Childhood socioeconomic status and adult health
Childhood socioeconomic status and adult health
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DOI：
10.1111/j.1749-6632.2009.05334.x
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发表时间：
2010-01-01
期刊：
影响因子：
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通讯作者：
Matthews, Karen A.
中科院分区：
文献类型：
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作者：
Cohen, Sheldon;Janicki-Deverts, Denise;Matthews, Karen A.
儿童时期的社会经济地位（SES）暴露是成人心血管发病率、心血管死亡率、全因死亡率和一系列特定原因导致的死亡率的有力预测因素。然而，我们仍然不知道什么时候儿童SES暴露最重要，他们需要持续多久，什么行为，心理或生理途径将儿童SES体验与成人健康联系起来，以及哪些特定的成人健康结果易受儿童SES暴露的影响。在这里，我们讨论的证据支持儿童和青少年SES和成人健康之间的联系，并探讨不同的环境，行为和生理途径，可以解释如何早期SES会影响成人健康。我们还讨论了SES暴露对设定成人健康轨迹最重要的年龄，以及暴露持续时间在SES对后期健康的影响中的作用。虽然儿童早期暴露似乎是一系列健康结果的有力预测因素，但我们强调，儿童后期和青少年暴露是其他健康结果的风险。
Socioeconomic status (SES) exposures during childhood are powerful predictors of adult cardiovascular morbidity, cardiovascular mortality, all-cause mortality, and mortality due to a range of specific causes. However, we still know little about when childhood SES exposures matter most, how long they need to last, what behavioral, psychological, or physiological pathways link the childhood SES experience to adult health, and which specific adult health outcomes are vulnerable to childhood SES exposures. Here, we discuss the evidence supporting the link between childhood and adolescent SES and adult health, and explore different environmental, behavioral, and physiological pathways that might explain how early SES would influence adult health. We also address the ages when SES exposures matter most for setting adult health trajectories as well as the role of exposure duration in SES influences on later health. While early childhood exposures seem to be potent predictors of a range of health outcomes, we emphasize that later childhood and adolescent exposures are risks for other health outcomes.