'Weathering' and age patterns of allostatic load scores among Blacks and Whites in the United States.

OBJECTIVES: We considered whether US Blacks experience early health deterioration, as measured across biological indicators of repeated exposure and adaptation to stressors. METHODS: Using National Health and Nutrition Examination Survey data, we examined allostatic load scores for adults aged 18-64...

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Published in:American Journal of Public Health Vol. 96; no. 5; pp. 826 - 834
Main Authors: Geronimus AT, Hicken M, Keene D, Bound J
Format: research tables/charts Journal Article
Published: American Public Health Association May2006
Online Access:View this record in EBSCOhost
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      dt: May2006
      vid: 96
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      pub: American Public Health Association
      place: Washington, District of Columbia
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        atl: 'Weathering' and age patterns of allostatic load scores among Blacks and Whites in the United States.
      aug:
        au:
          Geronimus AT
          Hicken M
          Keene D
          Bound J
        affil: Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109-2029; arline@umich.edu
      sug:
        subj:
          Adaptation, Psychological
          Aging
          Health Status
          Health Status Indicators
          Race Factors
          Stress, Psychological Complications
          Adult
          Age Factors
          Algorithms
          Biological Markers
          Black Persons
          Body Weights and Measures
          Confidence Intervals
          Coping
          Data Analysis Software
          Descriptive Statistics
          Female
          Funding Source
          Hematologic Tests
          Male
          Middle Age
          Multiple Logistic Regression
          Odds Ratio
          P-Value
          Poverty
          Probability
          Probability Sample
          Questionnaires
          Regression
          Sensitivity and Specificity
          Sex Factors
          Socioeconomic Factors
          Surveys
          United States
          White Persons
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: We considered whether US Blacks experience early health deterioration, as measured across biological indicators of repeated exposure and adaptation to stressors. METHODS: Using National Health and Nutrition Examination Survey data, we examined allostatic load scores for adults aged 18-64 years. We estimated probability of a high score by age, race, gender, and poverty status and Blacks' odds of having a high score relative to Whites' odds. RESULTS: Blacks had higher scores than did Whites and had a greater probability of a high score at all ages, particularly at 35-64 years. Racial differences were not explained by poverty. Poor and nonpoor Black women had the highest and second highest probability of high allostatic load scores, respectively, and the highest excess scores compared with their male or White counterparts. CONCLUSIONS: We found evidence that racial inequalities in health exist across a range of biological systems among adults and are not explained by racial differences in poverty. The weathering effects of living in a race-conscious society may be greatest among those Blacks most likely to engage in high-effort coping.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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