Do intersecting identities structure social contexts to influence life course health? The case of school peer economic disadvantage and obesity.
Do intersecting identities structure social contexts to influence life course health? The case of school peer economic disadvantage and obesity.
复制标题
DOI：
10.1016/j.socscimed.2021.114424
复制
发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
McDade T
中科院分区：
文献类型：
--
作者：
Polos J;Koning S;McDade T
近几十年来，将社会背景指标与健康结果联系起来的学术研究有所增加，但个人的交叉身份在构建社会背景以影响健康方面的作用仍不清楚。在现有的交叉框架的基础上，我们概念化了这如何通过社会关系发生。然后，我们应用这个框架来分析青少年同伴社会背景劣势是否会因个人性别、种族和早期收入而异质地影响一生中的肥胖。我们采取生命全程方法，因为青春期是社会发展和成人肥胖发展的敏感时期。在我们的分析中，我们使用来自国家青少年到成人健康纵向研究的队列数据，并利用青少年同龄人的准实验变异来解决先前观察性研究中常见的偏差来源。我们发现，在青少年时期来自低收入家庭的黑人男性中，青少年同伴经济劣势与成人肥胖之间存在很强的负相关关系，并且随着时间的推移，这种关系会增强。相比之下，在不同青少年家庭收入水平的黑人女性中，我们发现青少年同龄人的经济劣势与肥胖之间存在很强的正相关关系，这种关系随着女性高中毕业并持续到中年而出现。在非黑人女性中，同伴劣势与肥胖之间存在较为温和的正相关关系。在非黑人男性中，我们没有发现任何关系。这些不同的模式表明，青少年同伴经济劣势影响健康的途径可能会有所不同，或根据交叉的种族、性别和社会经济身份产生不同的影响。这种异质效应为更好地理解成人健康的社会生命历程决定因素和解决不平等问题提供了新的见解和未来方向。
Scholarship linking social contextual measures to health outcomes has grown in recent decades, but the role of individuals’ intersecting identities in structuring social contexts to influence health remains unclear. Building on an existing intersectionality framework, we conceptualize how this may occur through social relationships. Then, we apply this framework to analyze whether adolescent peer social contextual disadvantage influences life-course obesity heterogeneously by individual gender, race, and early-life income. We take a life course approach as adolescence is a sensitive period for both social development and adult obesity development. In our analysis, we use cohort data from the National Longitudinal Study of Adolescent to Adult Health and leverage quasi-experimental variation in adolescent peers to addresses common sources of bias in prior observational studies. We find that among Black men from lower-income households in adolescence, there is a strong negative relationship between adolescent peer economic disadvantage and adult obesity that strengthens over time. By contrast, among Black women across adolescent household income levels, we find a strong positive relationship between adolescent peer economic disadvantage and obesity that emerges as women leave high school and endures into mid-adulthood. Among non-Black women, a more modest positive relationship appears between peer disadvantage and obesity. Among non-Black men, we find no relationship. These diverging patterns suggest that the pathways through which adolescent peer economic disadvantage influences health may differ or produce differential effects based on intersecting race, gender, and socioeconomic identities. Such heterogenous effects offer new insights, and future directions, for better understanding social life-course determinants of adult health and addressing inequities.
登录
查看更多内容
影响因子：
4.8
作者：
Alvarado, Steven Elias
通讯作者：
Alvarado, Steven Elias
影响因子：
6.1
作者：
Fletcher, Jason M.
通讯作者：
Fletcher, Jason M.
影响因子：
8
作者：
Barlow, SE;Dietz, WH
通讯作者：
Dietz, WH
影响因子：
10.5
作者：
Elwert F;Winship C
通讯作者：
Winship C
影响因子：
4.8
作者：
Goosby, Bridget J.;Walsemann, Katrina M.
通讯作者：
Walsemann, Katrina M.