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Neighborhood Socioeconomic Deprivation and Allostatic Load: A Scoping Review

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  • Ana Isabel Ribeiro

    (EPIUnit–Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal
    Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal)

  • Joana Amaro

    (EPIUnit–Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal)

  • Cosima Lisi

    (EPIUnit–Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal)

  • Silvia Fraga

    (EPIUnit–Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal
    Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal)

Abstract

Residing in socioeconomically deprived neighborhoods may pose substantial physiological stress, which can then lead to higher allostatic load (AL), a marker of biological wear and tear that precedes disease. The aim of the present study was to map the current evidence about the relationship between neighborhood socioeconomic deprivation and AL. A scoping review approach was chosen to provide an overview of the type, quantity, and extent of research available. The review was conducted using three bibliographic databases (PubMed, SCOPUS, and Web of Science) and a standardized protocol. Fourteen studies were identified. Studies were predominantly from the USA, cross-sectional, focused on adults, and involved different races and ethnic groups. A wide range of measures of AL were identified: the mode of the number of biomarkers per study was eight but with large variability (range: 6–24). Most studies ( n = 12) reported a significant association between neighborhood deprivation and AL. Behaviors and environmental stressors seem to mediate this relationship and associations appear more pronounced among Blacks, men, and individuals with poor social support. Such conclusions have important public health implications as they enforce the idea that neighborhood environment should be improved to prevent physiological dysregulation and consequent chronic diseases.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1092-:d:149329
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    References listed on IDEAS

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    Cited by:

    1. Lucy Prior, 2021. "Allostatic Load and Exposure Histories of Disadvantage," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    2. Lauren Giurini & Loren Lipworth & Harvey J. Murff & Wei Zheng & Shaneda Warren Andersen, 2023. "Race- and Gender-Specific Associations between Neighborhood-Level Socioeconomic Status and Body Mass Index: Evidence from the Southern Community Cohort Study," IJERPH, MDPI, vol. 20(23), pages 1-11, November.
    3. Charles R. Rogers & Justin X. Moore & Danielle R. Gilmore & Ethan Petersen & Ellen Brooks & Carson Kennedy & Roland J. Thorpe, 2022. "Investigation of Differences in Allostatic Load among Black Men by Level of Educational Attainment: High School Graduates Experience the Highest Levels of Stress," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    4. Cleo Valentine, 2023. "Architectural Allostatic Overloading: Exploring a Connection between Architectural Form and Allostatic Overloading," IJERPH, MDPI, vol. 20(9), pages 1-14, April.
    5. Jackson, Pamela & Spector, Antoinette L. & Strath, Larissa J. & Antoine, Lisa H. & Li, Peng & Goodin, Burel R. & Hidalgo, Bertha A. & Kempf, Mirjam-Colette & Gonzalez, Cesar E. & Jones, Alana C. & Fos, 2023. "Epigenetic age acceleration mediates the relationship between neighborhood deprivation and pain severity in adults with or at risk for knee osteoarthritis pain," Social Science & Medicine, Elsevier, vol. 331(C).
    6. 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.

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