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ent.Level of Evidence 2. The present study examines the association of disproportionate social support (the relative balance of support given versus received) on metabolic and inflammatory outcomes and whether effects vary by socioeconomic context. We enrolled a sample of 307 parental caregivers living with a child with a chronic illness. Parents were assessed on four dimensions of social support emotional support received, instrumental support received, emotional support given, and instrumental support given. Disproportionate social su