The impact of childhood and adult SES on physical, mental, and cognitive well-being in later life

The impact of childhood and adult SES on physical, mental, and cognitive well-being in later life
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DOI:
10.1093/geronb/60.2.s93
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发表时间:
2005-03-01
影响因子:
6.2
通讯作者:
Waite, LJ
Waite, LJ
中科院分区:
医学1区
文献类型:
--
作者:
Luo, Y;Waite, LJ

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目的:研究社会经济地位(SES)和健康之间的关系,在整个生命过程中,他们的性别和种族/ethnications.Methods的变化。样本包括19,949名受访者年龄在50岁或以上,从1998年健康和退休Study.Results.Lower童年SES与更糟糕的健康结果在以后的生活。儿童社会经济地位对成人健康的影响部分是通过儿童健康发生的。童年社会经济地位对成年后的教育和收入的影响解释了这种影响的更大份额。我们还发现,与那些有着更丰富童年经历的人相比,那些童年社会经济地位较低的人,成年社会经济地位的影响更大。此外,童年社会经济地位对妇女和男子以及白人和非白人晚年健康的影响相似。然而,大学教育似乎对妇女以后的健康更重要,而收入似乎对男子的健康更重要。教育似乎有一个较弱的影响,对成人健康的黑人和西班牙裔比white.Discussion。如果人们从儿童时期的低社会地位动员到成年后的高社会地位,那么儿童时期低社会地位的负面影响可以部分改善。
Objectives.To examine the relationships between socioeconomic status (SES) and health across the life course and their variations by gender and race/ethnicity.Methods.The sample included 19,949 respondents aged 50 or over from the 1998 Health and Retirement Study.Results.Lower childhood SES was associated with worse health outcomes in later life. Part of the effect of childhood SES on adult health occurred through childhood health. The impact of childhood SES on education and income in adulthood explained an even larger share of this effect. We also found a stronger effect of adult SES for those with lower childhood SES than for those with more advantaged childhoods. Moreover, childhood SES had a similar impact on health in later life for women and men and for Whites and non-Whites. However, college education seemed more important for women's later health, whereas income seemed more important for men's health. Education appeared to have a weaker effect on adult health for Blacks and Hispanics than for Whites.Discussion.Both childhood and adult SES are important for health. The negative impact of low childhood SES can be partially ameliorated if people from a low SES position during childhood mobilize to higher status in adulthood.