Allosatic load and its relationship with socioeconomic health disparities

doi:10.3724/SP.J.1042.2018.01475

Abstract

Abstract:

Individuals with lower socioeconomic status (SES) are exposed to more stressful events but have less coping resources compared to those on higher ranks. They are hence more prone to a variety of diseases from the fetus to the elderly. Allostatic load (AL) provides an effective index to such cumulative effect of chronic stress on interconnected biological systems. Research revealed that AL is sensitive to changes in SES. The moderating and mediating factors between SES and AL include environmental risks, social support, psychological characteristics and life style. We propose that investigations on AL may shed light into understanding and intervention of disadvantaged populations in China.

Key words: allostatic load, socioeconomic status, stress, physical and mental health

CLC Number:

YANG Yang, SUN Ling, ZHANG Hongchuan, HUANG Silin, ZHU Xiao. Allosatic load and its relationship with socioeconomic health disparities[J]. Advances in Psychological Science, 2018, 26(8): 1475-1487.

Figures/Tables 2

References 101

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系统		指标	等级
神经内分泌系统	中枢神经系统(CNS)	海马、杏仁核、前额叶皮层
	HPA轴	皮质醇、脱氢表雄酮(DHEA-S)	一级
	SAM轴	肾上腺素、去甲肾上腺素	一级
	副交感神经系统	心率变异性指标(HRV)：全部窦性心搏RR间期(SDRR)、相邻RR间期差值均方根(RMSSD)	二级
免疫系统	细胞介素	白细胞介素-6 (IL-6)、肿瘤坏死因子-α、胰岛素样生长因子-10	一级
	亚临床指标	C反应蛋白(CRP)、纤维蛋白原	二级
心血管系统		收缩压(SBP)、舒张压(DBP)、心率	二级
新陈代谢系统		高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、甘油三酯、糖化血红蛋白(HbA1c)、葡萄糖、胰岛素、白蛋白、肌酸酐、同型半胱胺酸	二级
人体测量学指标		腰臀围比, 身体质量指数(BMI)	二级

系统		指标	等级
神经内分泌系统	中枢神经系统(CNS)	海马、杏仁核、前额叶皮层
	HPA轴	皮质醇、脱氢表雄酮(DHEA-S)	一级
	SAM轴	肾上腺素、去甲肾上腺素	一级
	副交感神经系统	心率变异性指标(HRV)：全部窦性心搏RR间期(SDRR)、相邻RR间期差值均方根(RMSSD)	二级
免疫系统	细胞介素	白细胞介素-6 (IL-6)、肿瘤坏死因子-α、胰岛素样生长因子-10	一级
	亚临床指标	C反应蛋白(CRP)、纤维蛋白原	二级
心血管系统		收缩压(SBP)、舒张压(DBP)、心率	二级
新陈代谢系统		高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、甘油三酯、糖化血红蛋白(HbA1c)、葡萄糖、胰岛素、白蛋白、肌酸酐、同型半胱胺酸	二级
人体测量学指标		腰臀围比, 身体质量指数(BMI)	二级

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