scholarly journals Socioeconomic Status and Later-Life Health: Longitudinal Evidence From Europe and China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 485-485
Author(s):  
Nicolas Sommet ◽  
Daniela Jopp ◽  
Dario Spini ◽  
Mengling Cheng
Keyword(s):  
Life Course ◽  
Protective Effect ◽  
Selection Effect ◽  
Later Life ◽  
Cross Sectional ◽  
Younger Adults ◽  
Growth Curve Models ◽  
Specific Effects ◽  
Country Specific ◽  
Health Gradient

Abstract Scholars are divided as to how the protective effect of SES on health (the SES-health gradient) varies over the later-life course: The age-as-leveler perspective suggests that the SES-health gradient weakens with age, whereas the cumulative (dis)advantages perspective suggests that it strengthens with age. To clarify this, we used SHARE 2004-2017 (73,407 respondents from 19 European countries) and CHARLS 2011-2018 (8,370 Chinese respondents). Congruent with the age-as-leveler perspective, growth curve models revealed that the overall protective effect of SES on multimorbidity was weaker for older than younger adults (the country-specific effects were significant in two thirds of the case). We interpret this as a selection effect. However, the within-participant protective effect of SES on multimorbidity did not vary over the later-life course (the country-specific effects were nonsignificant in the majority of the case). Findings suggest that extant cross-sectional studies should be interpreted with caution and that longitudinal, cross-national studies are needed.

scholarly journals A Life Course Approach to Inequality: Examining Racial/Ethnic Differences in the Relationship between Early Life Socioeconomic Conditions and Health in Later Life Among Men

2015 ◽  
Vol 25 (3) ◽  
pp. 313 ◽  
Author(s):  
Taylor W. Hargrove, MA ◽  
Tyson H. Brown, PhD
Keyword(s):  
Life Course ◽  
Mexican American ◽  
White Men ◽  
Later Life ◽  
Adult Health ◽  
Socioeconomic Conditions ◽  
Growth Curve Models ◽  
Life Course Approach ◽  
Race Ethnicity ◽  
Racial Ethnic

<br clear="all" /><p> </p><p> <strong>Objective: </strong>Previous research has docu­mented a relationship between childhood socioeconomic conditions and adult health, but less is known about racial/ethnic dif­ferences in this relationship, particularly among men. This study utilizes a life course approach to investigate racial/ethnic differ­ences in the relationships among early and later life socioeconomic circumstances and health in adulthood among men.</p><p><strong>Design: </strong>Panel data from the Health and Retirement Study and growth curve models are used to examine group differences in the relationships among childhood and adult socioeconomic factors and age-tra­jectories of self-rated health among White, Black and Mexican American men aged 51-77 years (<em>N</em>=4147).</p><p><strong>Results: </strong>Multiple measures of childhood socioeconomic status (SES) predict health in adulthood for White men, while significant­ly fewer measures of childhood SES predict health for Black and Mexican American men. Moreover, the health consequences of childhood SES diminish with age for Black and Mexican American men. The child­hood SES-adult health relationship is largely explained by measures of adult SES for White men.</p><p><strong>Conclusion: </strong>The life course pathways link­ing childhood SES and adult health differ by race/ethnicity among men. Similar to argu­ments that the universality of the adult SES-health relationship should not be assumed, results from our study suggest that scholars should not assume that the significance and nature of the association between child­hood SES and health in adulthood is similar across race/ethnicity among men.<em> Ethn Dis.</em>2015;25(3):313-320.</p>

Age Differences in Attachment Orientations among Younger and Older Adults: Evidence from Two Self-Report Measures of Attachment

2009 ◽  
Vol 69 (2) ◽  
pp. 119-132 ◽  
Author(s):  
Daniel L. Segal ◽  
Tracy N. Needham ◽  
Frederick L. Coolidge
Keyword(s):  
Older Adults ◽  
Age Differences ◽  
Convergent Validity ◽  
Later Life ◽  
Community Dwelling ◽  
Self Report ◽  
Cross Sectional ◽  
Younger Adults ◽  
Theoretical Perspectives ◽  
Preoccupied Attachment

The attachment patterns of younger and older adults were studied using two-dimensional self-report measures of adult attachment. Community-dwelling younger ( n = 144, M = 22.5 years, SD = 3.6) and older ( n = 106, M = 68.6 years, SD = 8.3) adults completed the Measure of Attachment Qualities (MAQ; Carver, 1997) and the Relationship Style Questionnaire (RSQ; Griffin & Bartholomew, 1994). Although the MAQ and RSQ are believed to be measuring similar constructs, they are derived from different theoretical perspectives. Correlations between the two measures were in the expected directions proving modest evidence for their convergent validity. Regarding cross-sectional results, as was expected, older adults scored lower than younger adults on the ambivalent-worry attachment scale of the MAQ and the preoccupied attachment scale of the RSQ. There were no age differences regarding secure, avoidant, and dismissing attachment. It appears that older adults experience anxious types of attachment less frequently than younger adults. Although these results primarily speak to age differences and possible cohort effects, they also provide some support for socioemotional selectivity theory and its hypothesized improved relationships in later life.

