Evidence map›Paper›PMID 19759056›Full record

ArticleJournal of epidemiology and community health2010

Neighbourhood socioeconomic status and biological 'wear and tear' in a nationally representative sample of US adults.

Chloe E Bird, Teresa Seeman, José J Escarce, Ricardo Basurto-Dávila, Brian K Finch, Tamara Dubowitz, Melonie Heron, Lauren Hale, Sharon Stein Merkin, Margaret Weden and 1 more

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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67 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

11 authors.

Chloe E BirdRAND Corporation, 1776 Main Street, P O Box 2138, Santa Monica, CA 90407-2138, USA. chloe@rand.org
Teresa Seeman
José J Escarce
Ricardo Basurto-Dávila
Brian K Finch
Tamara Dubowitz
Melonie Heron
Lauren Hale
Sharon Stein Merkin
Margaret Weden
Nicole Lurie

Funding

UNDERSTANDING NEIGHBORHOOD IMPACTS OF HEALTHP50ES012383 · NIEHS · RAND CORPORATION · PI ESCARCE, JOSE JULIO · 2003 to 2009
$6.5M
NIEHS NIH HHS 1P50ES012383-01NIEHS NIH HHS P50 ES012383
6 · The paper itself

Abstract

objectiveTo assess whether neighbourhood socioeconomic status (NSES) is independently associated with disparities in biological 'wear and tear' measured by allostatic load in a nationally representative sample of US adults.

designCross-sectional study.

settingPopulation-based US survey, the Third National Health and Nutrition Examination Survey (NHANES III), merged with US census data describing respondents' neighbourhoods.

participants13,184 adults from 83 counties and 1805 census tracts who completed NHANES III interviews and medical examinations and whose residential addresses could be reliably geocoded to census tracts.

main outcome measuresA summary measure of biological risk, incorporating nine biomarkers that together represent allostatic load across metabolic, cardiovascular and inflammatory subindices.

resultsBeing male, older, having lower income, less education, being Mexican-American and being both black and female were all independently associated with a worse allostatic load. After adjusting for these characteristics, living in a lower NSES was associated with a worse allostatic load (coefficient -0.46; CI -0.079 to -0.012). The relationship between NSES and allostatic load did not vary significantly by gender or race/ethnicity.

conclusionsLiving in a lower NSES in the USA is associated with significantly greater biological wear and tear as measured by the allostatic load, and this relationship is independent of individual SES characteristics. Our findings show that where one lives is independently associated with allostatic load, thereby suggesting that policies that improve NSES may also yield health returns.

Indexed as

Health Status IndicatorsResidence CharacteristicsSocial ClassAdultAgedAged, 80 and overAllostasisBlack or African AmericanBlack PeopleChronic DiseaseCross-Sectional StudiesEmigrants and ImmigrantsEthnicityFemaleHealthcare DisparitiesHumans

Identifiers

PMID19759056
PMCPMC3432399

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Registered trials

None linked

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.