Understanding the relation between socioeconomic position and inflammation in post-menopausal women: education, income and occupational prestige
| Autor: | Anneclaire J. De Roos, Jolene Masters Pedersen, Naja Hulvej Rod, Simin Liu, Lorena Garcia, Yvonne L. Michael, Esben Budtz-Jørgensen, Candyce H. Kroenke, Rikke Lund, Kei Hang K. Chan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Risk
Socioeconomic position Occupational prestige Post menopausal Direct measure 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Occupations Path analysis (statistics) Socioeconomic status Aged Socioeconomic Determinants Inflammation Public Health Environmental and Occupational Health Middle Aged 030210 environmental & occupational health Postmenopause C-Reactive Protein Socioeconomic Factors Income Educational Status Female Observational study Psychology Biomarkers Demography Social status |
| Zdroj: | European Journal of Public Health. 27:1074-1079 |
| ISSN: | 1464-360X 1101-1262 |
| DOI: | 10.1093/eurpub/ckx070 |
| Popis: | Author(s): Pedersen, Jolene Masters; Budtz-Jorgensen, Esben; De Roos, Anneclaire; Garcia, Lorena; Lund, Rikke; Rod, Naja Hulvej; Kroenke, Candyce; Chan, Kei Hang Katie; Liu, Simin; Michael, Yvonne | Abstract: BackgroundThe role of occupational prestige, a direct measure of the perceived status of job and job holder, in inflammation is unknown. To contribute to understanding the pathways by which socioeconomic position (SEP) is associated with inflammation, we aimed to estimate the direct effects of education, income and occupational prestige on C-reactive protein (CRP) and to describe the relationship between these markers and CRP.MethodsThe study was based on 2026 post-menopausal women enrolled in the Women's Health Initiative-Observational Study. Occupational prestige was determined by linking a text description of longest held occupation with a social status item from the Occupational Information Network. Path analysis was employed to estimate direct and mediated effects.ResultsThe study suggests that higher levels of education, income, and occupational prestige are associated with 8% (95% CI as percentage change -12, -4), 5% [95% CI (-8, -2) and 4% (95% CI - 7, -1)] lower levels of CRP, respectively. The inverse association between education and CRP was explained by the effect of education on income and occupational prestige. The effect of occupational prestige on CRP was independent of mediators in the model.ConclusionsThe findings indicate that education may work to influence CRP primarily through increasing income and occupational prestige and provides evidence that occupational prestige captures a unique aspect of SEP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|