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Socioeconomic position across the lifecourse & allostatic load: data from the West of Scotland Twenty-07 cohort study.

Socioeconomic position across the lifecourse & allostatic load: data from the West of Scotland Twenty-07 cohort study.

BACKGROUND:
We examined how socioeconomic position (SEP) across the lifecourse (three critical periods, social mobility and accumulated over time) is associated with allostatic load (a measure of cumulative physiological burden).

METHODS:

Data are from the West of Scotland Twenty-07 Study, with respondents aged 35 (n’€‰=’€‰740), 55 (n’€‰=’€‰817) and 75 (n’€‰=’€‰483). SEP measures representing childhood, the transition to adulthood and adulthood SEP were used. Allostatic load was produced by summing nine binary biomarker scores (1’€‰=’€‰in the highest-risk quartile). Linear regressions were used for each of the lifecourse models; with model fits compared using partial F-tests.

RESULTS:

For those aged 35 and 55, higher SEP was associated with lower allostatic load (no association in the 75-year-olds). The accumulation model (more time spent with higher SEP) had the best model fit in those aged 35 (b’€‰=’€‰-0.50, 95%CI’€‰=’€‰-0.68, -0.32, P’€‰=’€‰0.002) and 55 (b’€‰=’€‰-0.31, 95%CI’€‰=’€‰-0.49, -0.12, P’€‰<’€‰0.001). However, the relative contributions of each life-stage differed, with adulthood SEP less strongly associated with allostatic load.

CONCLUSIONS:

Long-term, accumulated higher SEP has been shown to be associated with lower allostatic load (less physiological burden). However, the transition to adulthood may represent a particularly sensitive period for SEP to impact on allostatic load.

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