Francisco Ramos-Gomez, Stephanie Parkinson, Victor Garcia de Jesus, Jose A Rios, Janni J Kinsler
Pediatric Oral Health Online Education for Rural and Migrant Head Start Programs in the United States
International journal of environmental research and public health
african american aa women navigate world multiple intersecting marginalized identities accordingly aa women higher cumulative stress burden allostatic load al compared women studies suggest aa women college degree higher lower al aa women less high school diploma examined joint effect educational attainment al status longterm risk cancer mortality whether education moderated association al cancer mortality performed retrospective analysis among 4677 aa women within national health nutrition examination survey nhanes 1988 2010 followup data december 31 2019 fit weighted cox proportional hazards models estimate adjusted hazard ratios ahrs cancer death educational attainmental adjusted age income smoking status 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 effect attenuated ageadjusted hr 111 95 ci 045274 aa women high al 23fold increased risk cancer death fully adjusted hr 226 95 ci 110457 compared aa low al specifically among women high school diploma equivalent without history cancer findings suggest high allostatic load associated higher risk cancer mortality among aa women lower educational attainment association observed among aa women higher educational attainment thus educational attainment plays modifying role relationship allostatic load risk cancer death aa women higher education bring several benefits including improved access medical care enhanced medical literacy turn may help mitigate adverse impact al heightened risk cancer mortality among aa women