SES differentials in health by age and alternative indicators of SES

SES differentials in health by age and alternative indicators of SES
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DOI:
10.1177/089826439600800304
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发表时间:
1996-08-01
影响因子:
2.8
通讯作者:
House, JS
House, JS
中科院分区:
医学3区
文献类型:
--
作者:
Robert, S;House, JS

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尽管美国健康方面的社会经济地位(SES)差异普遍持续存在,甚至有所增加,但研究表明,随着年龄的增长,社会经济地位(SES)的健康差异可能会减少或变得不存在。然而,大多数研究仅使用了有限的社会经济地位指标(例如教育、收入),并且没有彻底调查这一趋势中老年人内部的年龄差异。当前的研究调查了美国社会经济地位的健康差异如何随年龄变化,使用相当详细的年龄类别(85岁以上),以及社会经济地位的一个主要附加维度(金融资产)的两个替代指标(住房所有权和流动资产),这在老年人中可能尤其重要。我们讨论(a)金融资产与健康的关联程度,无论是单独考虑还是扣除教育和收入; (b) 金融资产对健康的影响是否因年龄而异;更具体地说,(c) 如果它们的影响在老年时尤其明显,则再次单独考虑,并考虑教育和收入的净值或相对于教育和收入的影响。结果表明,金融资产,尤其是流动资产,无论是单独考虑还是扣除教育和收入,都与整个成年期和老年期的健康相关,至少直到 85 岁以上。此外,直到晚年,金融资产仍然与健康相关,并且对于某些健康指标来说,相对于老年的教育和收入而言,金融资产变得更加重要。
Despite the general persistence and even increase of strong socioeconomic status (SES) differentials in health in the United States, research suggests that SES differentials in health may diminish or become nonexistent at older ages. However, most research has used only limited measures of SES (e.g. education, income), and has not thoroughly investigated intra-elderly age differences in this trend The current study investigates how SES differentials in health vary by age in the United States, using fairly detailed age categories (through ages 85+), and 2 alternative indicators (home ownership and liquid assets) of a major additional dimension of SES, financial assets, which may be especially important at older ages. We address (a) how strongly financial assets are associated with health, considered both alone and net of education and income; (b) if the health effects of financial assets vary by age; and, more specifically, (c) if their effects are especially pronounced in older age, again considered both alone and net of or relative to education and income. Results show that financial assets, especially liquid assets, considered both alone and net of education and income, are associated with health throughout adulthood and old age, at least until ages 85+. Furthermore, financial assets remain associated with health until quite late in life and become more important relative to education and income at older ages for some measures of health.