Cumulative disadvantage over the life course and depression among older adults: a cross-national perspective

2020 ◽  
Vol 11 (3) ◽  
pp. 181-200
Author(s):  
Georgia VERROPOULOU ◽  
◽  
Eleni SERAFETINIDOU ◽  
Cleon TSIMBOS ◽  
◽  
...  
Keyword(s):  
Life Course ◽  
Later Life ◽  
Relative Effect ◽  
Cross Sectional ◽  
Adverse Experiences ◽  
Domains Of Life ◽  
National Perspective ◽  
The Life Course ◽  
European Populations ◽  
Cross National

The study considers the effects of accumulation of disadvantage over the life course in three key domains of life, health, socioeconomic status and adverse experiences, on later life depression, focussing on differentials between genders and across European populations. Information on 23816 persons aged 50+ has been used from wave 2 (cross-sectional material) and wave 3 (retrospective) of the Survey of Health Ageing and Retirement in Europe (SHARE). Cumulative health disadvantage seems to have the greatest relative effect for both sexes and across Europe. Males are more affected by poor health and socioeconomic adversity whereas for females, adverse experiences have a stronger effect. In several countries cumulative adverse experiences are more important compared to cumulative socioeconomic disadvantage; the first seems of greater consequence in Poland and Ireland while the latter mainly in Southern Europe. The study shows that accumulation of disadvantage over the life course significantly predicts depression across European countries.

The Influence of Age on Emotion Regulation Strategies and Psychological Distress

2013 ◽  
Vol 42 (6) ◽  
pp. 668-681 ◽  
Author(s):  
Laura Brummer ◽  
Lusia Stopa ◽  
Romola Bucks
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Psychological Distress ◽  
Later Life ◽  
Self Report ◽  
Emotion Regulation Strategies ◽  
Cross Sectional ◽  
Emotional Suppression ◽  
Younger Adults ◽  
Regulation Strategies

Background: To date there is promising, yet limited, evidence to suggest that differences exist between older and younger adults’ emotion regulation styles. Aims: The study aimed to explore emotion regulation style across the adult lifespan by assessing whether self-reported reappraisal, or suppression, differs across age groups, and how these emotion regulation strategies may impact upon psychological distress. Method: Three hundred and seventeen younger, 175 middle-aged and 85 older adults’ emotion regulation styles and levels of psychological distress were measured using self-report questionnaires and examined using a cross-sectional design. Results: The findings suggest that, compared to younger adults, older adults make greater use of suppression, the emotion regulation strategy. This greater use of suppression by older adults was not related to increased levels of psychological distress. By contrast, younger adults who reported high levels of suppression reported higher levels of psychological distress. In addition, older adults reported less anxiety and stress than younger adults, with no age differences in depression. Conclusions: Findings suggest a possible decoupling of the use of emotional suppression and psychological distress with age. Suppression may be a useful form of emotion regulation for the stressors experienced in later life and, arguably, therefore may not be associated with the negative outcomes observed in younger adults.

Changes in Income within a Cohort over the Later Life Course: Evidence for Income Status Convergence

2002 ◽  
Vol 21 (4) ◽  
pp. 495-504 ◽  
Author(s):  
Steven G. Prus
Keyword(s):  
High Education ◽  
Life Course ◽  
Economic Status ◽  
Later Life ◽  
Well Being ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Consumer Finances ◽  
Income Status ◽  
Status Position

ABSTRACTThis paper examines the extent to which an individual's income-status position relative to that of others in the same cohort is maintained over the later life course. Changes in the income status of individuals born between 1924 and 1928 are estimated by means of synthetic cohort methods. Using a series of cross-sectional data files from every fifth Survey of Consumer Finances, starting in 1978, the findings show that, from ages 50 to 64, persons of this birth cohort with early-life socio-economic status advantages (namely high education) improve their absolute and relative income status position vis-à-vis others with status disadvantages. For ages 65 to 74, the economic well-being of individuals with status advantages and disadvantages converge. Since Canada's public pension programs are relatively well developed in terms of comprehensiveness and generosity, they do a good job at countering the effects of status background characteristics on the distribution of income in old age. In the absence of these programs (i.e., up to age 64), the relative position of those with high education and other advantaged groups is strengthened.

Life-course social class is associated with later-life diabetes prevalence in women: evidence from the Irish Longitudinal Study on Ageing

2020 ◽  
Vol 11 (3) ◽  
pp. 353-381
Author(s):  
Siobhan Leahy ◽  
Mark Canney ◽  
Siobhan Scarlett ◽  
Rose Anne Kenny ◽  
Cathal McCrory
Keyword(s):  
Longitudinal Study ◽  
Social Class ◽  
Life Course ◽  
Social Mobility ◽  
Synergistic Effects ