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Life course socioeconomic position, ...

Johnson-Lawrence, Vicki D.

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Life course socioeconomic position, depressive symptoms, and cardiovascular disease mortality in the Alameda County Study, 1965-2000.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Life course socioeconomic position, depressive symptoms, and cardiovascular disease mortality in the Alameda County Study, 1965-2000./
Author:	Johnson-Lawrence, Vicki D.
Description:	132 p.
Notes:	Source: Dissertation Abstracts International, Volume: 71-11, Section: B, page: .
Contained By:	Dissertation Abstracts International71-11B.
Subject:	Health Sciences, Aging. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3429414
ISBN:	9781124283050

Life course socioeconomic position, depressive symptoms, and cardiovascular disease mortality in the Alameda County Study, 1965-2000.
Johnson-Lawrence, Vicki D.

Life course socioeconomic position, depressive symptoms, and cardiovascular disease mortality in the Alameda County Study, 1965-2000. - 132 p.

Source: Dissertation Abstracts International, Volume: 71-11, Section: B, page: .

Thesis (Ph.D.)--University of Michigan, 2010.

Background. Lower socioeconomic position (SEP) over the life course has been posited as a contributing factor in the development of chronic illnesses, including cardiovascular disease (CVD) and subsequent mortality (CVDM). Lower SEP has also been shown to be associated with an increased risk of mental health problems, such as multiple depressive symptoms (MDS). The ways in which SEP has been measured have varied, but examination of the variability in associations of measures based on a single SEP indicator such as household income (HI) with health outcomes is limited, especially within gender.

ISBN: 9781124283050Subjects--Topical Terms:

1669845
Health Sciences, Aging.

Life course socioeconomic position, depressive symptoms, and cardiovascular disease mortality in the Alameda County Study, 1965-2000.
LDR:03175nam 2200325 4500 001 1394908
005 20110506135132.5
008 130515s2010 ||||||||||||||||| ||eng d
020 $a 9781124283050
035 $a (UMI)AAI3429414
035 $a AAI3429414
040 $a UMI $c UMI
100 1 $a Johnson-Lawrence, Vicki D. $3 1673566
245 1 0 $a Life course socioeconomic position, depressive symptoms, and cardiovascular disease mortality in the Alameda County Study, 1965-2000.
300 $a 132 p.
500 $a Source: Dissertation Abstracts International, Volume: 71-11, Section: B, page: .
500 $a Adviser: Sandro Galea.
502 $a Thesis (Ph.D.)--University of Michigan, 2010.
520 $a Background. Lower socioeconomic position (SEP) over the life course has been posited as a contributing factor in the development of chronic illnesses, including cardiovascular disease (CVD) and subsequent mortality (CVDM). Lower SEP has also been shown to be associated with an increased risk of mental health problems, such as multiple depressive symptoms (MDS). The ways in which SEP has been measured have varied, but examination of the variability in associations of measures based on a single SEP indicator such as household income (HI) with health outcomes is limited, especially within gender.
520 $a Methods. Data from the Alameda County Study was used to study the relationships of interest. Using three measures of HI to capture SEP-HI in 1994 (HI94), average HI (AHI), and HI trajectory groups (HITG), associations between each HI measure and CVDM (Chapter 2) and MDS (Chapter 3) were studied. Chapter 4 examined cumulative socioeconomic disadvantage (CSD) based on HI, education, father's education, and father's occupation in relation to CVDM.
520 $a Results. Chapter 2 analyses suggested inverse associations between lower quartiles of HI94 and the hazards of CVDM among men, and between higher AHI and the hazards of CVDM among women. In chapter 3, results showed inverse associations between quartiles of HI94 and AHI, lower HITG, HI94 and AHI with the odds of MDS for men. Associations were of greatest magnitude for HITG and HI94 compared to the quartile measures and AHI, respectively. Among women, those in the lowest HITG had increased odds of MDS. Chapter 4 analyses revealed that being most disadvantaged was associated with increased hazards of CVDM among women but not men. Associations were of greatest magnitude for CSD scores that included HITG.
520 $a Conclusions. Men and women with higher SEP or lower CSD were less likely to experience CVDM or MDS, but the magnitude of these associations varied with changes in the HI measure utilized. These results show the need to consider gender-specific SEP measures, as well as to carefully select the SEP measures as the associations with different health outcomes may vary dependent upon the specific measure examined.
590 $a School code: 0127.
650 4 $a Health Sciences, Aging. $3 1669845
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Health Sciences, Epidemiology. $3 1019544
690 $a 0493
690 $a 0573
690 $a 0766
710 2 $a University of Michigan. $3 777416
773 0 $t Dissertation Abstracts International $g 71-11B.
790 1 0 $a Galea, Sandro, $e advisor
790 $a 0127
791 $a Ph.D.
792 $a 2010
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3429414