Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society

Abstract Systemic inflammation has been proposed as a physiological process linking socio-economic position (SEP) to health. We examined how SEP inequalities in inflammation –assessed using C-reactive protein (CRP) and fibrinogen– varied across the adult age span. Current (household income) and dist...

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Autores principales: Apostolos Davillas, Michaela Benzeval, Meena Kumari
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/ad0b2794e70545ff927d6cf14cda5fef
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spelling oai:doaj.org-article:ad0b2794e70545ff927d6cf14cda5fef2021-12-02T15:05:59ZSocio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society10.1038/s41598-017-02888-62045-2322https://doaj.org/article/ad0b2794e70545ff927d6cf14cda5fef2017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02888-6https://doaj.org/toc/2045-2322Abstract Systemic inflammation has been proposed as a physiological process linking socio-economic position (SEP) to health. We examined how SEP inequalities in inflammation –assessed using C-reactive protein (CRP) and fibrinogen– varied across the adult age span. Current (household income) and distal (education) markers of SEP were used. Data from 7,943 participants (aged 25+) of Understanding Society (wave 2, 1/2010-3/2012) were employed. We found that SEP inequalities in inflammation followed heterogeneous patterns by age, which differed by the inflammatory marker examined rather than by SEP measures. SEP inequalities in CRP emerged in 30s, increased up to mid-50s or early 60 s when they peaked and then decreased with age. SEP inequalities in fibrinogen decreased with age. Body mass index (BMI), smoking, physical activity and healthy diet explained part, but not all, of the SEP inequalities in inflammation; in general, BMI exerted the largest attenuation. Cumulative advantage theories and those considering age as a leveler for the accumulation of health and economic advantages across the life-span should be dynamically integrated to better understand the observed heterogeneity in SEP differences in health across the lifespan. The attenuating roles of health-related lifestyle indicators suggest that targeting health promotion policies may help reduce SEP inequalities in health.Apostolos DavillasMichaela BenzevalMeena KumariNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-13 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Apostolos Davillas
Michaela Benzeval
Meena Kumari
Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society
description Abstract Systemic inflammation has been proposed as a physiological process linking socio-economic position (SEP) to health. We examined how SEP inequalities in inflammation –assessed using C-reactive protein (CRP) and fibrinogen– varied across the adult age span. Current (household income) and distal (education) markers of SEP were used. Data from 7,943 participants (aged 25+) of Understanding Society (wave 2, 1/2010-3/2012) were employed. We found that SEP inequalities in inflammation followed heterogeneous patterns by age, which differed by the inflammatory marker examined rather than by SEP measures. SEP inequalities in CRP emerged in 30s, increased up to mid-50s or early 60 s when they peaked and then decreased with age. SEP inequalities in fibrinogen decreased with age. Body mass index (BMI), smoking, physical activity and healthy diet explained part, but not all, of the SEP inequalities in inflammation; in general, BMI exerted the largest attenuation. Cumulative advantage theories and those considering age as a leveler for the accumulation of health and economic advantages across the life-span should be dynamically integrated to better understand the observed heterogeneity in SEP differences in health across the lifespan. The attenuating roles of health-related lifestyle indicators suggest that targeting health promotion policies may help reduce SEP inequalities in health.
format article
author Apostolos Davillas
Michaela Benzeval
Meena Kumari
author_facet Apostolos Davillas
Michaela Benzeval
Meena Kumari
author_sort Apostolos Davillas
title Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society
title_short Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society
title_full Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society
title_fullStr Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society
title_full_unstemmed Socio-economic inequalities in C-reactive protein and fibrinogen across the adult age span: Findings from Understanding Society
title_sort socio-economic inequalities in c-reactive protein and fibrinogen across the adult age span: findings from understanding society
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/ad0b2794e70545ff927d6cf14cda5fef
work_keys_str_mv AT apostolosdavillas socioeconomicinequalitiesincreactiveproteinandfibrinogenacrosstheadultagespanfindingsfromunderstandingsociety
AT michaelabenzeval socioeconomicinequalitiesincreactiveproteinandfibrinogenacrosstheadultagespanfindingsfromunderstandingsociety
AT meenakumari socioeconomicinequalitiesincreactiveproteinandfibrinogenacrosstheadultagespanfindingsfromunderstandingsociety
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