scholarly journals Early Life Course Pathways of Adult Depression and Chronic Pain

2013 ◽  
Vol 54 (1) ◽  
pp. 75-91 ◽  
Author(s):  
Bridget J. Goosby
Keyword(s):  
Chronic Pain ◽  
Socioeconomic Status ◽  
Life Course ◽  
Maternal Depression ◽  
Low Socioeconomic Status ◽  
Socioeconomic Disadvantage ◽  
Physical And Mental Health ◽  
Highly Educated ◽  
Adult Depression ◽  
Cumulative Inequality

Applying cumulative inequality theory, this study examines the extent to which childhood socioeconomic disadvantage and maternal depression increase the risk of major depression and chronic pain in U.S. working-aged adults. Further, I assess whether low socioeconomic status amplifies the risk of adult depression and/or pain. Using data from the 2003 National Comorbidity Survey Replication ( N=4339), I find that socioeconomic disadvantage and maternal depression during youth increases the risk of adult depression and/or chronic pain. The probability of having chronic pain increases in magnitude over the life course for adults whose parents have lower educational attainment relative to those with more highly educated parents. Childhood socioeconomic circumstances are not completely explained by adulthood socioeconomic status indicators. These findings help illustrate the far-reaching influence of childhood context on adult physical and mental health.

Socioeconomic status and occurrence of chronic pain: a meta-analysis

Rheumatology ◽  
2020 ◽  
Author(s):  
Jesús Prego-Domínguez ◽  
Zahra Khazaeipour ◽  
Narmeen Mallah ◽  
Bahi Takkouche
Keyword(s):  
Chronic Pain ◽  
Socioeconomic Status ◽  
Publication Bias ◽  
Low Socioeconomic Status ◽  
Data Extraction ◽  
Meta Analysis ◽  
Occupational Status ◽  
Developed Countries ◽  
Moderate Increase ◽  
Case Control Studies

Abstract Objective To examine the association between socioeconomic status (SES) and the occurrence of chronic pain, defined as pain that persists or recurs for >3 months. Methods We performed a structured search in Medline, Embase, WHO Global Index Medicus and Conference Proceedings Citation Index-Science databases to identify cohort and case–control studies on chronic pain and SES and its subgroups (SES combined index, educational level, income and occupational status). We extracted study characteristics, outcome measures and measures of association and their 95% CIs. Literature search, data extraction and risk of bias assessment were conducted by two independent researchers. We performed main and subgroup meta-analyses using random-effects model, and formally assessed heterogeneity and publication bias. Results A total of 45 studies, covering a population of ∼175 000 individuals, were meta-analysed, yielding a pooled Odds Ratio (OR) of 1.32 (95% CI: 1.21, 1.44) and 1.16 (95% CI: 1.09, 1.23) for low and medium SES levels, respectively, compared with high level. We obtained similar results in all the subgroup analyses. Heterogeneity was generally moderate to high across strata, and some evidence of publication bias for low socioeconomic status was found. Conclusion Our results support a moderate increase in the risk of chronic pain for low and medium SES when compared with high SES, a feature that remained constant in all measures of exposure or outcome used. Further prospective research on populations from developing countries are needed to confirm our findings as the studies available for this meta-analysis were carried out exclusively in developed countries.

scholarly journals Life Course Socioeconomic Status, Allostatic Load, and Kidney Health in Black Americans

2020 ◽  
Vol 15 (3) ◽  
pp. 341-348 ◽  
Author(s):  
Joseph Lunyera ◽  
John W. Stanifer ◽  
Clemontina A. Davenport ◽  
Dinushika Mohottige ◽  
Nrupen A. Bhavsar ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Life Course ◽  
Low Socioeconomic Status ◽  
Allostatic Load ◽  
Process Analysis ◽  
Black Americans ◽  
Heart Study ◽  
Egfr Decline ◽  
Kidney Health

