Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort
Background Although several studies have reported rather consistent associations between socioeconomic status (SES) and allostatic load (AL), so far no study has examined the influence of SES over the life course on AL. The aim of the present study was to investigate the association between SES over...
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fthighwire:oai:open-archive.highwire.org:jech:65/11/986 2023-05-15T17:44:58+02:00 Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort Gustafsson, Per E Janlert, Urban Theorell, Töres Westerlund, Hugo Hammarström, Anne 2011-11-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/65/11/986 https://doi.org/10.1136/jech.2010.108332 en eng BMJ Publishing Group Ltd http://jech.bmj.com/cgi/content/short/65/11/986 http://dx.doi.org/10.1136/jech.2010.108332 Copyright (C) 2011, BMJ Publishing Group Ltd Lifecourse TEXT 2011 fthighwire https://doi.org/10.1136/jech.2010.108332 2015-02-28T12:43:10Z Background Although several studies have reported rather consistent associations between socioeconomic status (SES) and allostatic load (AL), so far no study has examined the influence of SES over the life course on AL. The aim of the present study was to investigate the association between SES over the life course and AL in mid-adulthood, guided by the conceptual models of cumulative risk, critical period and social chain of risk. Methods The sample comprises a 27-year prospective cohort (n=1071) from northern Sweden. Participants (n=855, 79.8%) completed questionnaires at the ages of 16, 21, 30 and 43 years. A health examination was performed at age 43 years after an overnight fast, including physical examination and blood sampling, and participants completed 1-day salivary cortisol sampling (four samples). SES was based on parental occupation at age 16 years and participants' own occupation at ages 21, 30 and 43 years. Information on daily smoking, snuff use, high alcohol consumption and physical inactivity was reported by the participants. An AL index was constructed from tertiles of 12 biological parameters. Results Cumulative socioeconomic disadvantage was related to AL in both women and men. The association was largely explained by health behaviours in men, but was independent of health behaviours in women. In women, an association was observed between AL and SES in adolescence, whereas in men only current SES was related to AL, independently of current health behaviours. Conclusions SES over the life course influences the level of multi-systemic dysregulation in mid-adulthood, with the strongest support for the cumulative risk model. Text Northern Sweden HighWire Press (Stanford University) Journal of Epidemiology & Community Health 65 11 986 992 |
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Lifecourse Gustafsson, Per E Janlert, Urban Theorell, Töres Westerlund, Hugo Hammarström, Anne Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort |
topic_facet |
Lifecourse |
description |
Background Although several studies have reported rather consistent associations between socioeconomic status (SES) and allostatic load (AL), so far no study has examined the influence of SES over the life course on AL. The aim of the present study was to investigate the association between SES over the life course and AL in mid-adulthood, guided by the conceptual models of cumulative risk, critical period and social chain of risk. Methods The sample comprises a 27-year prospective cohort (n=1071) from northern Sweden. Participants (n=855, 79.8%) completed questionnaires at the ages of 16, 21, 30 and 43 years. A health examination was performed at age 43 years after an overnight fast, including physical examination and blood sampling, and participants completed 1-day salivary cortisol sampling (four samples). SES was based on parental occupation at age 16 years and participants' own occupation at ages 21, 30 and 43 years. Information on daily smoking, snuff use, high alcohol consumption and physical inactivity was reported by the participants. An AL index was constructed from tertiles of 12 biological parameters. Results Cumulative socioeconomic disadvantage was related to AL in both women and men. The association was largely explained by health behaviours in men, but was independent of health behaviours in women. In women, an association was observed between AL and SES in adolescence, whereas in men only current SES was related to AL, independently of current health behaviours. Conclusions SES over the life course influences the level of multi-systemic dysregulation in mid-adulthood, with the strongest support for the cumulative risk model. |
format |
Text |
author |
Gustafsson, Per E Janlert, Urban Theorell, Töres Westerlund, Hugo Hammarström, Anne |
author_facet |
Gustafsson, Per E Janlert, Urban Theorell, Töres Westerlund, Hugo Hammarström, Anne |
author_sort |
Gustafsson, Per E |
title |
Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort |
title_short |
Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort |
title_full |
Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort |
title_fullStr |
Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort |
title_full_unstemmed |
Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort |
title_sort |
socioeconomic status over the life course and allostatic load in adulthood: results from the northern swedish cohort |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2011 |
url |
http://jech.bmj.com/cgi/content/short/65/11/986 https://doi.org/10.1136/jech.2010.108332 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://jech.bmj.com/cgi/content/short/65/11/986 http://dx.doi.org/10.1136/jech.2010.108332 |
op_rights |
Copyright (C) 2011, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech.2010.108332 |
container_title |
Journal of Epidemiology & Community Health |
container_volume |
65 |
container_issue |
11 |
container_start_page |
986 |
op_container_end_page |
992 |
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1766147647893143552 |