Stacy S. Drury

Tulane University

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Robert R. Althoff

University of Vermont

Douglas K. Novins

University of Colorado Anschutz Medical Campus

Tonya White

National Institute of Mental Health

Samuele Cortese

University of Southampton

Jean A. Frazier

University of Massachusetts Chan Medical School

Schuyler W. Henderson

New York University

Elizabeth McCauley

Yale University

Katherine P. Theall

Tulane University

Charles H. Zeanah

Tulane University

John Francis McDermott

Midwestern University

Cooperative Institutions

Tulane University

193

Harvard University

134

Ibero American University

Johns Hopkins University

National Institutes of Health

Columbia University

Regeneron (United States)

University of California, Los Angeles

Massachusetts General Hospital

Emory University

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The interaction of socioeconomic stress and race on telomere length in children: A systematic review and meta-analysis

SSM - Population Health (2023)

Mariza Francis Alyssa R. Lindrose Samantha O’Connell Renee I. Tristano Cecile McGarvey

Proposed mechanisms relating early life exposures to poor health suggest that biologic indicators of risk are observable in childhood. Telomere length (TL) is a biomarker of aging, psychosocial stress, and a range of environmental exposures. In adults, exposure to early life adversity, including low socioeconomic status (SES), is predictive of shorter TL. However, results in pediatric populations have been mixed. Defining the true relation between TL and SES in childhood is expected to enhance the understanding of the biological pathways through which socioeconomic factors influence health across the life span.The aim of this meta-analysis was to systematically review and quantitatively assess the published literature to better understand how SES, race, and TL are related in pediatric populations.Studies in the United States in any pediatric population with any measure of SES were included and identified through the following electronic databases: PubMed, EMBASE, Web of Science, Medline, Socindex, CINAHL, and Psychinfo. Analysis utilized a multi-level random-effects meta-analysis accounting for multiple effect sizes within a study.Thirty-two studies were included with a total of 78 effect sizes that were categorized into income-based, education-based, and composite indicators. Only three studies directly tested the relation between SES and TL as the primary study aim. In the full model, there was a significant relation between SES and TL (r = 0.0220 p = 0.0286). Analysis by type of SES categorization identified a significant moderating effect of income on TL (r = 0.0480, 95% CI: 0.0155 to 0.0802, p = 0.0045) but no significant effect for education or composite SES.There is an overall association between SES and TL that is predominately due to the association with income-based SES measures implicating income disparities as a key target for efforts to address health inequity across the life span. Identification of associations between family income and biological changes in children that predict life-span health risk provides key data to support public health policies addressing economic inequality in families and presents a unique opportunity to assess the effect of prevention efforts at the biologic level.

CINAHL

10.1016/j.ssmph.2023.101380

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Citations (5)

In This Issue/Abstract Thinking: How Much Do We Really Know?

Journal of the American Academy of Child & Adolescent Psychiatry (2010)

Stacy S. Drury

Neurocognitive

10.1016/j.jaac.2009.10.002

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Citations (4)

Adverse Childhood Experiences: Implications for Offspring Telomere Length and Psychopathology

American Journal of Psychiatry (2019)

Kyle Esteves Christopher W. Jones Mark Wade Keegan Callerame Alicia K. Smith

Adverse childhood experiences (ACEs) are associated with mental and physical health risks that, through biological and psychosocial pathways, likely span generations. Within an individual, telomere length (TL), an established marker of cellular stress and aging, is associated with both ACE exposure and psychopathology, providing the basis for an emerging literature suggesting that TL is a biomarker of the health risks linked to early-life adversity both within and across generations. The authors tested the effect of maternal ACEs on both the trajectory of infant TL and infant social-emotional problems at 18 months of age.

Adverse Childhood Experiences

10.1176/appi.ajp.2019.18030335

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Citations (64)

Evaluating physiologic outcomes of music interventions in the neonatal intensive care unit: a systematic review

Journal of Perinatology (2020)

Sophia Foroushani Cade A. Herman Carlie A. Wiseman Chandler M. Anthony Stacy S. Drury

Music Therapy

10.1038/s41372-020-0756-4

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Citations (21)

Revisiting the Application of an Adult Kidney Failure Risk Prediction Equation to Children With CKD

American Journal of Kidney Diseases (2022)

Gayathri Menon Christopher B. Pierce Derek K. Ng Sahar Fathallah-Shaykh Anjali Nayak

10.1053/j.ajkd.2022.11.004

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Citations (3)

Recovering From Early Deprivation: Attachment Mediates Effects of Caregiving on Psychopathology

Journal of the American Academy of Child & Adolescent Psychiatry (2012)

Lucy McGoron Mary Margaret Gleason Anna T. Smyke Stacy S. Drury Charles A. Nelson

Maternal deprivation

10.1016/j.jaac.2012.05.004

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Citations (130)

Genetic sensitivity to the caregiving context: The influence of 5httlpr and BDNF val66met on indiscriminate social behavior

Physiology & Behavior (2011)

Stacy S. Drury Mary Margaret Gleason Katherine P. Theall Anna T. Smyke Charles A. Nelson

10.1016/j.physbeh.2011.11.014

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Citations (115)

A case study in leveraging strategic partnerships through trust‐based philanthropy

Journal of Philanthropy and Marketing (2024)

Nora L. Jones A. L. Epstein Megan Bair‐Merritt Stacy S. Drury Lindsay Farrington

Abstract This practice note highlights a case study of leveraging strategic partnerships through trust‐based philanthropy, a set of practices rooted in values, relationship building, mutual learning, and equity. It describes the motivations, planning, and execution of a symposium organized by, and held for, a Foundation and four of its grantees. The symposium led to the development of sustained pathways between and among the partners, resulting in productive collaborations and shared projects. This case study is shared to illustrate the argument that it is the responsibility of funders, and certainly in their self‐interest, to eliminate competition between organizations to whom they provide financial resources and support. By facilitating trust and collaboration, funders are uniquely positioned to foster collective, higher‐impact work.

Strategic partnership

10.1002/nvsm.1835

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Citations (1)

Unraveling the Meaning of Telomeres for Child Psychiatry

Journal of the American Academy of Child & Adolescent Psychiatry (2015)

Stacy S. Drury

10.1016/j.jaac.2015.04.009

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Citations (6)

Acknowledgments

Biological Psychiatry (2017)

Kristoffer Aberg Jose F. Abisambra Dean T. Acheson Michael Adamaszek Thomas Grover

10.1016/j.biopsych.2017.05.003

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Citations (0)