期刊
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
卷 75, 期 6, 页码 1312-1325出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/geronb/gbaa036
关键词
Cumulative advantage/disadvantage; Early origins of health; Life-course analysis; Self-rated health
资金
- Swiss National Centre of Competence in Research LIVES - Overcoming vulnerability: Life course perspectives - Swiss National Science Foundation [51NF40-160590]
- Swiss National Science Foundation
- Ambizione grant from the Swiss National Science Foundation (SNSF) [PZ00P1_180040]
- European Union's Horizon 2020 Research and Innovation Programme under the Marie Sklodowska-Curie Grant [676060]
Objectives: This study aimed to examine the cumulative disadvantage of different forms of childhood misfortune and adult-life socioeconomic conditions (SEC) with regard to trajectories and levels of self-rated health in old age and whether these associations differed between welfare regimes (Scandinavian, Bismarckian, Southern European, and Eastern European). Method: The study included 24,004 respondents aged 50-96 from the longitudinal SHARE survey. Childhood misfortune included childhood SEC, adverse childhood experiences, and adverse childhood health experiences. Adult-life SEC consisted of education, main occupational position, and financial strain. We analyzed associations with poor self-rated health using confounder-adjusted mixed-effects logistic regression models for the complete sample and stratified by welfare regime. Results: Disadvantaged respondents in terms of childhood misfortune and adult-life SEC had a higher risk of poor self-rated health at age 50. However, differences narrowed with aging between adverse-childhood-health-experiences categories (driven by Southern and Eastern European welfare regimes), categories of education (driven by Bismarckian welfare regime), and main occupational position (driven by Scandinavian welfare regime). Discussion: Our research did not find evidence of cumulative disadvantage with aging in the studied life-course characteristics and age range. Instead, trajectories showed narrowing differences with differing patterns across welfare regimes.
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