Evidence map›Paper›PMID 19152993›Full record

ArticleSocial science & medicine (1982)2009

Early origins of health disparities: burden of infection, health, and socioeconomic status in U.S. children.

Jennifer Beam Dowd, Anna Zajacova, Allison Aiello

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Social science & medicine (1982), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06002685 (Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes), which is not on this map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06002685 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2023 to 2028Enrolled260ConditionsRespiratory Disease, Inflammation, Insufficient Sleep, Digestive DiseaseArmsAttachment and Biobehavioral Catch-Up, Home-Based Book-of-the-Week
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 1 synthesis or guideline pooled it, 174 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Early-life infectious disease exposure, the "hygiene hypothesis," and lifespan: Evidence from hookworm disease.Proceedings of the National Academy of Sciences of the United States of America · 2025
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jennifer Beam DowdHunter College, School of Health Sciences, and CUNY Institute for Demographic Research, 425 E. 25th St., New York, NY 10010, USA. jdowd@hunter.cuny.edu
Anna Zajacova
Allison Aiello
University of Michigan–Ann Arbor · USHunter College · US

Funding

Under the Skin: Understanding the Role of Stress and Immune Function in Health DiR21NR011181 · NINR · HUNTER COLLEGE · PI DOWD, JENNIFER BEAM · 2008 to 2009
$434k
NINR NIH HHS R21 NR011181NINR NIH HHS R21 NR 011181-01
6 · The paper itself

Abstract

Recent work in biodemography has suggested that lifetime exposure to infection and inflammation may be an important determinant of later-life morbidity and mortality. Early exposure to infections during critical periods can predispose individuals to chronic disease, in part through the reallocation of energy away from development needed for immune and inflammatory responses. Furthermore, markers of inflammation are known to vary by socioeconomic status in adults and may contribute to overall socioeconomic health inequalities, but little is known about how the sources of this inflammation differ over the life course. This paper uses novel biomarker data from the Third National Health and Nutrition Examination Survey (NHANES III) to test the association of the burden of common chronic infections (Helicobacter pylori (H. pylori), cytomegalovirus (CMV), herpes simplex virus-1 (HSV-1), hepatitis A and hepatitis B) with height-for-age and asthma/chronic respiratory conditions in U.S. children ages 6 and older, and the association of these chronic infections to children's socioeconomic status. A higher burden of infection is found to be associated with lower height-for-age as well as an increased likelihood of asthma net of race/ethnicity, family income, and parental education. Children with lower family income, lower parental education, and non-white race/ethnicity have a higher likelihood of infection with several individual pathogens as well as the overall burden of infection. Differential exposure and/or susceptibility to infections may be one mechanism through which early social factors get embodied and shape later-life health outcomes.

Indexed as

Health Status DisparitiesSocial ClassAdolescentAsthmaBlack or African AmericanBody HeightChildHelicobacter InfectionsHispanic or LatinoHumansNutrition SurveysSeroepidemiologic StudiesUnited StatesVirus Diseases

Identifiers

PMID19152993
PMCPMC2670067
OpenAlexW2090112058

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.