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DOI | 10.1016/j.socscimed.2016.07.004 |
Early life socioeconomic position and immune response to persistent. infections among elderly Latinos | |
Meier, Helen C. S.1; Haan, Mary N.2; de Leon, Carlos F. Mendes3; Simanek, Amanda M.4; Dowd, Jennifer B.5; Aiello, Allison E.6 | |
发表日期 | 2016-10-01 |
ISSN | 0277-9536 |
卷号 | 166页码:77-85 |
英文摘要 | Persistent infections, such as cytomegalovirus (CMV), herpes simplex virus-1 (HSV-1), Helicobacter pylori (H. pylori), and Toxoplasma gondii (T. gondii), are common in the U.S. but their prevalence varies by socioeconomic status, It is unclear if early or later life socioeconomic position (SEP) is a more salient driver of disparities in immune control of these infections. Using data from the Sacramento Area Latino Study on Aging, we examined whether early or later life SEP was the strongest predictor of immune control later in life by contrasting two life course models, the critical period model and the chain of risk model. Early life SEP was measured as a latent variable, derived from parental education and occupation, and food availability. Indicators for SEP in later life included education level and occupation. Individuals were categorized by immune response to each pathogen (seronegative, low, medium and high) with increasing immune response representing poorer immune control. Cumulative immune response was estimated using a latent profile analysis with higher total immune response representing poorer immune control. Structural equation models were used to examine direct, indirect and total effects of early life SEP on each infection and cumulative immune response, controlling for age and gender. The direct effect of early life SEP on immune response was not statistically significant for the infections or cumulative immune response. Higher early life SEP was associated with lower immune response for T gondii, H. pylori and cumulative immune response through pathways mediated by later life SEP. For CMV, higher early life SEP was both directly associated and partially mediated by later life SEP. No association was found between SEP and HSV-1. Findings from this study support a chain of risk model, whereby early life SEP acts through later life SEP to affect immune response to persistent infections in older age. (C) 2016 Elsevier Ltd. All rights reserved. |
英文关键词 | Socioeconomic position;Persistent infections;Life course epidemiology;Latino health |
语种 | 英语 |
WOS记录号 | WOS:000384788200010 |
来源期刊 | SOCIAL SCIENCE & MEDICINE
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来源机构 | 美国环保署 |
文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/61704 |
作者单位 | 1.Natl Inst Environm Hlth Sci, Epidemiol Branch, 171 TW Alexander Dr,POB 12233,MD A3-05, Res Triangle Pk, NC 27709 USA; 2.Univ Calif San Francisco, Dept Epidemiol & Biostat, 550 15th St, San Francisco, CA 94158 USA; 3.Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ctr Social Epidemiol & Populat Hlth, 1415 Washington Hts, Ann Arbor, MI 48109 USA; 4.Univ Wisconsin, Joseph J Zilber Sch Publ Hlth, POB 413, Milwaukee, WI 53201 USA; 5.CUNY, Hunter Coll, CUNY Sch Publ Hlth, Dept Epidemiol & Biostat, 2180 Third Ave, New York, NY 10035 USA; 6.Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, 135 Dauer Dr 2101B McGavran Greenberg Hall, Chapel Hill, NC 27599 USA |
推荐引用方式 GB/T 7714 | Meier, Helen C. S.,Haan, Mary N.,de Leon, Carlos F. Mendes,et al. Early life socioeconomic position and immune response to persistent. infections among elderly Latinos[J]. 美国环保署,2016,166:77-85. |
APA | Meier, Helen C. S.,Haan, Mary N.,de Leon, Carlos F. Mendes,Simanek, Amanda M.,Dowd, Jennifer B.,&Aiello, Allison E..(2016).Early life socioeconomic position and immune response to persistent. infections among elderly Latinos.SOCIAL SCIENCE & MEDICINE,166,77-85. |
MLA | Meier, Helen C. S.,et al."Early life socioeconomic position and immune response to persistent. infections among elderly Latinos".SOCIAL SCIENCE & MEDICINE 166(2016):77-85. |
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