Social Determinants of Health and Biological Age among Diverse U.S. Adults, NHANES 2011-2018

Author:

Mesa Robert1,Llabre Maria2,Lee David1,Rundek Tatjana1,Kezios Katrina3,Hazzouri Adina Zeki Al3,Elfassy Tali1

Affiliation:

1. University of Miami Miller School of Medicine

2. University of Miami

3. Columbia University

Abstract

Abstract

We examined the sex-specific association between education and income with biological age (BA) and by race/ethnicity. The Klemera-Doubal method was used to calculate BA among 6,213 females and 5,938 males aged 30-75 years who were Hispanic, non-Hispanic (NH) White, NH Black (NHB), or NH Asian (NHA). Compared with a college education, less than a high school education was associated with greater BA by 3.06 years (95% CI: 1.58, 4.54) among females only; associations were strongest among NHB, Hispanic, and NHA females. Compared with an annual income of ≥$75,000, an income <$25,000 was associated with greater BA by 4.95 years (95% CI: 3.42, 6.48) among males and 2.76 years among females (95% CI: 1.51, 4.01); associations were strongest among NHW and NHA adults, and Hispanic males. Targeting upstream sources of structural disadvantage among racial/ethnic minority groups, in conjunction with improvements in income and education, may promote healthy aging in these populations.

Publisher

Research Square Platform LLC

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