Background and objectivesLow socioeconomic status confers unfavorable health, but the degree and mechanisms by which life course socioeconomic status affects kidney health is unclear.Design, setting, participants, & measurementsWe examined the association between cumulative lifetime socioeconomic status and CKD in black Americans in the Jackson Heart Study. We used conditional process analysis to evaluate allostatic load as a potential mediator of this relation. Cumulative lifetime socioeconomic status was an age-standardized z-score, which has 1-SD units by definition, and derived from self-reported childhood socioeconomic status, education, and income at baseline. Allostatic load encompassed 11 baseline biomarkers subsuming neuroendocrine, metabolic, autonomic, and immune physiologic systems. CKD outcomes included prevalent CKD at baseline and eGFR decline and incident CKD over follow-up.ResultsAmong 3421 participants at baseline (mean age 55 years [SD 13]; 63% female), cumulative lifetime socioeconomic status ranged from −3.3 to 2.3, and 673 (20%) had prevalent CKD. After multivariable adjustment, lower cumulative lifetime socioeconomic status was associated with greater prevalence of CKD both directly (odds ratio [OR], 1.18; 95% confidence interval [95% CI], 1.04 to 1.33 per 1 SD and OR, 1.45; 95% CI, 1.15 to 1.83 in lowest versus highest tertile) and via higher allostatic load (OR, 1.09; 95% CI, 1.06 to 1.12 per 1 SD and OR, 1.17; 95% CI, 1.11 to 1.24 in lowest versus highest tertile). After a median follow-up of 8 years (interquartile range, 7–8 years), mean annual eGFR decline was 1 ml/min per 1.73 m2 (SD 2), and 254 out of 2043 (12%) participants developed incident CKD. Lower cumulative lifetime socioeconomic status was only indirectly associated with greater CKD incidence (OR, 1.04; 95% CI, 1.01 to 1.07 per 1 SD and OR, 1.08; 95% CI, 1.02 to 1.14 in lowest versus highest tertile) and modestly faster annual eGFR decline, in milliliters per minute (OR, 0.01; 95% CI, 0.00 to 0.02 per 1 SD and OR, 0.02; 95% CI, 0.00 to 0.04 in lowest versus highest tertile), via higher baseline allostatic load.ConclusionsLower cumulative lifetime socioeconomic status was substantially associated with CKD prevalence but modestly with CKD incidence and eGFR decline via baseline allostatic load.

scholarly journals Chronic Pain in a Low Socioeconomic Status Population in Singapore: A Cross-Sectional Study

Pain Medicine ◽  
2016 ◽  
pp. pnv115 ◽  
Author(s):  
Wee Liang En ◽  
David Sin ◽  
Cher Wen Qi ◽  
Li Zong Chen ◽  
Sabina Shibli ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Socioeconomic

scholarly journals Neighborhood socioeconomic disadvantage is associated with multimorbidity in a geographically-defined community

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alanna M. Chamberlain ◽  
Lila J. Finney Rutten ◽  
Patrick M. Wilson ◽  
Chun Fan ◽  
Cynthia M. Boyd ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Chronic Conditions ◽  
The United States ◽  
Neighborhood Context ◽  
Socioeconomic Disadvantage ◽  
Area Deprivation ◽  
Level Of Education ◽  
Individual Level ◽  
Increased Risk

