Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Miller et al. find benefits of Medicaid for pregnant mothers in 1980s carry over two generations

Starr's findings account for some of the 19% black-white gap in federal sentencing

Frey says suburbs are aging, cities draw millennials

More News

Highlights

Bailey et al. find higher income among children whose parents had access to federal family planning programs in the 1960s and 70s

U-M's campus climate survey results discussed in CHE story

U-M honors James Jackson's groundbreaking work on how race impacts the health of black Americans

U-M is the only public and non-coastal university on Forbes' top-10 list for billionaire production

More Highlights

Next Brown Bag

Mon, Jan 22, 2018, noon: Narayan Sastry

Life-course socioeconomic positions and subclinical atherosclerosis in the multi-ethnic study of atherosclerosis

Archived Abstract of Former PSC Researcher

Lemelin, E.T., Ana V. Diez Roux, T.G. Franklin, M. Carnethon, P.L. Lutsey, H.Y. Ni, E. O'Meara, and S. Shrager. 2009. "Life-course socioeconomic positions and subclinical atherosclerosis in the multi-ethnic study of atherosclerosis." Social Science and Medicine, 68(3): 444-451.

A major limitation of past work on the social patterning of atherosclerosis has been the reliance on measures of neighborhood or individual-level socioeconomic position (SEP) assessed at a single point in time in adulthood. Risk of chronic disease is thought to accumulate throughout the life-course, so the use of a measure for a single point in time may result in inaccurate estimates of the social patterning of subclinical disease. Using data from the US Multi-Ethnic Study of Atherosclerosis (MESA), we examined the relation between childhood SEP [CSEP] (father or caretaker's education), adulthood SEP [ASEP] (a summary score of income, education, and wealth), and 20-year average exposure to neighborhood poverty [NSEP] (residential addresses geocoded and linked to census data) and the prevalence of subclinical atherosclerosis, as assessed by common carotid intimal-medial thickness (IMT) in mid to late adulthood. Participants were 45-84 years of age at baseline and were sampled from six study sites in the United States. After adjustment for age, CSEP and ASEP were both inversely and independently associated with IMT in men. All three indicators CSEP, ASEP, and NSEP were inversely and independently associated with IMT in women. Associations were somewhat reduced after adjustment for cardiovascular risk factors, suggesting that these factors may play a mediating role. There was evidence of heterogeneity in effects of NSEP by gender, and in the effects of ASEP and NSEP by race/ethnicity. Our results contribute to the growing body of work that shows that SEP at multiple points in the life-course, and at the individual and neighborhood level, contributes to the development of atherosclerosis. (C) 2008 Elsevier Ltd. All rights reserved.

DOI:10.1016/j.socscimed.2008.10.038 (Full Text)

Country of focus: United States of America.

Browse | Search : All Pubs | Next