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Association of education and receiving social transfers with allostatic load in the Swiss population-based CoLaus study

Author

Listed:
  • Nicod, Edouard

    (Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital)

  • Stringhini, Silvia

    (Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital et INSERM)

  • Marques-Vidal, Pedro

    (Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital)

  • Paccaud, Fred

    (Institute of Social anPreventive Medicine (IUMSP), Lausanne University Hospital)

  • Waeber , Gérard

    (Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois)

  • Lamiraud, Karine

    (ESSEC Business School et Université de Cergy (THEMA))

  • Vollenweider, Peter

    (Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois)

  • Bochud, Muriel

    (Institute of Social anPreventive Medicine (IUMSP), Lausanne University Hospital)

Abstract

Background. Allostatic load reflects cumulative exposure to stressors throughout lifetime and has been associated with several adverse health outcomes. It is hypothesized that people with low socioeconomic status (SES) are exposed to higher chronic stress and have therefore greater levels of allostatic load. Objective. To assess the association of receiving social transfers and low education with allostatic load. Methods. We included 3'589 participants (1'812 women) aged over 35 years and under retirement age from the population-based CoLaus study (Lausanne, Switzerland, 2003-2006). We computed an allostatic load index aggregating cardiovascular, metabolic, dyslipidemic and inflammatory markers. A novel index additionally including markers of oxidative stress was also examined. Results. Men with low vs high SES were more likely to have higher levels of allostatic load (Odds ratio (OR)=1.93/2.34 for social transfers/education,95%CI from 1.45 to 4.17). The same patterns were observed among women. Associations persisted after controlling for health behaviors and marital status. Conclusions. Low education and receiving social transfers independently and cumulatively predict high allostatic load and dysregulation of several homeostatic systems in a Swiss population-based study. Participants with low SES are at higher risk of oxidative stress, which may justify its inclusion as a separate component of allostatic load.

Suggested Citation

  • Nicod, Edouard & Stringhini, Silvia & Marques-Vidal, Pedro & Paccaud, Fred & Waeber , Gérard & Lamiraud, Karine & Vollenweider, Peter & Bochud, Muriel, 2014. "Association of education and receiving social transfers with allostatic load in the Swiss population-based CoLaus study," ESSEC Working Papers WP1412, ESSEC Research Center, ESSEC Business School.
    • Handle: RePEc:ebg:essewp:dr-14012
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    References listed on IDEAS

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    1. Kristenson, M. & Eriksen, H. R. & Sluiter, J. K. & Starke, D. & Ursin, H., 2004. "Psychobiological mechanisms of socioeconomic differences in health," Social Science & Medicine, Elsevier, vol. 58(8), pages 1511-1522, April.
    2. World Bank, 2012. "World Development Indicators 2012," World Bank Publications - Books, The World Bank Group, number 6014, December.
    3. Gruenewald, Tara L. & Karlamangla, Arun S. & Hu, Perry & Stein-Merkin, Sharon & Crandall, Carolyn & Koretz, Brandon & Seeman, Teresa E., 2012. "History of socioeconomic disadvantage and allostatic load in later life," Social Science & Medicine, Elsevier, vol. 74(1), pages 75-83.
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    1. Angelo d’Errico & Fulvio Ricceri & Silvia Stringhini & Cristian Carmeli & Mika Kivimaki & Mel Bartley & Cathal McCrory & Murielle Bochud & Peter Vollenweider & Rosario Tumino & Marcel Goldberg & Marie, 2017. "Socioeconomic indicators in epidemiologic research: A practical example from the LIFEPATH study," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-32, May.

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    More about this item

    Keywords

    Allostatic load; Socioeconomic status; Chronic stress; Oxidative stress; population-based; education;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I20 - Health, Education, and Welfare - - Education - - - General

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