Abstract Background Persons with low socioeconomic status may be disproportionately at risk for multimorbidity. Methods Adults aged ≥20 years on 4/1/2015 from 7 counties in Minnesota were identified using the Rochester Epidemiology Project (population-based sample). A composite measure of neighborhood socioeconomic disadvantage, the area deprivation index (ADI), was estimated at the census block group level (n = 251). The prevalence of 21 chronic conditions was obtained to calculate the proportion of persons with multimorbidity (≥2 chronic conditions) and severe multimorbidity (≥5 chronic conditions). Hierarchical logistic regression was used to estimate the association of ADI with multimorbidity and severe multimorbidity using odds ratios (OR). Results Among 198,941 persons (46.7% male, 30.6% aged ≥60 years), the age- and sex-standardized (to the United States 2010 census) median prevalence (Q1, Q3) was 23.4% (21.3%, 25.9%) for multimorbidity and 4.8% (4.0%, 5.7%) for severe multimorbidity. Compared with persons in the lowest quintile of ADI, persons in the highest quintile had a 50% increased risk of multimorbidity (OR 1.50, 95% CI 1.39–1.62) and a 67% increased risk of severe multimorbidity (OR 1.67, 95% CI 1.51–1.86) after adjusting for age, sex, race, and ethnicity. Associations were stronger after further adjustment for individual level of education; persons in the highest quintile had a 78% increased risk of multimorbidity (OR 1.78, 95% CI 1.62–1.96) and a 92% increased risk of severe multimorbidity (OR 1.92, 95% CI 1.72–2.13). There was evidence of interactions between ADI and age, between ADI and sex, and between ADI and education. After age 70 years, no difference in the risk of multimorbidity was observed across quintiles of ADI. The pattern of increasing multimorbidity with increasing ADI was more pronounced in women. Finally, there was less variability across quintiles of ADI for the most highly educated group. Conclusions Higher ADI was associated with increased risk of multimorbidity, and the associations were strengthened after adjustment for individual level of education, suggesting that neighborhood context plays a role in health above and beyond individual measures of socioeconomic status. Furthermore, associations were more pronounced in younger persons and women, highlighting the importance of interventions to prevent chronic conditions in younger women, in particular.

scholarly journals Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis

2019 ◽  
Vol 35 (10) ◽  
Author(s):  
Luna Strieder Vieira ◽  
Isabel Oliveira Bierhals ◽  
Juliana dos Santos Vaz ◽  
Fernanda de Oliveira Meller ◽  
Fernando César Wehrmeister ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Mass Index ◽  
Socioeconomic Status ◽  
Life Course ◽  
Social Mobility ◽  
Body Mass ◽  
Low Socioeconomic Status ◽  
Meta Analysis ◽  
High Socioeconomic Status ◽  
Low Socioeconomic

Abstract: This article aimed to systematically review the association between socioeconomic status according to the life course models and the body mass index (BMI) in adults. A review was performed following the guidelines of the PRISMA. The studies were identified in the MEDLINE/PubMed, LILACS and Web of Science databases. The eligible articles investigated the association between at least one life course model (risk accumulation, critical period or social mobility) and BMI. In order to assess the quality of the selected articles, the NOS checklist was applied to each study. Eleven articles were selected for the systematic review, and seven articles were selected for the meta-analysis. The average score and the median in the NOS checklist were 6.4, within a maximum possible score of 8 points. The most used model was social mobility. Regarding meta-analysis, there was association between lower life course socioeconomic status and BMI among women. BMI mean difference (MD) was higher among those who remained with low socioeconomic status throughout life when compared with those who maintained a high socioeconomic status (MD: 2.17, 95%CI: 1.48; 2.86). Before that, the BMI MD was higher among those with upward mobility, compared with those who maintained a high socioeconomic status throughout life (MD: 1.20, 95%CI: 0.73; 1.68). The risk of overweight was also higher among women who maintained low socioeconomic status (summary RR: 1.70, 95%CI: 1.05; 2.74); however, according to the GRADE, the studies presented very low quality evidence. For men, no association was observed. Having low socioeconomic status sometime during life is associated with higher BMI in adulthood.

Tomorrow never knows: Paradoxical effects of a future prime on performance among low socioeconomic status college students

2014 ◽  
Author(s):  
Sarah Dayle Herrmann ◽  
Jessica Bodford ◽  
Robert Adelman ◽  
Oliver Graudejus ◽  
Morris Okun ◽  
...  
Keyword(s):  
College Students ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Paradoxical Effects
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