Socioeconomic status and age identity: The role of dimensions of health in the subjective construction of age

Socioeconomic status and age identity: The role of dimensions of health in the subjective construction of age
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DOI:
10.1093/geronb/58.2.s101
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发表时间:
2003-03-01
影响因子:
6.2
通讯作者:
Barrett, AE
Barrett, AE
中科院分区:
医学1区
文献类型:
--
作者:
Barrett, AE

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目标.这项研究探讨了健康不平等作为年龄认同的社会经济差异的潜在解释。健康的以下方面进行了检查:比较自我评价的健康,自我评估的变化,在生理健康,前瞻性自我评价的健康,感知控制健康,慢性病,和父母的健康。健康的组成部分也探讨了作为可能的中介的年龄差异的社会经济地位对年龄identity. Methods的影响。使用美国中年发展的全国调查,年龄认同的普通最小二乘回归模型估计为25岁至74岁之间的非制度化美国人口的代表性样本(n = 2,864)。社会经济地位较低的人所拥有的较老的身份可以用他们更差的健康状况来解释,特别是与他们更富有的同龄人相比,他们对未来健康的预测更不乐观。受教育程度和经济状况的年龄认同差异在老年人中最大;然而,健康只是这些年龄模式的部分原因。这项研究表明,健康不平等塑造了老龄化的主观体验。需要使用纵向数据进行进一步的工作,以确定社会经济地位,健康和年龄认同之间的确切因果关系。
Objectives. This study examines health inequality as a potential explanation for socioeconomic differences in age identity. The following dimensions of health are examined: comparative self-rated health, self-assessed changes in physiological well-being, prospective self-rated health, perceived control over health, chronic conditions, and parents' health. Components of health also are explored as possible mediators of age differences in the effect of socioeconomic status on age identity.Methods. Using the National Survey of Midlife Development in the United States, ordinary least squares regression models of age identity are estimated for a representative sample of the noninstitutionalized U.S. population between the ages of 25 and 74 (n = 2,864).Results. The older identities held by the less socioeconomically advantaged are explained by their worse health, particularly their less favorable predictions of future health, compared with their wealthier peers. Differences in age identity by education and perceived financial well-being are greatest among older adults; however, health only partially accounts for these age patterns.Discussion. This study reveals that health inequalities shape the subjective experience of aging. Further work using longitudinal data is needed to determine the precise causal pathways linking socioeconomic status, health, and age identity.