scholarly journals A life course analysis of income and incident AMI - a Danish register based cohort study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Lund ◽  
M Kriegbaum ◽  
I Andersen ◽  
C O Hougaard ◽  
H Brønnum-Hansen

Abstract Background Social inequality in ischemic heart disease has been related to socioeconomic position in childhood, early and late adulthood. However, the impact of relative level of accumulated income periods across adult life course and the potential gender and age differences has not been investigated. The aim was to investigate the association between relative level of accumulated income across the life course and Acute myocardial infarction (AMI) from age 60+ and to study if the associations differ by gender and exposure in different age groups (30-39 years, 40-49 years and 50-59 years). Methods All Danes born 1935-54 N = 1,235,139 were followed-up in registers for incident AMI (ICD8: 410, ICD10: I20, I21) from age 60+, (42,669 cases). The The Accumulated Proportional Deviation from Median Equivalized Income = APDMEI for each gender/age /calendar year strata was constructed and divided in quartiles. The analyses stratified by birth cohort included all Danes born in 1955-70 (alive and reached age 40) N = 1,144,264, 1945-64 (alive and reached age 50), N = 1,434,769, 1935-1954 (alive and reached age 60) N = 1,235,139 including outcomes in the following 10 year period. Cox’s proportional hazard models adjusted for educational level, ethnic background and birth cohort. Results Among men, those in the lowest APDMEI quartile had a HR 1.40 (1.35-1.45) of AMI compared to the highest quartile, second and third highest quartiles had HR of 1.24 (1.20-1.28) and 1.14 (1.10-1.18), respectively. Among women the lowest quartile had a HR of 1.78 (1.69-1.88), the second 1.45 (1.37-1.53) and the third 1.19 (1.13-1.26). The social gradient was similar across the different age-groups. Conclusions The risk of AMI increased with lower levels of relative accumulated income across the life course. While men generally had a higher risk of AMI, the social gradient was steeper in women. There was no indication of a specific sensitive age period for exposure to relative level of accumulated income. Key messages Accumulated low income is associated with higher AMI risk in both men and women, but with larger relative differences between high and low accumulated income in women. This study adds a new approach to the study of inequalities in AMI by integrating duration and extent of low income into a relative measure of accumulated income.

2019 ◽  
Vol 73 (9) ◽  
pp. 810-816 ◽  
Author(s):  
Margit Kriegbaum ◽  
Charlotte Ørsted Hougaard ◽  
Ingelise Andersen ◽  
Henrik Brønnum-Hansen ◽  
Rikke Lund

BackgroundSocial inequality in ischaemic heart disease has been related to socioeconomic position in childhood, early adulthood and late adulthood. However, the impact of relative level of accumulated income periods across adult life course and the potential gender and age differences have not been investigated. The aim was to investigate the association between relative level of accumulated income across the life course and acute myocardial infarction (AMI) from age 60+ years and to study if the associations differ by gender and in different age groups (30–39 years, 40–49 years and 50–59 years).MethodsAll Danes born 1935–1954 (N=1 235 139) were followed up in registers for incident AMI (42 669 cases). The accumulated proportional deviation from median equivalised income (APDMEI) for each gender/age/calendar year strata was constructed and divided in quartiles. The associations were analysed by means of Cox’s proportional hazard models.ResultsAmong men, those in the lowest APDMEI quartile had an HR 1.40 (1.35–1.45) of AMI compared with the highest quartile. Those in the second and third highest quartiles had HR of 1.24 (1.20–1.28) and 1.14 (1.10–1.18), respectively. Among women, the lowest quartile had an HR of 1.78 (1.69–1.88), the second 1.45 (1.37–1.53) and the third 1.19 (1.13–1.26). The social gradient was similar across the different age groups.ConclusionThe risk of AMI increased with lower levels of relative accumulated income across the life course. While men generally had a higher risk of AMI, the social gradient was steeper in women. There was no indication of a specific sensitive age period for exposure to relative level of accumulated income.


2018 ◽  
Author(s):  
Sarah E. Patterson ◽  
Rachel Margolis

To better understand how caregiving varies across contexts and the impact of caregiving on social and economic outcomes, we need to understand how it varies across the entire adult life course and how sensitive caregiving estimates are to the inclusion of different directions and types of care. This is the first study to comprehensively describe multigenerational caregiving patterns by gender and age across European countries. We use the Generations and Gender Survey (GGS) Wave 1 (N=114,147) to consider multiple definitions of multigenerational caregiving. In addition to personal care and financial transfers, we also include emotional transfers which are rarely examined. We also examine multigenerational care that includes simultaneous care for any two generations rather than just to parents and children which is most often studied. Across our sample of 11 European countries, we find that women are significantly more likely to give care than men across the life course, and these gender gaps are especially large during critical periods like young adulthood and mid-life around retirement ages. Including emotional caregiving as well as horizontal care (to a spouse, sibling, or friend) are both substantively important in shaping the life course pattern of caregiving and the size of the gender gap. The gender gap in the life course pattern of caregiving have implications for aging, intergenerational inequality, and human capital accumulation across the life course.


