Does childhood health affect chronic morbidity in later life?
Does childhood health affect chronic morbidity in later life?
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DOI：
10.1016/s0277-9536(00)00230-6
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发表时间：
2001-04-01
影响因子：
5.4
通讯作者：
Crimmins, EM
中科院分区：
文献类型：
--
作者：
Blackwell, DL;Hayward, MD;Crimmins, EM
我们的分析考察了儿童健康是否会对慢性发病率产生长期和持久的影响。作为这一分析的一部分，我们解决了文献中关注的两个方法论问题。成年身高是否可以替代儿童的健康经验，在以后的生活中模拟慢性疾病？如果不考虑儿童的健康状况，成年人的社会经济地位对慢性病的影响是否被高估了？该分析基于健康与退休研究第三波的一个专题模块，该研究是1996年对55岁至65岁的美国人进行的具有代表性的调查。我们的结果支持这样一种假设，即儿童时期健康状况不佳会增加晚年的发病率。这种关联被发现与癌症、肺部疾病、心血管疾病和关节炎/风湿病有关。面对成人和儿童社会经济地位的统计控制，这些关联非常持久。没有发现支持使用成人身高作为儿童健康经历的影响的代理。此外，当儿童健康被排除在解释性模型之外时，成人社会经济地位的影响并没有被高估。我们的结果表明，以在整个生命周期内实现健康最大化为前提的综合卫生保健政策的重要性。(C)2001爱思唯尔科学有限公司。保留所有权利。
Our analysis examines whether childhood health has long-term and enduring consequences for chronic morbidity. As a part of this analysis, we address two methodological issues of concern in the literature. Is adult height a surrogate for childhood health experiences in modeling chronic disease in later life? And, are the effects of adult socioeconomic status on chronic disease overestimated when childhood health is not accounted for? The analysis is based on a topical module to the third wave of the Health and Retirement Study, a representative survey of Americans aged 55-65 in 1996. Our results support the hypothesis that poor childhood health increases morbidity in later life. This association was found for cancer, lung disease, cardiovascular conditions, and arthritis/rheumatism. The associations were highly persistent in the face of statistical controls for both adult and childhood socioeconomic status. No support was found for using adult height as a proxy for the effects of childhood health experiences. Further, the effects of adult socioeconomic status were not overestimated when childhood health was excluded from the explanatory models. Our results point to the importance of an integrated health care policy based on the premise of maximizing health over the entire life cycle. (C) 2001 Elsevier Science Ltd. All rights reserved.