Educational patterning in biological health seven years apart: findings from the Tromsø Study
BACKGROUND: Social-to-biological processes is one set of mechanisms underlying the relationship between social position and health. However, very few studies have focused on the relationship between social factors and biology at multiple time points. This work investigates the relationship between e...
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ftimperialcol:oai:spiral.imperial.ac.uk:10044/1/108017 2023-12-31T10:23:43+01:00 Educational patterning in biological health seven years apart: findings from the Tromsø Study Neufcourt, L Castagné, R Wilsgaard, T Grimsgaard, S Chadeau-Hyam, M Vuckovic, D Ugarteche-Perez, A Farbu, EH Sandanger, TM Delpierre, C Kelly-Irving, M England 2023-11-09 http://hdl.handle.net/10044/1/108017 https://doi.org/10.1016/j.psyneuen.2023.106670 eng eng Elsevier Psychoneuroendocrinology 0306-4530 http://hdl.handle.net/10044/1/108017 doi:10.1016/j.psyneuen.2023.106670 © 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). http://creativecommons.org/licenses/by/4.0/ Journal Article 2023 ftimperialcol https://doi.org/10.1016/j.psyneuen.2023.106670 2023-12-07T23:43:22Z BACKGROUND: Social-to-biological processes is one set of mechanisms underlying the relationship between social position and health. However, very few studies have focused on the relationship between social factors and biology at multiple time points. This work investigates the relationship between education and the dynamic changes in a composite Biological Health Score (BHS) using two time points seven years apart in a Norwegian adult population. METHODS: We used data from individuals aged 30 years and above who participated in Tromsø6 (2007-2008) and Tromsø7 (2015-2016) (n = 8117). BHS was defined using ten biomarkers measured from blood samples and representing three physiological systems (cardiovascular, metabolic, inflammatory). The higher the BHS, the poorer the health status. FINDINGS: Linear regression models carried out on BHS revealed a strong educational gradient at two distinct time points but also over time. People with lower educational attainment were at higher risk of poor biological health at a given time point (βlow education Tromsø6=0.30 [95 %-CI=0.18-0.43] and βlow education Tromsø7=0.30 [95 %-CI=0.17-0.42]). They also presented higher longitudinal BHS compared to people with higher education (βlow education = 0.89 [95 %-CI=0.56-1.23]). Certain biomarkers related to the cardiovascular system and the metabolic system were strongly socially distributed, even after adjustment for sex, age, health behaviours and body mass index. CONCLUSION: This longitudinal analysis highlights that participants with lower education had their biological health deteriorated to a greater extent over time compared to people with higher education. Our findings provide added evidence of the biological embodiment of social position, particularly with respect to dynamic aspects for which little evidence exists. Article in Journal/Newspaper Tromsø Imperial College London: Spiral Psychoneuroendocrinology 160 106670 |
institution |
Open Polar |
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Imperial College London: Spiral |
op_collection_id |
ftimperialcol |
language |
English |
description |
BACKGROUND: Social-to-biological processes is one set of mechanisms underlying the relationship between social position and health. However, very few studies have focused on the relationship between social factors and biology at multiple time points. This work investigates the relationship between education and the dynamic changes in a composite Biological Health Score (BHS) using two time points seven years apart in a Norwegian adult population. METHODS: We used data from individuals aged 30 years and above who participated in Tromsø6 (2007-2008) and Tromsø7 (2015-2016) (n = 8117). BHS was defined using ten biomarkers measured from blood samples and representing three physiological systems (cardiovascular, metabolic, inflammatory). The higher the BHS, the poorer the health status. FINDINGS: Linear regression models carried out on BHS revealed a strong educational gradient at two distinct time points but also over time. People with lower educational attainment were at higher risk of poor biological health at a given time point (βlow education Tromsø6=0.30 [95 %-CI=0.18-0.43] and βlow education Tromsø7=0.30 [95 %-CI=0.17-0.42]). They also presented higher longitudinal BHS compared to people with higher education (βlow education = 0.89 [95 %-CI=0.56-1.23]). Certain biomarkers related to the cardiovascular system and the metabolic system were strongly socially distributed, even after adjustment for sex, age, health behaviours and body mass index. CONCLUSION: This longitudinal analysis highlights that participants with lower education had their biological health deteriorated to a greater extent over time compared to people with higher education. Our findings provide added evidence of the biological embodiment of social position, particularly with respect to dynamic aspects for which little evidence exists. |
format |
Article in Journal/Newspaper |
author |
Neufcourt, L Castagné, R Wilsgaard, T Grimsgaard, S Chadeau-Hyam, M Vuckovic, D Ugarteche-Perez, A Farbu, EH Sandanger, TM Delpierre, C Kelly-Irving, M |
spellingShingle |
Neufcourt, L Castagné, R Wilsgaard, T Grimsgaard, S Chadeau-Hyam, M Vuckovic, D Ugarteche-Perez, A Farbu, EH Sandanger, TM Delpierre, C Kelly-Irving, M Educational patterning in biological health seven years apart: findings from the Tromsø Study |
author_facet |
Neufcourt, L Castagné, R Wilsgaard, T Grimsgaard, S Chadeau-Hyam, M Vuckovic, D Ugarteche-Perez, A Farbu, EH Sandanger, TM Delpierre, C Kelly-Irving, M |
author_sort |
Neufcourt, L |
title |
Educational patterning in biological health seven years apart: findings from the Tromsø Study |
title_short |
Educational patterning in biological health seven years apart: findings from the Tromsø Study |
title_full |
Educational patterning in biological health seven years apart: findings from the Tromsø Study |
title_fullStr |
Educational patterning in biological health seven years apart: findings from the Tromsø Study |
title_full_unstemmed |
Educational patterning in biological health seven years apart: findings from the Tromsø Study |
title_sort |
educational patterning in biological health seven years apart: findings from the tromsø study |
publisher |
Elsevier |
publishDate |
2023 |
url |
http://hdl.handle.net/10044/1/108017 https://doi.org/10.1016/j.psyneuen.2023.106670 |
op_coverage |
England |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
Psychoneuroendocrinology 0306-4530 http://hdl.handle.net/10044/1/108017 doi:10.1016/j.psyneuen.2023.106670 |
op_rights |
© 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1016/j.psyneuen.2023.106670 |
container_title |
Psychoneuroendocrinology |
container_volume |
160 |
container_start_page |
106670 |
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1786835488323141632 |