    8. Cauchi, Daniel & Pliakas, Triantafyllos & Knai, Cécile, 2017. "Food environments in Malta: Associations with store size and area-level deprivation," Food Policy, Elsevier, vol. 71(C), pages 39-47.
    9. Dustin T. Duncan & Jared Aldstadt & John Whalen & Kellee White & Márcia C. Castro & David R. Williams, 2012. "Space, race, and poverty: Spatial inequalities in walkable neighborhood amenities?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 26(17), pages 409-448.
    10. Madeleine I. G. Daepp, 2015. "Prices and Availability of Healthy Foods across St. Louis," The American Economist, Sage Publications, vol. 60(2), pages 209-224, September.
    11. Wendt, Minh & Kinsey, Jean D. & Kaufman, Phillip R., 2008. "Food Accessibility in the Inner City: What Have We Learned, A Literature Review 1963-2006," Working Papers 37625, University of Minnesota, The Food Industry Center.
    12. Ehmke, Mariah D. & Willson, Tina M. & Schroeter, Christiane & Hart, Ann Marie & Coupal, Roger H., 2009. "Obesity Economics for the Western United States," Western Economics Forum, Western Agricultural Economics Association, vol. 8(2), pages 1-13.
    13. Lee, Helen, 2012. "The role of local food availability in explaining obesity risk among young school-aged children," Social Science & Medicine, Elsevier, vol. 74(8), pages 1193-1203.
    14. Zachary Zimmer & Xian Liu & Albert Hermalin & Yi-Li Chuang, 1998. "Educational attainment and transitions in functional status among older Taiwanese," Demography, Springer;Population Association of America (PAA), vol. 35(3), pages 361-375, August.
    15. Kathryn Freeman Anderson, 2018. "Racial/Ethnic Residential Segregation, the Distribution of Physician’s Offices and Access to Health Care: The Case of Houston, Texas," Social Sciences, MDPI, vol. 7(8), pages 1-18, July.
    16. Amin, Modhurima Dey & Badruddoza, Syed & McCluskey, Jill J., 2021. "Predicting access to healthful food retailers with machine learning," Food Policy, Elsevier, vol. 99(C).
    17. Zagorsky, Jay L. & Smith, Patricia K., 2009. "Does the U.S. Food Stamp Program contribute to adult weight gain?," Economics & Human Biology, Elsevier, vol. 7(2), pages 246-258, July.
    18. Walton, Emily, 2014. "Vital places: Facilitators of behavioral and social health mechanisms in low-income neighborhoods," Social Science & Medicine, Elsevier, vol. 122(C), pages 1-12.
    19. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    20. Sékou Samadoulougou & Laurence Letarte & Alexandre Lebel, 2022. "Association between Neighbourhood Deprivation Trajectories and Self-Perceived Health: Analysis of a Linked Survey and Health Administrative Data," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
    21. Daniel J. Exeter & Olivia Healey & Jessie Colbert & Nichola Shackleton, 2023. "Developing SEP65: A Census-Derived Index of Socio-Economic Position Specifically for the Older Population in Aotearoa New Zealand," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 169(3), pages 973-991, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:65:y:2007:i:4:p:809-821. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.