Evidence map›Paper›PMID 40445157›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Race and Ethnicity Moderates the Relationship Between Family Income Level and Allostatic Load Among Adolescents in the United States.

Karen Jennings Mathis, Laura R Stroud, Samantha R Rosenthal, Hannah N Ziobrowski

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Karen Jennings MathisDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, Rhode Island; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island. Electronic address: karen.mathis@brown.edu.
Laura R StroudDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, Rhode Island; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island.
Samantha R RosenthalDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island.
Hannah N ZiobrowskiDepartment of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island.

Funding

Project 3: Isolating food insecurity to understand childhood health outcomes and biological mechanisms of riskP20GM139767 · NIGMS · MIRIAM HOSPITAL · PI KayLoni L. Olson · 2021 to 2026
$14.6M
NIGMS NIH HHS P20 GM139767
6 · The paper itself

Abstract

purposePeople from low-income households are at risk of high allostatic load (AL) in adulthood, which is linked to poor physical and mental health outcomes. It is unclear how early the income-AL link develops and whether this association differs by race and/or ethnicity. We examined associations of family income with high AL among adolescents and whether race and/or ethnicity modified associations.

methodsCross-sectional, nationally representative data came from 748 US adolescents (aged 12-17 years) who participated in the prepandemic 2017-March 2020 National Health and Nutrition Examination Survey. Family income was measured using poverty-income ratio (PIR) and categorized as low income (PIR <1.0), middle income (PIR 1.0-4.0), and high income (PIR >4.0). AL was derived from 9 biomarkers. Modified Poisson regression models estimated prevalence ratios (PRs) for associations of family income with high AL overall and stratified by race and/or ethnicity (non-Hispanic White, non-Hispanic Black, and Hispanic).

resultsNearly 1 in 5 adolescents (19.7%) met the criteria for high AL. Compared to high-income peers, middle-income adolescents had more than twice the prevalence of high AL (PR: 2.16; 95% confidence interval: 1.13-4.13), and low-income adolescents had nearly triple the prevalence of high AL (PR: 2.98; 95% confidence interval: 1.76-5.04). Stratified models observed these associations only for non-Hispanic White adolescents, while for non-Hispanic Black and Hispanic youth, associations were attenuated and nonsignificant. DISCUSSION: Higher family income was protective against high AL only for non-Hispanic White adolescents. Minority youth may face additional stressors that diminish the protective effects of higher income.

Indexed as

AllostasisEthnicityIncomeRacial GroupsAdolescentBlack or African AmericanChildCross-Sectional StudiesFemaleHispanic or LatinoHumansMaleNutrition SurveysPovertyUnited StatesWhiteAdolescentsAllostatic loadBiomarkersEthnicityHealth disparitiesIncomePovertyRaceStress

Identifiers

PMID40445157
PMCPMC12170158

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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.