Low socioeconomic status is correlated with a greater vulnerability to both chemical and non-chemical stressors, however, there is limited research on how socioeconomic status relates to the human gut microbiome, and subsequent associations with downstream health outcomes. Here, we aimed to examine associations between neighborhood level economic hardship, an indicator of overall cumulative risk, gut microbiome composition and additional cofactors that might be involved in this association including diet quality and food insecurity. We conducted a cross-sectional analysis of 721 adults living in geographically diverse (urban vs. rural) regions of Wisconsin (United States). 16S rRNA gene amplicons were analyzed from human stool samples using QIIME2 to evaluate both the composition and diversity of the gut microbiotas from 721 participants. Next, we determined correlations with each individual’s neighborhood score for socioeconomic status, or Economic Hardship Index (EHI), using simple and zero-inflated negative binomial regression models. Our model of EHI, with alpha diversity (Inverse-Simpson) as an outcome, found a correlation (β= 1.68, p=0.03) that it is partially mediated by food insecurity (p= 0.02). Moreover, we found differential abundances of known health-associated bacteria including members of the genera Bifidobacterium and Akkermansia, and the family Ruminococaceae between high and low levels of EHI that were robust to correction for multiple comparisons. Finally, we discovered a higher prevalence (p=0.03) and number (p=0.02) of multi-drug resistant bacteria isolated from individuals with low alpha-diversity and high EHI. Our analyses suggest that living in low socioeconomic communities is associated with lower gut microbial diversity and potential increase in colonization by multi-drug resistant microbial pathogens. Mediation of associations by food insecurity is consistent with previous work from our group examining impacts of metal exposures on gut microbiome dysbiosis indicating dietary factors play an important role in mitigating environmental influences on gut microbial diversity.
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