Evidence map›Paper›PMID 34081108›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2022

Race, Lifetime SES, and Allostatic Load Among Older Adults.

Courtney S Thomas Tobin, Taylor W Hargrove

Open access · greenAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 13% 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, 22 citations in OpenAlex.

  1. Article
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  3. How Education Shapes Indigenous Health Inequalities in the USA and Mexico.Journal of racial and ethnic health disparities · 2025
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  13. Correlates of Elevated C-Reactive Protein Among Black Older Adults: Evidence From the Health and Retirement Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  14. Promoting Health Equity Across the Life Span.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
  15. Article
  16. 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

2 authors at 2 institutions in 1 country.

Courtney S Thomas TobinJonathan and Karin Fielding School of Public Health, University of California Los Angeles, USA.ORCID 0000-0002-8018-0843
Taylor W HargroveUniversity of North Carolina at Chapel Hill, USA.
University of California, Los Angeles · USUniversity of North Carolina at Chapel Hill · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
Statistics and Methods CoreR24HD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SELTZER, JUDITH A. · 2001 to 2016
$10.1M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
Program Development (Pilot) CoreP30AG066615 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TAYLOR HARGROVE · 2020 to 2026
$4.1M
Health Disparities and Stress HypothesisR01AG034067 · NIA · VANDERBILT UNIVERSITY · PI TURNER, ROBERT JAY · 2009 to 2013
$3.9M
NCATS NIH HHS UL1 TR001881NIA NIH HHS P30 AG021684NIA NIH HHS P30 AG066615NIA NIH HHS R01 AG034067NICHD NIH HHS P2C HD041022NICHD NIH HHS P2C- HD041022NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD041022nih UL1TR001881NIH HHS P30-AG021684NIH HHS R01-AG034067
6 · The paper itself

Abstract

backgroundPrior research demonstrates that Black Americans receive fewer health benefits at high levels of socioeconomic status (SES) relative to Whites. Yet, few studies have considered the role of lifetime SES (ie, changes in SES from childhood to adulthood) in shaping these patterns among older adults. This study investigates the extent to which racial disparities in allostatic load (AL), an indicator of accelerated physiological aging, vary across levels of lifetime SES among Black and White adults aged 50 and older.

methodsWith data from the Nashville Stress and Health Study, modified Poisson regression models were used to assess racial differences in the odds of high AL (4+ high-risk biomarkers) among Black and White older adults (N = 518) within each level of lifetime SES (ie, stable low SES, upward mobility, downward mobility, and stable high SES).

resultsStable high SES was associated with greater odds of high AL; there was not a significant association between other lifetime SES trajectories and AL. However, the magnitude of racial disparities varied across levels of lifetime SES, with a significant Black-White difference in AL observed only among upwardly mobile (odds ratio [OR] = 1.76, 95% confidence interval [CI] = 1.24-2.51) and high SES groups (OR = 2.22, 95% CI = 1.37-3.58).

conclusionsOur study demonstrates that racial disparities in AL among older adults depend on individuals' lifetime SES trajectories and that older Black Americans receive fewer health benefits for achieving higher SES. These findings underscore the need to evaluate socioeconomic resources across the life course to clarify the extent of racial disparities among aging populations.

Indexed as

AllostasisAdolescentAgedBlack or African AmericanBlack PeopleChildHealth Status DisparitiesHumansIncomeMiddle AgedSocial ClassSocioeconomic FactorsYoung AdultAllostatic loadBlack AmericansLifetime SESSocial mobility

Identifiers

PMID34081108
PMCPMC8824573
OpenAlexW3164993403

What OpenQuestion holds

Textmetadata
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.