Concurrent Social Disadvantages and Chronic Inflammation: The Intersection of Race and Ethnicity, Gender, and Socioeconomic Status

J Racial Ethn Health Disparities. 2018 Aug;5(4):787-797. doi: 10.1007/s40615-017-0424-3. Epub 2017 Aug 28.

Abstract

Disadvantaged social statuses, such as being female, poor, or a minority, are associated with increased psychosocial stress and elevated circulating concentrations of C-reactive protein, a biomarker of chronic inflammation and indicator of cardiovascular health. Individuals' experience of embodying psychosocial stress revolves around the multiplicative effects of concurrent gender, socioeconomic, and racial and ethnic identities. This study expands on prior research by examining chronic inflammation at the intersection of race and ethnicity, gender, socioeconomic status, and age group to understand which demographic subgroups in society are most vulnerable to the cumulative effects of social disadvantage. Using data from the National Health and Nutrition Examination Survey 2007-2010, the findings reveal inflammation disparities between non-poor whites and the following demographic subgroups, net of sociodemographic and biological factors: young poor Hispanic women, young poor white men, young poor and non-poor Hispanic men, middle-aged poor and non-poor black women, middle-aged poor and non-poor black men, and middle-aged poor Hispanic men. Disparities in inflammation on account of social disadvantage are most evident among those aged 45-64 years and diminish for those 65 and older in both men and women.

Keywords: Age; C-reactive protein; Gender; Inflammation; Intersectionality; Race/ethnicity.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Black or African American / statistics & numerical data*
  • Chronic Disease / epidemiology
  • Ethnicity / statistics & numerical data*
  • Female
  • Health Status Disparities*
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Inflammation / epidemiology*
  • Male
  • Middle Aged
  • Minority Groups / statistics & numerical data*
  • Nutrition Surveys / statistics & numerical data
  • Sex Factors
  • Social Class*
  • United States / epidemiology
  • Young Adult