Titre :
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Associations Between Socioeconomic Status and Allostatic Load : Effects of Neighborhood Poverty and Tests of Mediating Pathways. (2012)
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Auteurs :
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Amy-J SCHULZ ;
GAINES (Causandra) : USA. Brightmoor Community Center. Detroit. MI. ;
Barbara-A ISRAEL ;
Jonetta JOHNSON ;
Laurie Lachance ;
Graciela MENTZ
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 102, n° 9, 2012)
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Pagination :
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1706-1714
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Langues:
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Anglais
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Mots-clés :
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Association
;
Facteur socioéconomique
;
Comportement
;
Pauvreté
;
Homéostasie
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Résumé :
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[BDSP. Notice produite par INIST-CNRS pR0x7nnp. Diffusion soumise à autorisation]. Objectives. We examined relationships between neighborhood poverty and allostatic load in a low-to moderate-income multiracial urban community. We tested the hypothesis that neighborhood poverty is associated with allostatic load, controlling for household poverty. We also examined the hypotheses that this association was mediated by psychosocial stress and health-related behaviors. Methods. We conducted multilevel analyses using cross-sectional data from a probability sample survey in Detroit, Michigan (n=919) and the 2000 US Census. The outcome measure was allostatic load. Independent variables included neighborhood and household poverty, psychosocial stress, and health-related behaviors. Covariates included neighborhood and individual demographic characteristics. Results. Neighborhood poverty was positively associated with allostatic load (P<. independent of household poverty and controlling for potential con-founders. relationships between neighborhood were mediated by self-reported environment stress but not health-related behaviors. conclusions. is associated with wear tear on physiological systems this relationship through psychosocial stress. these are evident after accounting levels. efforts to promote health equity should focus stressful environmental conditions poverty.>
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