Cumulative Socioeconomic Status across the Life Course and Subclinical Athersclerosis
dc.contributor.author | Carson, April P. | |
dc.contributor.author | Rose, Kathryn M. | |
dc.contributor.author | Catellier, Diane. J | |
dc.contributor.author | Kaufman, J. | |
dc.contributor.author | Wyatt, Sharon B. | |
dc.contributor.author | Diez Roux, Ana V. | |
dc.contributor.author | Heisss, G. | |
dc.date.accessioned | 2008-01-25T15:24:41Z | |
dc.date.available | 2008-01-25T15:24:41Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | Annals of Epidemiology Volume 17, Issue 4, April 2007, Pages 296-303 <http://hdl.handle.net/2027.42/57757> | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/57757 | |
dc.description.abstract | Purpose The purpose of this study is to investigate the relationship between individual-level and neighborhood-level socioeconomic status (SES) across the life course and subclinical atherosclerosis. Methods Participants from the Atherosclerosis Risk in Communities Study (n = 12,332) were queried about individual-level SES and residential addresses across the life course. Individual-level measures were scored and summed to obtain a summary score (I-CumSES), whereas residential addresses were geocoded and linked to census data to obtain a summary neighborhood z score (N-CumSES) to evaluate the association of SES with intima-media thickness (IMT) and peripheral arterial disease (PAD). Results A 1-SD lower I-CumSES was associated with greater mean IMT in each race–sex group and greater odds of PAD in white men (odds ratio [OR], 1.28; 95% confidence interval [CI], 0.99–1.64), white women (OR, 1.18; 95% CI, 1.02–1.36), and black women (OR, 1.33; 95% CI, 1.00–1.76). Compared with the highest tertile of N-CumSES, the lowest tertile was associated with greater mean IMT among whites, but was not associated with PAD for whites or blacks. When I-CumSES and N-CumSES were considered simultaneously, associations remained for only I-CumSES and were attenuated after adjustment for cardiovascular disease (CVD) risk factors. Conclusions Lower cumulative individual-level SES across the life course was associated with a greater burden of subclinical atherosclerosis, and this association was mediated in part by CVD risk factors. | en_US |
dc.format.extent | 120899 bytes | |
dc.format.mimetype | application/pdf | |
dc.language.iso | en_US | en_US |
dc.title | Cumulative Socioeconomic Status across the Life Course and Subclinical Athersclerosis | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.contributor.affiliationum | Epidemiology, Department of | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/57757/1/Cumulative Socioeconomic Status across the Life Course and Subclinical Atherosclerosis.pdf | en_US |
dc.owningcollname | Epidemiology, Department of (SPH) |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.