Intragenerational social mobility and depressive symptoms. Results from the French CONSTANCES cohort study
Intragenerational social mobility and depressive symptoms. Results from the French CONSTANCES cohort study
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DOI：
10.1016/j.ssmph.2019.100351
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发表时间：
2019-04-01
影响因子：
4.7
通讯作者：
Wahrendorf, Morten
中科院分区：
文献类型：
--
作者：
Hoven, Hanno;Siegrist, Johannes;Wahrendorf, Morten
背景：为了进一步解释较低的社会经济地位与健康不良风险增加之间的关联，研究开始在分析中考虑生命过程条件，包括以前的职业职位和社会流动模式。我们描述了代内社会流动的模式，并调查了它们与抑郁症状的关系。方法：我们使用法国CONSTANCES研究的数据，这是一个基于人群的队列，并将样本限制在45岁至60岁的人。基于详细的回溯数据和关于受访者职业地位的年度信息，我们评估了两个时期的典型社会阶层--成年早期(25-34岁)和成年中期(35-44岁)。抑郁症状由流行病学研究中心抑郁量表(CES-D)使用性别分界点进行测量。结果：我们的研究显示，大多数受访者仍在稳定的工作生涯中，但与社会经济地位较高的参与者相比，这些职业的频率较低。与早先的几个发现相反，我们发现，一旦考虑了原籍和目的地的社会地位，我们就没有观察到代内社会流动过程与健康之间的独立联系。然而，我们的发现证实了抑郁症状在稳定职业生涯中的患病率存在社会梯度。结论：我们的发现强调了将数据整合到对整个劳动力市场参与历史中社会流动过程的起点和终点进行分析的重要性。
Background: To further explain the association between low socioeconomic position and increased risk of poor health, research started to consider life course conditions, including previous occupational positions and patterns of social mobility in the analysis. We describe patterns of intragenerational social mobility and investigate their associations with depressive symptoms.Methods: We use data from the French CONSTANCES study, a population-based cohort and restrict the sample to people aged 45 to 60. Based on detailed retrospective data with annual information on respondents' occupational position, we assess the modal social class for two time periods - early adulthood (age 25-34) and mid-adulthood (age 35-44). Depressive symptoms are measured by the Centre for Epidemiologic Studies Depression Scale (CES-D), using sex-specific cut-points.Results: Our study reveals that most respondents remained in stable working careers, but these careers were less frequent amongst participants with lower socioeconomic positions compared with higher ones. In contrast to several earlier findings we observe no independent associations of intragenerational social mobility processes and health once the social positions of origin and destination are considered. However, our findings confirm a social gradient in the prevalence of depressive symptoms for stable working careers.Conclusions: Our findings underline the importance of integrating data into analysis on starting and ending points of social mobility processes within entire histories of labor market participation.