期刊
SEMINARS IN NEPHROLOGY
卷 33, 期 5, 页码 468-475出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.semnephrol.2013.07.008
关键词
Race; poverty; chronic kidney disease; socioeconomic status; social determinants; African Americans
资金
- Amos Medical Faculty Development Program of the Robert Wood Johnson Foundation (Princeton, NJ)
- National Institute of Diabetes and Digestive and Kidney Diseases [K24DK02643]
African Americans suffer disproportionately from advanced and progressive chronic kidney disease (CKD). Socioeconomic factors are believed to play an important role in this disparity, and likely influence African Americans' increased risk of CKD through multiple pathways. Low socioeconomic status (SES) may contribute to racial disparities in CKD because of the greater prevalence of poverty, for example, among African Americans as compared with whites. However, low SES has a stronger relation with CKD among African Americans than among whites, underscoring that the context and magnitude of socioeconomic influences on CKD outcomes varies between these populations. These socioeconomic influences may produce new or potentiate existing racial differences in biology. This review discusses what is known about the role of SES in explaining racial disparities in CKD, highlights several knowledge gaps in this area, and suggests future directions toward the elimination of disparities in CKD. (C) 2013 Elsevier Inc. All rights reserved.
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