scholarly journals The impact of life course exposures to neighbourhood deprivation on health and well-being: a review of the long-term neighbourhood effects literature

2019 ◽  
Vol 30 (5) ◽  
pp. 922-928 ◽  
Author(s):  
Stephen Jivraj ◽  
Emily T Murray ◽  
Paul Norman ◽  
Owen Nicholas

Abstract Background In this review article, we detail a small but growing literature in the field of health geography that uses longitudinal data to determine a life course component to the neighbourhood effects thesis. For too long, there has been reliance on cross-sectional data to test the hypothesis that where you live has an effect on your health and well-being over and above your individual circumstances. Methods We identified 53 articles that demonstrate how neighbourhood deprivation measured at least 15 years prior affects health and well-being later in life using the databases Scopus and Web of Science. Results We find a bias towards US studies, the most common being the Panel Study of Income Dynamics. Definition of neighbourhood and operationalization of neighbourhood deprivation across most of the included articles relied on data availability rather than a priori hypothesis. Conclusions To further progress neighbourhood effects research, we suggest that more data linkage to longitudinal datasets is required beyond the narrow list identified in this review. The limited literature published to date suggests an accumulation of exposure to neighbourhood deprivation over the life course is damaging to later life health, which indicates improving neighbourhoods as early in life as possible would have the greatest public health improvement.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 636-636
Author(s):  
Avron Spiro

Abstract Military service during early life can result in exposure to traumatic events that can reverberate throughout life. Although much attention is focused on the negative effects of military service, many veterans report positive effects. These papers explore life course effects of military service on veterans’ health and well-being. Three used national US longitudinal cohorts (HRS, MIDUS); two sampled veterans from Oregon or from Korea. Three compared veterans to non-veterans; two examined veterans only. Cheng and colleagues found that veterans in HRS are more likely to be risk-averse than non-veterans. Risk aversion matters because it determines how people make decisions and predicts a wide array of health and economic outcomes. Kurth and colleagues examined Oregon veterans from several wars, finding PTSD symptoms were highest among Vietnam combat veterans, the oldest cohort; there were no differences among non-combat veterans. Piazza and colleagues examined in MIDUS the impact of veteran status on cortisol, a stress biomarker, finding older veterans more likely had non-normative patterns than did younger or non-veterans. Lee and colleagues studied patterns of mental health among Korean Vietnam veterans, identifying two patterns as ‘normal’ and ‘resilient’ encompassing half the sample; these veterans demonstrated positive outcomes of military service. Frochen and colleagues compared depression trajectories between veterans and non-veterans in HRS, finding veterans had less depression than non-veterans, but among veterans, trajectories varied based on extent of service. in sum, these papers demonstrate that military service can have positive as well as negative effects on veterans’ health and well-being in later life. Aging Veterans: Effects of Military Service across the Life Course Interest Group Sponsored Symposium.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S128-S129
Author(s):  
Melanie S Hill ◽  
James E Hill ◽  
Stephanie Richardson ◽  
Jessica Brown ◽  
Jeremy B Yorgason ◽  
...  

Abstract Identity scholars have suggested that having a unified sense of past, present, and future is related to positive well-being outcomes (Whitbourne, Sneed & Skultety, 2009). One’s occupation can have a profound influence on an individual’s identity throughout the life course (Nazar & van der Heijden, 2012). Research has looked at career mobility among younger age groups (Baiyun, Ramkissoon, Greenwood, & Hoyte, 2018); however, less is known about the impact of career stability later in life. Consistency in career choice over the life course may have positive outcomes down the line as career becomes part of an individual's identity. The current study uses the Life and Family Legacies dataset, a longitudinal state-representative sample of 3,348, to examine individual’s careers at three points in the life course: high school (projected career choice), early adulthood, and later life. Results revealed that a match of desired career in high school and actual career in early adulthood was not predictive of life satisfaction or depressive symptoms in later life. However, a match of career in early adulthood and later life was significantly related to better life satisfaction and less depressive symptoms, which was explained through higher levels of job satisfaction. This study highlights the importance of acquiring and maintaining a career that is fulfilling to the individual over the course of early adulthood to later life.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 463-463
Author(s):  
Miles Taylor ◽  
Dawn Carr ◽  
Amelie Quesnel-Vallee

