ArticleAmerican journal of epidemiology2015
Mediators of the association between low socioeconomic status and chronic kidney disease in the United States.
Article in American journal of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Prevalence of cognitive impairment and its predictors among chronic kidney disease patients: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Prevalence of chronic kidney disease stages 3-5 in low- and middle-income countries in Asia: A systematic review and meta-analysis.PloS one · 2022Pooled it
- Healthcare expenditures associated with cardiovascular, chronic kidney, and diabetic conditions, 2021-2023.BMC nephrology · 2026Article
- The impact of social determinants of health on acute kidney injury.Nature reviews. Nephrology · 2026Review
- 'Ghya Bharaari Ekatra': study protocol for a cluster randomized trial to evaluate a couples-based intervention for the primary prevention of intimate partner violence in India.BMC public health · 2026Article
- Longitudinal evaluation of glomerular filtration rate across adolescence and early adulthood in youth with type 1 diabetes: associations with clinical and social risk factors.Frontiers in endocrinology · 2026Article
- Mediating role of psychological distress and alcohol use in socioeconomic disparities in deaths of despair: a causal mediation analysis using record linkage data.Journal of epidemiology and community health · 2025Article
- Association between weekend catch-up sleep and chronic kidney disease: insights from NHANES 2017-2020.Renal failure · 2025Article
- Evaluating the relationship between familial poverty,Frontiers in public health · 2025Article
- The impact of social determinants of health on chronic kidney disease risk: evidence from the CHARLS study.Frontiers in public health · 2025Article
- Behavioral risk factors and socioeconomic inequalities in ischemic heart disease mortality in the United States: A causal mediation analysis using record linkage data.PLoS medicine · 2024Article
- Diabetes risk among US adults with different socioeconomic status and behavioral lifestyles: evidence from the National Health and Nutrition Examination Survey.Frontiers in public health · 2023Article
- No Healthcare Utilization and Death.Journal of general internal medicine · 2022Article
- Article
- Effects of Social Deprivation on the Proportion of Preemptive Kidney Transplantation: A Mediation Analysis.Transplantation direct · 2021Article
- Life course pathways from parental education to age-related decrements in kidney function among Black and white American adults.Psychoneuroendocrinology · 2021Article
- Associations of Genetic Factors, Educational Attainment, and Their Interaction With Kidney Function Outcomes.American journal of epidemiology · 2021Article
- International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in North America and the Caribbean.Kidney international supplements · 2021Review
- Sustainable Development Goals relevant to kidney health: an update on progress.Nature reviews. Nephrology · 2021Review
- Neighborhood context and kidney disease in Philadelphia.SSM - population health · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
Abstract
Using data collected from 9,823 participants in the 2007-2008 and 2009-2010 cycles of the National Health and Nutrition Examination Survey, we formally investigated potentially modifiable factors linking low socioeconomic status (SES) to chronic kidney disease (CKD) for their presence and magnitude of mediation. SES was defined using the poverty income ratio. The main outcome was CKD, defined as estimated glomerular filtration rate <60 mL/minute/1.73 m(2) (using the Chronic Kidney Disease Epidemiology Collaboration equation) and/or urinary albumin:creatinine ratio ≥30 mg/g. In mediation analyses, we tested the contributions of health-related behaviors (smoking, alcohol intake, diet, physical activity, and sedentary time), comorbid conditions (diabetes, hypertension, obesity, abdominal obesity, and hypercholesterolemia), and access to health care (health insurance and routine health-care visits) to this association. Except for sedentary time and diet, all examined health-related behaviors, comorbid conditions, and factors related to health-care access mediated the low SES-CKD association and contributed 20%, 32%, and 11%, respectively, to this association. In race/ethnicity-specific analyses, identified mediators tended to explain more of the association between low SES and CKD in non-Hispanic blacks than in other racial/ethnic groups. In conclusion, potentially modifiable factors like health-related behaviors, comorbid conditions, and health-care access contribute substantially to the association between low SES and CKD in the United States, especially among non-Hispanic blacks.
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