Evidence map›Paper›PMID 22698925›Full record

ArticleSocial science & medicine (1982)2012

Neighborhood-level stressors, social support, and diurnal patterns of cortisol: the Chicago Community Adult Health Study.

Rebecca A Karb, Michael R Elliott, Jennifer B Dowd, Jeffrey D Morenoff

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
6.7field-weighted citation impact, top 3% 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.

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

70 citing papers in PubMed, 136 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Article
  5. Living in historically redlined neighborhoods and biological aging among older adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Weight-based discrimination and cortisol output: A systematic review.Comprehensive psychoneuroendocrinology · 2025
    Review
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  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
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  18. Article
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  20. Article

10 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

4 authors at 3 institutions in 1 country.

Rebecca A KarbHarvard Medical School, Harvard University, United States.
Michael R Elliott
Jennifer B Dowd
Jeffrey D Morenoff
Michigan United · USCity University of New York · USHarvard University · US

Funding

Population Studies Center Infrastructure GrantR24HD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMOCK, PAMELA J. · 2001 to 2016
$13.2M
Social Context, Social Inequality, Mind, Body, and HealthP50HD038986 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KAPLAN, GEORGE A. · 1999 to 2003
$8.1M
Urban Social Context, Health and Health DisparitiesR01HD050467 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOUSE, JAMES S · 2006 to 2008
$1.5M
NICHD NIH HHS P50 HD038986NICHD NIH HHS R01 HD050467NICHD NIH HHS R24 HD041028
6 · The paper itself

Abstract

Neighborhood disadvantage has consistently been linked to increased rates of morbidity and mortality, but the mechanisms through which neighborhood environments may get "under the skin" remain largely unknown. Differential exposure to chronic environmental stressors has been identified as a potential pathway linking neighborhood disadvantage and poor health, particularly through the dysregulation of stress-related biological pathways such as cortisol secretion, but the majority of existing observational studies on stress and neuroendocrine functioning have focused exclusively on individual-level stressors and psychosocial characteristics. This paper aims to fill that gap by examining the association between features of the neighborhood environment and the diurnal cortisol patterns of 308 individuals from Chicago, Illinois, USA. We found that respondents in neighborhoods with high levels of perceived and observed stressors or low levels of social support experienced a flatter rate of cortisol decline throughout the day. In addition, overall mean cortisol levels were found to be lower in higher stress, lower support neighborhoods. This study adds to the growing evidence of hypocortisolism among chronically stressed adult populations and suggests hypocortisolism rather than hypercortisolism as a potential mechanism linking social disadvantage to poor health.

Indexed as

Health Status DisparitiesSocial SupportAdultChicagoCircadian RhythmCross-Sectional StudiesFemaleHumansHydrocortisoneMaleMiddle AgedMultilevel AnalysisResidence CharacteristicsStress, PsychologicalTime FactorsHydrocortisone

Identifiers

PMID22698925
PMCPMC3556931
OpenAlexW1992481793

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.