Neighborhood Socioeconomic Deprivation and Allostatic Load: A Scoping Review

Residing in socioeconomically deprived neighborhoods may pose substantial physiological stress, which can then lead to higher allostatic load (AL), a marker of biological wear and tear that precedes disease. The aim of the present study was to map the current evidence about the relationship between...

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Bibliographic Details
Published in:International journal of environmental research and public health 2018-05, Vol.15 (6), p.1092
Main Authors: Ribeiro, Ana Isabel, Amaro, Joana, Lisi, Cosima, Fraga, Silvia
Format: Article
Language:English
Subjects:
Adults
Alcohol
Allostasis
Bias
Biomarkers
Black people
Chronic illnesses
Citation management software
Cross-Sectional Studies
Deprivation
Disease
Environmental stress
Food
Gender differences
Health care
Humans
Metabolism
Minority & ethnic groups
Mortality
Neighborhoods
Outdoor air quality
Pathogenesis
Physiology
Poverty Areas
Public health
Rangefinding
Residence Characteristics
Review
Reviews
Social Determinants of Health
Social interactions
Socioeconomic factors
Socioeconomics
Stress (physiology)
Stress, Physiological
Studies
Systematic review
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Summary:Residing in socioeconomically deprived neighborhoods may pose substantial physiological stress, which can then lead to higher allostatic load (AL), a marker of biological wear and tear that precedes disease. The aim of the present study was to map the current evidence about the relationship between neighborhood socioeconomic deprivation and AL. A scoping review approach was chosen to provide an overview of the type, quantity, and extent of research available. The review was conducted using three bibliographic databases (PubMed, SCOPUS, and Web of Science) and a standardized protocol. Fourteen studies were identified. Studies were predominantly from the USA, cross-sectional, focused on adults, and involved different races and ethnic groups. A wide range of measures of AL were identified: the mode of the number of biomarkers per study was eight but with large variability (range: 6⁻24). Most studies ( = 12) reported a significant association between neighborhood deprivation and AL. Behaviors and environmental stressors seem to mediate this relationship and associations appear more pronounced among Blacks, men, and individuals with poor social support. Such conclusions have important public health implications as they enforce the idea that neighborhood environment should be improved to prevent physiological dysregulation and consequent chronic diseases.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph15061092