ArticleJournal of biosocial science2019
Social stratification and allostatic load: shapes of health differences in the MIDUS study in the United States.
Article in Journal of biosocial science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood Research.International journal of environmental research and public health · 2022Pooled it
- Socioeconomic disparities in obstructive sleep apnea: a systematic review of empirical research.Sleep & breathing = Schlaf & Atmung · 2021Pooled it
- Disparities in Allostatic Load Among Different Races: A Comprehensive Scoping Review.Journal of racial and ethnic health disparities · 2025Review
- The upstream-downstream tension in the global health classroom.BMJ global health · 2025Article
- The Longitudinal Relationship Between Allostatic Load and Multimorbidity Among Older Americans.Geriatrics (Basel, Switzerland) · 2025Article
- Race, Educational Attainment, and Sustained High Body Mass Index over 24 Years of Follow-up in Middle-Aged and Older Adults.Journal of racial and ethnic health disparities · 2024Article
- The gender and age perspectives of allostatic load.Frontiers in medicine · 2024Review
- Prevalence of Sleep Disturbances in Latin American Populations and Its Association with Their Socioeconomic Status-A Systematic Review and a Meta-Analysis.Journal of clinical medicine · 2023Review
- Determinants of Health Inequalities in Iran and Saudi Arabia: A Systematic Review of the Sleep Literature.Clocks & sleep · 2023Review
- Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Review
- Longitudinal associations between allostatic load, pet ownership, and socioeconomic position among U.S. adults aged 50.SSM - population health · 2023Article
- Social Determinants of Mental, Physical, and Oral Health of Middle-Aged and Older African Americans in South Los Angeles.International journal of environmental research and public health · 2022Article
- Towards A Socioeconomic Model of Sleep Health among the Canadian Population: A Systematic Review of the Relationship between Age, Income, Employment, Education, Social Class, Socioeconomic Status and Sleep Disparities.European journal of investigation in health, psychology and education · 2022Review
- Conceptual and Analytical Overlap Between Allostatic Load and Systemic Biological Aging Measures: Analyses From the National Survey of Midlife Development in the United States.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Socioeconomic Position and Excessive Daytime Sleepiness: A Systematic Review of Social Epidemiological Studies.Clocks & sleep · 2022Review
- Comparing different operationalizations of allostatic load measured in mid-life and their patterning by race and cumulative life course socioeconomic status.Psychoneuroendocrinology · 2022Article
- Partisan Control of U.S. State Governments: Politics as a Social Determinant of Infant Health.American journal of preventive medicine · 2022Article
- Towards integrated modeling of the long-term impacts of oil spills.Marine policy · 2021Article
- Parents' Perceived Neighborhood Safety and Children's Cognitive Performance: Complexities by Race, Ethnicity, and Cognitive Domain.Urban science (Basel, Switzerland) · 2021Article
- Education, biological ageing, all-cause and cause-specific mortality and morbidity: UK biobank cohort study.EClinicalMedicine · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
Social stratification is an important mechanism of human organization that helps to explain health differences between demographic groups commonly associated with socioeconomic gradients. Individuals, or group of individuals, with similar health profiles may have had different stratification experiences. This is particularly true as social stratification is a significant non-measurable source of systematic unobservable differences in both SES indicators and health statuses of disadvantage. The goal of the present study was to expand the bulk of research that has traditionally treated socioeconomic and demographic characteristics as independent, additive influences on health by examining data from the United States. It is hypothesized that variation in an index of multi-system physiological dysregulation - allostatic load - is associated with social differentiation factors, sorting individuals with similar demographic and socioeconomic characteristics into mutually exclusive econo-demographic classes. The data were from the Longitudinal and Biomarker samples of the national Study of Midlife Development in the US (MIDUS) conducted in 1995 and 2004/2006. Latent class analyses and regression analyses revealed that physiological dysregulation linked to socioeconomic variation among black people, females and older adults are associated with forces of stratification that confound socioeconomic and demographic indicators. In the United States, racial stratification of health is intrinsically related to the degree to which black people in general, and black females in particular, as a group, share an isolated status in society. Findings present evidence that disparities in health emerge from group-differentiation processes to the degree that individuals are distinctly exposed to the ecological, political, social, economic and historical contexts in which social stratification is ingrained. Given that health policies and programmes emanate from said legal and political environments, interventions should target the structural conditions that expose different subgroups to different stress risks in the first place.
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Registered trials
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.