2017 ◽  
Vol 284 (1854) ◽  
pp. 20170515 ◽  
Author(s):  
L. J. N. Brent ◽  
A. Ruiz-Lambides ◽  
M. L. Platt

Two decades of research suggest social relationships have a common evolutionary basis in humans and other gregarious mammals. Critical to the support of this idea is growing evidence that mortality is influenced by social integration, but when these effects emerge and how long they last is mostly unknown. Here, we report in adult female macaques that the impact of number of close adult female relatives, a proxy for social integration, on survival is not experienced uniformly across the life course; prime-aged females with a greater number of relatives had better survival outcomes compared with prime-aged females with fewer relatives, whereas no such effect was found in older females. Group size and dominance rank did not influence this result. Older females were less frequent targets of aggression, suggesting enhanced experience navigating the social landscape may obviate the need for social relationships in old age. Only one study of humans has found age-based dependency in the association between social integration and survival. Using the largest dataset for any non-human animal to date, our study extends support for the idea that sociality promotes survival and suggests strategies employed across the life course change along with experience of the social world.


Author(s):  
Rebecca Gowland ◽  
Bennjamin Penny-Mason

Historical evidence has provided a rich source of information concerning the structure and experience of the medieval life-course. Archaeology has also contributed to these debates, through the material remains associated with different age groups and the structural remains of houses, but primarily via the wealth of evidence provided by the medieval cemeteries. Human skeletal remains are proving to be a particularly fruitful source of data for understanding the relationship between chronological, biological, and social ages in medieval England. This overview examines the historical, archaeological, and bioarchaeological evidence for the medieval life-course, from infancy to old age. This range of evidence is integrated and discussed with reference to current theoretical approaches to the life course and age identity within the social sciences.


2017 ◽  
Author(s):  
Orian Brook ◽  
Dave O'Brien ◽  
Mark Taylor

Unpaid or ‘free’ labour is an important element of how precarity has been theorized. It is also an issue that is often seen as endemic to cultural and creative work, rightly attracting a range of criticism. Questions as to the role of unpaid work, for example internships, have become central to understanding the social exclusiveness of many cultural and creative jobs. This paper develops this existing analysis by comparing and contrasting the meaning of 'free' work over the life course of a range of creative occupations, historicising the impact of unpaid labour on the creative sector and showing how it has been stratified by social class, age and career stage. The paper uses two datasets drawn from the Panic! What happened to social mobility in the arts? project, to outline the differing experiences of unpaid labour in cultural and creative occupations. By demonstrating the stratification of unpaid work as a form of precariousness in cultural jobs, along with the social distribution of benign narratives of unpaid work, the paper aims to offer new empirical evidence for those seeking to resist precarious forms of labour.


2020 ◽  
Vol 8 (3) ◽  
pp. 313-332
Author(s):  
Beate Volker

AbstractThis study examines changes in individual social capital during adult life within a 19-year period. Social capital theory and life course theory are combined, and it is argued that changes in social networks do not necessarily go together with changes in social capital: while personal networks are known to decline in size with age, social capital can be expected to accumulate, in particular for those who had a better starting position and therefore more resources to share. Panel data from the survey of the social networks of the Dutch (SSND) (1999–2018) at four points of measurement are employed to inquire into this argument. Social capital is measured by the position generator instrument, and three indicators, that is, resource extensity, mean prestige access, and resource range are analyzed. Results of fixed effect models show that, on average, people maintain access to social capital, and that men and higher educated gain social capital through their life as opposed to women and lower educated. Implications for the understanding of the reproduction of social inequality are discussed. The paper concludes with a reflection upon the value of ego-centered network analysis in the era of big data and data science.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 585-586
Author(s):  
Jessica Kelley ◽  
Stephen Crystal ◽  
Jessica Kelley

Abstract Economic inequality has grown rapidly in all age groups in the past several decades. In each successive cohort, the wealth gap grows for young people and seems to accelerate faster over the life course. While rising inequality has taken its toll on Baby Boomers, we have become acutely aware of the increasing economic pressures across the entire life course (work precarity; student loans) that will manifest in the greatest degree of inequality in older adulthood seen to date. This session explores the forces that have shaped the degree of inequality among current older adults and are setting the stage for future cohorts of older adults. Presenters will explore several aspects of this issue: the growing state of the “risk retirement,” the impact of income inequality on later-life wealth and health, the structural racism written into economic policies intended to help Americans accumulate wealth and maintain health, and the market disadvantage for GED recipients compared to high school diploma recipients.


Author(s):  
Mary L. Sellers

Folklore occurs at every stage of a person’s life, and this chapter covers the way folklore and folklife across, and of, the life course has been studied. Six divisions in the life course that mark traditions of age groups as well as perceived stages in the United States are pregnancy and birth, infancy and early childhood, childhood and adolescence, adulthood, seniority, and death. Although much of the scholarship of age groups has been on the beginning and end of life, I demonstrate the conditions of aging in adolescence through the senior years that generate folklore and should be studied in relation to formation of age-group identity. This chapter emphasizes the use of folklore as an adaptation to aging. It examines the connection of folk traditions to the role that anxiety plays in the aging process, the formation of self and group identity, and the rites of passage that mark transitions from one stage to another. It shows that the presence of invented and emerging traditions indicates changing values and beliefs across the life course and encourages research in age-based research as a basic component of folklore and folklife studies.


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