Evidence map›Paper›PMID 23960158›Full record

ArticlePsychosomatic medicine2013

Childhood poverty and blood pressure reactivity to and recovery from an acute stressor in late adolescence: the mediating role of family conflict.

Gary W Evans, Deinera Exner-Cortens, Pilyoung Kim, Daniel Bartholomew

Abstract read
In one paragraph

Article in Psychosomatic medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 34% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Causal effects of the early caregiving environment on development of stress response systems in children.Proceedings of the National Academy of Sciences of the United States of America · 2015
    Trial
  4. A family-oriented psychosocial intervention reduces inflammation in low-SES African American youth.Proceedings of the National Academy of Sciences of the United States of America · 2014
    Trial
  5. Article
  6. Article
  7. Depressive symptoms during the transition to adolescence: Left hippocampal volume as a marker of social context sensitivity.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Individual and Neighborhood Stressors, Air Pollution and Cardiovascular Disease.International journal of environmental research and public health · 2018
    Article
  13. Review
  14. Childhood socioeconomic status and cardiovascular reactivity and recovery among Black and White men: Mitigating effects of psychological resources.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
    Article
  15. Article
  16. The long-term impact of early life poverty on orbitofrontal cortex volume in adulthood: results from a prospective study over 25 years.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Article
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 1 institution in 1 country.

Gary W EvansDepartments of Design & Environmental Analysis, Bronfenbrenner Center for Translational Research, Cornell University, Ithaca, NY, USA. gwe1@cornell.edu
Deinera Exner-Cortens
Pilyoung Kim
Daniel Bartholomew
Cornell University · US

Funding

Childhood Poverty and Brain Development: The Role of Chronic Stress and ParentingRC2MD004767 · NIMHD · CORNELL UNIVERSITY · PI EVANS, GARY W, LIBERZON, ISRAEL · 2009 to 2010
$1.4M
NIMHD NIH HHS 5RC2MD00467NIMHD NIH HHS RC2 MD004767
6 · The paper itself

Abstract

objectiveChildhood deprivation is inimical to health throughout the life course. Early experiences of stress could play a role in health inequalities. An important aspect of childhood poverty that has not received much attention is cardiovascular reactivity to and recovery from acute stressors.

methodsPiecewise, multilevel growth curve regression was used to examine blood pressure reactivity to and recovery from a mental arithmetic task among late adolescents (mean [standard deviation] = 17.3 [1.0] years, n = 185) as a function of early childhood poverty (9 years). We also tested whether exposure to family conflict at age 13 years mediated expected linkages between childhood poverty and adolescent blood pressure reactivity and recovery to an acute stressor.

resultsBlood pressure reactivity was unaffected by household income during childhood, but late adolescents with lower household income during childhood showed slower systolic (b = -0.29, p = .004) and diastolic (b = -0.19, p = .002) recovery. These results include age and sex as statistical covariates. The significant poverty impact on systolic but not on diastolic blood pressure recovery was mediated by exposure to family conflict (95% confidence interval = - 0.1400 to - 0.0012).

conclusionsWe show that late adolescents who grew up in poverty have delayed blood pressure recovery from an acute stressor. Furthermore, childhood exposure to family conflict, a well-documented component of early childhood deprivation, accounted for some of the adverse effects of childhood poverty on stressor recovery among these adolescents. We discuss the importance of considering physiological stress accompanying early experiences of deprivation in thinking about health inequalities.

Indexed as

Family ConflictModels, StatisticalAdolescentBlood PressureCardiovascular SystemChildFemaleHealth Status DisparitiesHumansLongitudinal StudiesMaleMultilevel AnalysisNew YorkPovertyRural PopulationSocial Classblood pressurechildhood povertystress reactivity and recovery

Identifiers

PMID23960158
PMCPMC3769521
OpenAlexW2918606578

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.