Socioeconomic Disadvantage, Neighborhood Belonging, and Inflammation Among Adolescents.

IF 2.9 3区 医学 Q2 PSYCHIATRY Psychosomatic Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-04 DOI:10.1097/PSY.0000000000001332
Michelle A Chen, Edith Chen, Shanti U Gallivan, Elizabeth J Brody, Veronica Passarelli, Gregory E Miller
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Abstract

Objective: Childhood socioeconomic disadvantage is associated with a host of adverse health outcomes across the lifespan. However, there is increasing interest in identifying factors that may promote resilience to disadvantage's effects on health. One promising candidate in this regard is a sense of neighborhood belonging, which could offset health risks by providing a sense of connection to others, as well as a sense of belonging to a community larger than oneself.

Methods: In a sample of 245 adolescents (age: mean [standard deviation] = 15.98 [0.54] years; sex: 64.1% female; race: 41.6% White, 37.6% Black/African American, 9.8% Other; ethnicity: 68.6% non-Hispanic), we examined neighborhood belonging as a moderator of the relationship between socioeconomic disadvantage (measured on a 0- to 5-point scale, mean [standard deviation] = 1.21 [1.36]) and low-grade inflammation (measured via a composite of circulating inflammatory biomarkers including IL-6, IL-8, IL-10, TNF-α, CRP, and suPAR). Covariates included age, sex, race/ethnicity, and pubertal status.

Results: Neighborhood belonging buffered the relationship between socioeconomic disadvantage and low-grade inflammation, a key mechanistic pathway to multiple chronic diseases. Specifically, there was a positive relationship between socioeconomic disadvantage and low-grade inflammation among individuals with low neighborhood belonging, but not among individuals with high neighborhood belonging.

Conclusions: These findings suggest that neighborhood belonging is one type of social connection factor that can mitigate the relationship between socioeconomic disadvantage and low-grade inflammation in youth.

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青少年的社会经济劣势、邻里归属感和炎症。
目的:儿童时期的社会经济劣势与人一生中的一系列不良健康后果有关。然而,越来越多的人开始关注确定哪些因素可以促进人们抵御不利条件对健康的影响。在这方面,邻里归属感是一个很有希望的候选因素,它可以通过提供与他人的联系感以及对一个比自己更大的社区的归属感来抵消健康风险:抽样调查了 245 名青少年(年龄:M = 15.98 岁,SD = 0.54;性别:64.1% 为女性;种族:41.6% 为白人,37.6% 为女性):41.6%为白人,37.6%为黑人/非裔美国人,9.8%为其他种族;种族:68.6%为非西班牙裔),我们研究了邻里归属感对社会经济劣势(以0-5分制衡量,中=1.21;标度=1.36)和低度炎症(通过循环炎症生物标志物的综合指标衡量,包括IL-6、IL-8、IL-10、TNF-a、CRP和suPAR)之间关系的调节作用。协变量包括年龄、性别、种族/民族和青春期状况:结果:邻里关系缓冲了社会经济劣势与低度炎症之间的关系,而低度炎症是导致多种慢性疾病的关键机制。具体来说,在邻里归属感低的人群中,社会经济劣势与低度炎症之间存在正相关关系,而在邻里归属感高的人群中则没有这种关系:这些研究结果表明,邻里归属感是一种社会联系因素,可以缓解青少年的社会经济劣势与低度炎症之间的关系。
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来源期刊
Psychosomatic Medicine
Psychosomatic Medicine 医学-精神病学
CiteScore
5.10
自引率
0.00%
发文量
258
审稿时长
4-8 weeks
期刊介绍: Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.
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