期刊
JOURNAL OF AGING AND HEALTH
卷 34, 期 6-8, 页码 794-806出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/08982643211064723
关键词
activities of daily living; cumulative disadvantage; life course epidemiology; successful aging; childhood adversity
资金
- Wayne State University
- National Institute on Aging [U01AG009740]
This study examines the association between childhood disadvantage and later-life functional status and identifies mediating factors. The results show that childhood disadvantage, including low socioeconomic status, chronic diseases, impairments, and risky adolescent behaviors, is associated with an increased risk of functional disability in adulthood. Adult health behaviors and socioeconomic status partially mediate these effects.
Objectives To examine whether childhood disadvantage is associated with later-life functional status and identify mediating factors. Methods Unique and additive effects of five childhood domains on functional status were assessed at baseline (2006) and over time (2006-2016) in a sample of 13,894 adults from the Health and Retirement Study (>50 years). Adult health behaviors and socioeconomic status (SES) were tested as mediators. Results Respondents exposed to multiple childhood disadvantages (OR = .694) as well as low childhood SES (OR = .615), chronic diseases (OR = .694), impairments (OR = .599), and risky adolescent behaviors (OR = .608) were less likely to be free of functional disability by baseline. Over time, these unique and additive effects of childhood disadvantage increased the hazard odds of eventually developing functional disability (e.g., additive effect: hOR = 1.261). Adult health behaviors and SES mediated some of these effects. Discussion Given the enduring effects of childhood disadvantage, policies to promote healthy aging should reduce exposure to childhood disadvantage.
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