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Economic access influences degenerative spine disease outcomes at rural Late Medieval Villamagna (Lazio, IT)

dc.contributor.authorKinkopf, Katherine M.
dc.contributor.authorAgarwal, Sabrina C.
dc.contributor.authorGoodson, Caroline
dc.contributor.authorBeauchesne, Patrick D.
dc.contributor.authorTrombley, Trent M.
dc.contributor.authorCandilio, Francesca
dc.contributor.authorRubini, Mauro
dc.contributor.authorCoppa, Alfredo
dc.date.accessioned2021-03-02T21:44:49Z
dc.date.available2022-04-02 16:44:46en
dc.date.available2021-03-02T21:44:49Z
dc.date.issued2021-03
dc.identifier.citationKinkopf, Katherine M.; Agarwal, Sabrina C.; Goodson, Caroline; Beauchesne, Patrick D.; Trombley, Trent M.; Candilio, Francesca; Rubini, Mauro; Coppa, Alfredo (2021). "Economic access influences degenerative spine disease outcomes at rural Late Medieval Villamagna (Lazio, IT)." American Journal of Physical Anthropology 174(3): 500-518.
dc.identifier.issn0002-9483
dc.identifier.issn1096-8644
dc.identifier.urihttps://hdl.handle.net/2027.42/166386
dc.description.abstractObjectivesDegenerative joint disease in the spine is heavily influenced by genetic, environmental, and epigenetic factors, as well as exacerbated by physical activity and injury. The objective of this study was to investigate the multivariate relationship between known predictors of degenerative joint disease in the spine, such as age and sex, with mortuary indicators of economic access such as grave inclusions, burial location, and burial type.Materials and MethodsThe presence and severity of vertebral osteophytosis (VO) and vertebral osteoarthritis (VOA) was recorded for the vertebral columns of N = 106 adult individuals from the Late Medieval period at the rural monastery of San Pietro at Villamagna in Lazio, Italy (1300–1450 AD). Multiple skeletal indicators of degenerative joint disease, morphological sex, and age were compared with differences in mortuary treatment across four regions of the spine.ResultsThere are marked differences in severe joint disease outcome between groups with more and less economic access. Relative risk ratios suggest that males and females with less economic access have elevated risk for VO and VOA in specific spine regions, although this effect is reduced among females.DiscussionCurrent research on the consequences of economic and social inequality point to the important role of economic inequality in shaping disease outcomes. Our results suggest that biocultural effects of reduced economic access at the intraclass level may increase vulnerability to the downstream effects of risk exposure (e.g., biomechanical injure, physical activity, biochemical imbalance), and ultimately increase the risk and prevalence for severe degenerative disease outcomes in medieval Italy.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherosteoarthritis
dc.subject.otherbiocultural
dc.subject.otherdegenerative joint disease
dc.subject.otheraccess
dc.subject.otherbioarchaeology
dc.titleEconomic access influences degenerative spine disease outcomes at rural Late Medieval Villamagna (Lazio, IT)
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelAnthropology
dc.subject.hlbtoplevelSocial Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/166386/1/ajpa24180.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/166386/2/ajpa24180_am.pdf
dc.identifier.doi10.1002/ajpa.24180
dc.identifier.sourceAmerican Journal of Physical Anthropology
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