4.5 Article

Early Social Origins of Biological Risks for Men and Women in Later Life

Journal

JOURNAL OF HEALTH AND SOCIAL BEHAVIOR
Volume 61, Issue 4, Pages 503-522

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0022146520966364

Keywords

childhood adversity; cumulative inequality; gender; health; life course; mortality

Funding

  1. National Institute on Aging [R01 AG043544]

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We investigate whether childhood exposures influence adult chronic inflammation and mortality risk via adult health characteristics and socioeconomic status (SES) and whether gender moderates these relationships. Analyzing a longitudinal national sample of 9,310 men and women over age 50, we found that childhood SES, parental behaviors, and adolescent behaviors were associated with adult chronic inflammation via health characteristics and SES in adulthood. The process of disadvantage initiated by low childhood SES (i.e., adult health risk factors, socioeconomic disadvantage, and chronic inflammation) subsequently raised mortality risk. In addition, gender moderated the mediating influence of childhood SES via unhealthy behaviors and parental behaviors via adult SES. Demonstrating how social forces shape biological health through multiple mechanisms informs health policies by identifying multiple points of intervention in an effort to reduce the lasting consequences of childhood disadvantage.

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