0 216

Cited 4 times in

Role of allostatic load and health behaviours in explaining socioeconomic disparities in mortality: a structural equation modelling approach

Authors
 Gyu Ri Kim  ;  Sun Ha Jee  ;  Hynek Pikhart 
Citation
 JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, Vol.72(6) : 545-551, 2018 
Journal Title
 JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH 
ISSN
 0143-005X 
Issue Date
2018
Keywords
allostatic load ; biomarkers ; health behaviour ; mortality ; socioeconomic inequalities ; stress ; structural equation modelling
Abstract
BACKGROUND: The relationship between socioeconomic status and mortality has been well established; however, the extent to which biological factors mediate this relationship is less clear, and empirical evidence from non-Western settings is limited. Allostasis, a cumulative measure of physiological dysregulation, has been proposed as the underlying mechanism linking socioeconomic status to adverse health outcomes. The current study aimed to ascertain the contribution of allostatic load (AL) and health behaviours to socioeconomic inequalities in mortality among Korean adults. METHODS: The sample comprised 70 713 middle-aged and older-aged adults, aged 40-79 years from the Korean Metabolic Syndrome Mortality Study. Using structural equation modelling (SEM), mediation analyses were performed to estimate the effects of socioeconomic position (SEP) on mortality over the follow-up and the extent to which AL, physical exercise and non-smoking status mediate the association between SEP and mortality. RESULTS: A total of 5618 deaths (7.9%) occurred during the mean follow-up of 15.2 years (SD 2.9). SEM confirmed a direct significant effect of SEP on mortality, as well as significant indirect paths through AL, physical exercise and non-smoking status. CONCLUSIONS: Our findings provide support for the mediating role of AL and health behaviours in the link between SEP and mortality. Policies designed to reduce social disparities in mortality in the long term should primarily focus on reducing stress and promoting healthy lifestyles among the socially disadvantaged groups. Future studies should further assess the role of other mediators such as psychosocial factors, which may contribute to socioeconomic inequalities in mortality.
Full Text
https://jech.bmj.com/content/72/6/545.long
DOI
10.1136/jech-2017-209131
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Gyu Ri(김규리) ORCID logo https://orcid.org/0000-0003-3624-3971
Jee, Sun Ha(지선하) ORCID logo https://orcid.org/0000-0001-9519-3068
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163155
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links