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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Socioeconomic position across the lifecourse & allostatic load: data from the West of Scotland Twenty-07 cohort study
Authors: Robertson, Tony
Popham, Frank
Benzeval, Michaela
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Keywords: Epidemiology
Health inequalities
Social and Lifecourse Epidemiology
health inequalities
social and lifecourse epidemiology
Issue Date: 20-Feb-2014
Publisher: BioMed Central
Citation: Robertson T, Popham F & Benzeval M (2014) Socioeconomic position across the lifecourse & allostatic load: data from the West of Scotland Twenty-07 cohort study, BMC Public Health, 14 (1), Art. No.: 184.
Abstract: BACKGROUND: We examined how socioeconomic position (SEP) across the lifecourse (three critical periods, social mobility and accumulated over time) is associated with allostatic load (a measure of cumulative physiological burden). METHODS: Data are from the West of Scotland Twenty-07 Study, with respondents aged 35 (n = 740), 55 (n = 817) and 75 (n = 483). SEP measures representing childhood, the transition to adulthood and adulthood SEP were used. Allostatic load was produced by summing nine binary biomarker scores (1 = in the highest-risk quartile). Linear regressions were used for each of the lifecourse models; with model fits compared using partial F-tests.  RESULTS: For those aged 35 and 55, higher SEP was associated with lower allostatic load (no association in the 75-year-olds). The accumulation model (more time spent with higher SEP) had the best model fit in those aged 35 (b = -0.50, 95%CI = -0.68, -0.32, P = 0.002) and 55 (b = -0.31, 95%CI = -0.49, -0.12, P < 0.001). However, the relative contributions of each life-stage differed, with adulthood SEP less strongly associated with allostatic load. CONCLUSIONS: Long-term, accumulated higher SEP has been shown to be associated with lower allostatic load (less physiological burden). However, the transition to adulthood may represent a particularly sensitive period for SEP to impact on allostatic load.
Type: Journal Article
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Rights: © Robertson et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.
Affiliation: HS - Management and Support
University of Stirling
Medical Research Council

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