Abstract Financial security is critical to overall well-being in retirement. Life course disruptions in work due to unemployment or disability may have lasting impacts on financial security in later life, and these effects may or may not be ameliorated by old age security programs and retirement benefits. Women are known to be particularly vulnerable for financial hardship in later life, making their life course experiences especially important in understanding financial well-being in retirement. We examine the Canadian Longitudinal and International Study of Adults (LISA) to assess later life financial insecurity in retirement, including 20 years of data on labor force experiences across adulthood drawn from linked tax records (N=2,353; N=1,079 men and N=1,274 women). The Canadian context is a useful complement to studies in the US due to its diverse and relatively generous public support programs, in addition to personal savings options for retirement. We find that among men, financial insecurity is tied to years reporting unemployment, where for women this outcome is more strongly linked to reports of disability and income assistance across adulthood. Although public and private retirement benefits do not offset these associations for either gender, receipt of income supplements reduce subjective financial insecurity among women. Among men, personal savings have the most robust effect in reducing financial insecurity. Our results suggest that in Canada, with its relatively generous provision of retirement support, life course work and health instability have lasting but differential effects for men and women in retirement.


2018 ◽  
Vol 32 (5-6) ◽  
pp. 285-295 ◽  
Author(s):  
Sara Zella ◽  
Sarah Harper

Objectives: The article addresses whether specific combinations of employment and domestic duties over the life course are associated with variations in women’s health at the time of retirement. It also explores the differences of this relationship in four European welfare states. Method: Women from three waves of SHARE (Survey of Health, Aging and Retirement in Europe) are grouped using sequence analysis. Using logistic regression models, group differences in later life depression and self-reported health are tested. Predicted probabilities are applied to analyze welfares’ differences. Results: The findings confirm that a combination of employment and domestic duties across the life course has a positive association with later life health. Being outside the labor market is detrimental for women’s health. Well-being across the life course is framed by the welfare context in which women live. Discussion: We suggest that further research is needed to explore the mechanisms linking work and care trajectories to poor health and enable appropriate interventions.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 916-916
Author(s):  
Juha Lee ◽  
Manjing Gao ◽  
Chioun Lee

Abstract Having a child with developmental disabilities (DD) compromises parents’ health and well-being. We have little knowledge on whether the association is robust to the presence of exposure-outcome confounders and how it varies by race. Guided by life-course perspectives, we evaluate (1) the association between having a child with DD and parental well-being and (2) racial disparities in the likelihood of having a child with DD (differential exposure), and/or the effect of having a child with DD on parental well-being (differential vulnerabilities). We advance prior studies by including a wide array of parent’s early-life adversities (ELAs, e.g., poverty and abuse), which may link the predictor to the outcome. Using the core, Refresher, and Milwaukee samples from Midlife in the United States (N=9,640, 25% non-Whites), we conducted regression analysis with race as a moderator. Compared to having a healthy child, parents having a child with DD reported lower well-being even after controlling for ELAs. While the likelihood of having a child with DD (around 10%) is similar for both non-Hispanic Whites and African Americans, African American parents are more adversely affected by having a child with DD across most of the eudaimonic well-being indicators (i.e., autonomy, self-acceptance, positive relationships with others, personal growth, environmental mastery). The later-life well-being of racial minorities is disproportionally affected by having a child with DD. Future research avenues include identifying life-course pathways that contribute to this differential vulnerability.


