Navjot Buttar, Sonali Rajan, Louis Klarevas, Seth J Prins, Justin Heinze, Ken Cheung, Kara E Rudolph, Monika Goyal, April Zeoli, Charles C Branas
Protocol for a nationwide case-control study of firearm violence prevention tactics and policies in K-12 schools
PloS one
background african american aa women navigate world multiple intersecting marginalized identities accordingly aa women higher cumulative stress burden allostatic load al compared women al correlates poorer health outcomes increased risk cancer death however research indicates aa women college degree higher lower al aa women less high school diploma examined whether educational attainment differences al status aa women associated longterm risk cancer mortality methods performed retrospective analysis among 4677 aa women respondents using national health nutrition examination survey nhanes data 1988 2010 follow data december 31 2019 fit cox proportional hazards models estimate adjusted hazard ratios ahrs cancer death educational attainmental adjusted age sociodemographic health factors results aa women less high school diploma living high al nearly 3fold increased risk unadjusted hr 298 95c ci 124715 cancer death compared aa college graduates living low al however adjusting age increased risk cancer death less high school diploma high al attenuated ageadjusted hr 111 95 ci 45274 conclusions differences educational attainment al aa women associated increased risk cancer mortality adjusted age previous studies shown increased allostatic load associated increased risk cancer death however african american women higher educational attainment modify risk cancer mortality benefits may come along higher education increased access medical care better medical literacy change risk cancer mortality aa women