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Lifetime Trajectories and Drivers of Socioeconomic Health Disparities: Evidence from Longitudinal Biomarkers in the Netherlands

This study investigates lifetime socioeconomic health disparities through longitudinal biomarkers from the Dutch Lifelines cohort study and biobank. By constructing an allostatic load index from 12 biomarkers, we analyze the dynamics of health and its association with socioeconomic status (SES) over the life cycle. Our findings reveal that health risks linked to lower SES emerge early and precede chronic disease onset. Further analysis investigates the drivers of allostatic load and emphasizes health behaviors. Our research highlights the need for early interventions targeting SES-related health disparities and provides new insights into the physiological pathways linking SES to long-term health outcomes.

Keywords: Biomarkers; Allostatic load; Health disparity; Life cycle

Year of publication

2025

Journal

Journal of Human Resources

Author(s)

Shui, A.
van den Berg, G.J.
Mierau, J.O.
Viluma, L.

Full publication

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