Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/66158
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Type: Journal article
Title: Life course socioeconomic position is associated with inflammatory markers: The Framingham Offspring Study
Author: Loucks, E.
Pilote, L.
Lynch, J.
Richard, H.
Almeida, N.
Benjamin, E.
Murabito, J.
Citation: Social Science & Medicine, 2010; 71(1):187-195
Publisher: Pergamon-Elsevier Science Ltd
Issue Date: 2010
ISSN: 0277-9536
1873-5347
Statement of
Responsibility: 
Eric B. Loucks, Louise Pilote, John W. Lynch, Hugues Richard, Nisha D. Almeida, Emelia J. Benjamin, Joanne M. Murabito
Abstract: Associations between life course socioeconomic position (SEP) and novel biological risk markers for coronary heart disease such as inflammatory markers are not well understood. Most studies demonstrate inverse associations of life course SEP with C-reactive protein (CRP), interleukin-6 (IL-6) and fibrinogen, however little is known about associations between life course SEP and other inflammatory markers including intercellular adhesion molecule-1 (ICAM-1), tumor necrosis factor II (TNFR2), lipoprotein phospholipase A2 (Lp-PLA2) activity, monocyte chemoattractant protein-1 (MCP-1) or P-selectin. The objectives of this analysis were to determine whether three life course SEP frameworks ("accumulation of risk", "social mobility" and "sensitive periods") are associated with the aforementioned inflammatory markers. We examined 1413 Framingham Offspring Study participants (mean age 61.2+/-8.6 years, 54% women), using multivariable regression analyses. In age- and sex-adjusted regression analyses, cumulative SEP ("accumulation of risk" SEP framework), for low vs. high SEP, was inversely associated with CRP, IL-6, ICAM-1, TNFR2, Lp-PLA2 activity, MCP-1 and fibrinogen. We found that there were few consistent trends between social mobility trajectories and most inflammatory markers. Own educational attainment was inversely associated with 7 of 8 studied inflammatory markers, while father's education, father's occupation and own occupation were inversely associated with 4, 5 and 4 inflammatory markers, respectively, in age- and sex-adjusted analyses. The strengths of association between SEP and inflammatory markers were typically substantially accounted for by CHD risk markers (smoking, body mass index, systolic blood pressure, total:HDL cholesterol ratio, fasting glucose, medications, depressive symptomatology) suggesting these may be important mechanisms that explain associations between SEP and the studied inflammatory markers.
Keywords: USA; Socioeconomic position; Inflammatory markers; Life course; Social mobility; Heart disease
Rights: Copyright 2010 Elsevier Ltd. All rights reserved.
RMID: 0020110597
DOI: 10.1016/j.socscimed.2010.03.012
Description (link): http://journals.elsevier.com/02779536/social-science-and-medicine/
Appears in Collections:Public Health publications

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