2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Myriam Verena Thoma ◽  
Shauna Ledean Mc Gee

Health and well-being in later life are heavily influenced by behaviors across the life course, which in turn are influenced by a variety of wider contextual, social, economic, and organizational factors. There is considerable potential for inequalities in health-promoting behaviors and health outcomes, arising from poverty, social, and environmental factors. This suggests that individuals from disadvantaged backgrounds and circumstances may have more exposure to (chronic) stressors, coupled with reduced access to resources, and increased susceptibility to risk factors for ill-health and mental disorders in later life. This drastically decreases the likelihood for successful aging in individuals from less advantaged backgrounds. Nevertheless, despite these adverse circumstances, some high-risk, disadvantaged individuals have been shown to achieve and maintain good health and well-being into later life. This scientific update provides an overview of recently published research with samples that, against expectations, demonstrate successful aging. Favorable personality traits, cognitive strategies, and a high-level of intrinsic motivation, paired with a supportive social environment, have been found to build a prosperous basis for successful aging and positive health outcomes in later life for individuals living in aversive environmental circumstances. For clinical psychologists, the movement towards the investigation of underlying mechanisms of successful aging from a psychological perspective, particularly in disadvantaged individuals, may be a critical step towards understanding the vast heterogeneity in aging. Successful aging is possible in disadvantaged individuals. Psychological and social resilience resources may compensate for the impact of disadvantage. The application of multi-level resilience models can aid future research on successful aging. Successful aging is possible in disadvantaged individuals. Psychological and social resilience resources may compensate for the impact of disadvantage. The application of multi-level resilience models can aid future research on successful aging.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S916-S916
Author(s):  
Christian Deindl ◽  
Miriam Engels

Abstract The connection between employment, family life and health is well documented. Job demands and family obligations are divergent responsibilities and can be a constant source of conflict. The resulting role strain can have a long lasting impact on mental health. Using data from SHARE and ELSA, we take a life course perspective and look at patterns of employment history from the age of 25 to 40 combined with partnership and fertility history of 17,189 men and 23,266 women in 22 European countries. Sequence analysis combined with cluster analysis shows a clear picture of five dominant states in our sample: Stable work and family, stable work without family, working single parent, working childless couples, and being non employed. This pattern is similar for men and women. We use path models to distinguish the impact of childhood conditions on such life course patterns and the direct and indirect impact of employment and family life on mental health. Women who did not combine work and family roles, (work without family, family without work) reported higher levels of depression in comparison with women who combined work and family. Non-working women and single mothers also experienced indirect effects on depression through their economic situation. Unemployed men or men without family reported higher levels of depression. Unemployment and being a single father also have an indirect impact on depression via economic conditions and health. Moreover, such results also differ between countries, with lower employment rates reducing role strain for women, but not so for men.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S418-S418
Author(s):  
Dale Dannefer ◽  
Stephen Crystal ◽  
Angela O’Rand

Abstract Processes of cumulative dis/advantage operate within cohorts and across historical time. In the ongoing dance of age, cohort and period, each cohort encounters distinctive social and economic environments at particular ages that may ameliorate or exacerbate the cumulative and systemic processes of inequality production that operate over its collective life course. We explore issues of current and future late-life inequality and its consequences. As overall income inequality has grown, what are the likely consequences for late-life outcomes? How have cohorts currently in midlife been affected by the Great Recession of 2008 and subsequent recovery? What are the mental and physical consequences of these developments, and to what extent can they be ameliorated by interventions in middle and later adulthood? This symposium addresses how variation in economic circumstances and social and psychological stresses may affect outcomes over the life course, and how these complex, interacting processes can be best conceptualized and examined. One paper examines the impact of the Great Recession and subsequent events on the intracohort distribution of income, suggesting inordinate setbacks during the Recession with likely long-term effects for economically vulnerable subpopulations. Another explores the role of psychosocial stressors in the process of cumulative dis/advantage, focusing on linkages between functional limitations and psychological well-being in later life, and how these linkages are amplified by diverse dimensions of disadvantage (e.g., education, employment; coping strategies; caregiving). A third paper examines the intergenerational dimensions of cumulative advantage processes. Finally, contrasting theoretical frameworks for apprehending life-course processes and historical change will be explored.


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