Time on my side? Life course trajectories of poverty and health

Time on my side? Life course trajectories of poverty and health
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DOI:
10.1016/j.socscimed.2005.03.021
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发表时间:
2005-10-01
影响因子:
5.4
通讯作者:
Wiggins, RD
Wiggins, RD
中科院分区:
医学2区
文献类型:
--
作者:
McDonough, P;Sacker, A;Wiggins, RD

文献摘要

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本研究考察了贫困与健康之间的关系。随着时间对于形成贫穷或不贫穷的经验具有重要意义的论点以及越来越多的证据表明长期贫困模式的异质性,我们调查了不同类型的贫困是否对长期健康有不同的后果。利用1968-1996年美国收入动态数据小组研究的年度波的数据,我们估计一个一般的增长混合模型来评估贫困和健康的纵向课程之间的关系。该模型允许我们首先估计数据中的潜在贫困阶层,然后确定其对潜在自测健康的影响。数据显示,长期贫困模式有四种类型:稳定非贫困、退出贫困、进入贫困和稳定贫困。这些不同类型的贫困以不同的方式影响自我评估的健康轨迹,但与年龄、教育和种族相结合,造成初始健康状况的差距,这种差距随着时间的推移而保持不变。(c)2005爱思唯尔有限公司保留所有权利。
This study examines the relationship between poverty and health in time. Following the argument that time is significant for shaping the experience of being poor or not poor and growing evidence of heterogeneity in long-term patterns of poverty, we investigate whether different kinds of poverty have distinct consequences for long-term health. Using data from the 1968-1996 annual waves of the United States Panel Study of Income Dynamics Data, we estimate a general growth mixture model to assess the relationship between the longitudinal courses of poverty and health. The model allows us to first estimate latent poverty classes in the data and then determine their effects on latent self-rated health. Four types of long-term poverty patterns characterized as stable nonpoor, exiting poverty, entering poverty and stable poor were evident in the data. These different kinds of poverty affected self-rated health trajectories in distinct ways, but worked in concert with age, education and race to create gaps in initial health status that were constant over time. (c) 2005 Elsevier Ltd. All rights reserved.