Evidence map›Paper›PMID 29273651›Full record

ArticleBMJ open2017

Associations of social environment, socioeconomic position and social mobility with immune response in young adults: the Jerusalem Perinatal Family Follow-Up Study.

Gabriella M Lawrence, Yehiel Friedlander, Ronit Calderon-Margalit, Daniel A Enquobahrie, Jonathan Yinhao Huang, Russell P Tracy, Orly Manor, David S Siscovick, Hagit Hochner

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 4 institutions in 3 countries.

Gabriella M LawrenceBraun School of Public Health, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
Yehiel FriedlanderBraun School of Public Health, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
Ronit Calderon-MargalitBraun School of Public Health, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
Daniel A EnquobahrieCardiovascular Health Research Unit, University of Washington, Seattle, Washington, USA.
Jonathan Yinhao HuangDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
Russell P TracyDepartments of Pathology and Biochemistry, University of Vermont, Burlington, Vermont, USA.
Orly ManorBraun School of Public Health, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
David S SiscovickInstitute for Urban Health, New York Academy of Medicine, New York City, New York, USA.
Hagit HochnerBraun School of Public Health, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
Hadassah Medical Center · ILUniversity of Washington · USNew York Academy of Medicine · USUniversity of Vermont · US

Funding

Maternal Obesity, Fetal Genomics, and Atherosclerotic Metabolic RiskR01HL088884 · NHLBI · UNIVERSITY OF WASHINGTON · PI SISCOVICK, DAVID STUART · 2006 to 2009
$1.7M
Vitamin D related genes and developmental origins of cardiometabolic riskK01HL103174 · NHLBI · UNIVERSITY OF WASHINGTON · PI ENQUOBAHRIE, DANIEL ASMAMAW · 2010 to 2014
$661k
NHLBI NIH HHS K01 HL103174NHLBI NIH HHS R01 HL088884
6 · The paper itself

Abstract

objectivesImmune response to cytomegalovirus (CMV) impacts adult chronic disease. This study investigates associations of childhood and adulthood social environment, socioeconomic position (SEP) and social mobility with CMV response in young adults.

designHistorical prospective study design.

settingSubcohort of all 17 003 births to residents of Jerusalem between 1974 and 1976.

participantsParticipants included 1319 young adults born in Jerusalem with extensive archival and follow-up data, including childhood and adulthood SEP-related factors and anti-CMV IgG titre levels and seroprevalence measured at age 32. MAIN EXPOSURE AND OUTCOME MEASURES: Principal component analysis was used to transform correlated social environment and SEP-related variables at two time points (childhood and adulthood) into two major scores reflecting household (eg, number of siblings/children, religiosity) and socioeconomic (eg, occupation, education) components. Based on these components, social mobility variables were created. Linear and Poisson regression models were used to investigate associations of components and mobility with anti-CMV IgG titre level and seroprevalence, adjusted for confounders.

resultsLower levels of household and socioeconomic components in either childhood or adulthood were associated with higher anti-CMV IgG titre level and seropositivity at age 32. Compared with individuals with stable favourable components, anti-CMV IgG titre level and risk for seropositivity were higher in stable unfavourable household and socioeconomic components (household: β=3.23, P<0.001; relative risk (RR)=1.21, P<0.001; socioeconomic: β=2.20, P=0.001; RR=1.14, P=0.01), downward household mobility (β=4.32, P<0.001; RR=1.26, P<0.001) and upward socioeconomic mobility (β=1.37, P=0.04; RR=1.19, P<0.001). Among seropositive individuals, associations between household components and mobility with anti-CMV IgG titre level were maintained and associations between socioeconomic components and mobility with anti-CMV IgG titre level were attenuated.

conclusionsOur study provides evidence that accumulating low SEP from childhood through adulthood and social mobility may compromise immune response in young adulthood.

Indexed as

Social EnvironmentSocial MobilityAdultAntibodies, ViralAntibody SpecificityBiomarkersChronic DiseaseCytomegalovirusCytomegalovirus InfectionsFamily CharacteristicsFemaleFollow-Up StudiesHumansImmunoglobulin GIsraelLinear ModelsAntibodies, ViralBiomarkersImmunoglobulin Gepidemiologyimmunologysocial medicine

Identifiers

PMID29273651
PMCPMC5778288
OpenAlexW2777821374

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.