THE ASSOCIATION BETWEEN ETHNICITY AND ALLOSTATIC LOAD: FINDINGS FROM THE 2017-2018 NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY

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dc.contributor.advisorHurwitz, Eric
dc.contributor.authorMay, Stacie Lea
dc.contributor.departmentPublic Health
dc.date.accessioned2022-03-03T19:58:30Z
dc.date.available2022-03-03T19:58:30Z
dc.date.issued2021
dc.description.degreeM.S.
dc.identifier.urihttp://hdl.handle.net/10125/81666
dc.subjectEpidemiology
dc.subjectAllostatic load
dc.subjectChronic stress
dc.subjectEducation
dc.subjectEthnicity
dc.subjectSocial deprivation
dc.subjectSocial disparities
dc.titleTHE ASSOCIATION BETWEEN ETHNICITY AND ALLOSTATIC LOAD: FINDINGS FROM THE 2017-2018 NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY
dc.typeThesis
dcterms.abstractAbstractBackground: The lived experience of ethnicity is a source of psychosocial stress. Objectives: Estimate the association between ethnicity and allostatic load (AL) by measuring the physiological cost of prolonged stress response, reflected in measurable cardiovascular, metabolic, and immune system acclimating changes. Methods: Adult participants were selected from the National Health and Nutrition Examination Survey (NHANES) 2017-2018 survey cycle and categorized into four ethnic groups: White, African-American (AA), Mexican-/Hispanic-American (MHA), and Asian-American (AsA). AL was calculated using 10 biomarkers representing the regulatory status of cardiovascular, metabolic, and immune systems. Poisson regression analyses produced age-education-adjusted prevalence ratios (PRs) of AL stratified by gender, and age-adjusted PRs stratified by both gender and education. Results: Adjusting for age and education, AA women had the highest PRs (1.59) in the study, and AsA men had the highest PR (1.4) among men. Stratifying by both gender and education, highlighted the heterogeneity of effect that educational attainment has on the AL of each ethnicity by gender. Conclusions: Complex relationships exist between gender, ethnicity, education, and allostatic load that underscore the extensive impact of social disparities on health and socioeconomic security, and highlight the need for disaggregation of ethnic subgroups to better understand these relationships.
dcterms.extent37 pages
dcterms.languageen
dcterms.publisherUniversity of Hawai'i at Manoa
dcterms.rightsAll UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dcterms.typeText
local.identifier.alturihttp://dissertations.umi.com/hawii:11184

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