Impact of childhood and adulthood socioeconomic position on cause specific mortality: the Oslo Mortality Study
Impact of childhood and adulthood socioeconomic position on cause specific mortality: the Oslo Mortality Study
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DOI：
10.1136/jech.57.1.40
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发表时间：
2003-01-01
影响因子：
6.3
通讯作者：
Thelle, D
中科院分区：
文献类型：
--
作者：
Claussen, B;Smith, GD;Thelle, D
目的：研究儿童和成人社会环境对成人特定死亡原因的影响。设计：将1960年的住房状况普查数据和1990年的个人登记收入数据与1990-94年的死亡登记数据联系起来，计算1960年的住房条件和1990年的家庭收入的相对不平等指数。研究对象：1990年奥斯陆31-50岁的128723名居民。主要结果：成人死亡率与儿童和成年社会环境密切相关。与成年社会环境相比，儿童心血管疾病死亡率与儿童的相关性更强，而精神疾病和意外/暴力死亡率的相关性则相反。男性吸烟相关癌症死亡率与成年期和儿童期社会环境有关，但与成人社会环境的相关性更强。结论：儿童社会环境对成年后心血管疾病的风险有重要影响。挪威过去二十年来出现的儿童贫困现象目前的增加可能预示着未来成人健康方面的不利趋势。
Objective: To study the impact of childhood and adulthood social circumstances on cause specific adult mortality.Design: Census data on housing conditions from 1960 and Personal Register income data for 1990 were linked to 1990-94 death registrations, and relative indices of inequality were computed for housing conditions in 1960 and for household income in 1990.Participants: The 128 723 inhabitants in Oslo aged 31-50 years in 1990.Main results: Adulthood mortality was strongly associated with both childhood and adulthood social circumstances among both men and women. Cardiovascular disease mortality was more strongly associated with childhood than with adulthood social circumstances, while the opposite was found for psychiatric and accidental/violent mortality. Smoking related cancer mortality was related to both adulthood and childhood social circumstances in men, but considerably more strongly to adult social circumstances.Conclusions: Childhood social circumstances have an important influence on cardiovascular disease risk in adulthood. Current increases in child poverty that have been seen in Norway over the past two decades could herald unfavourable future trends in adult health.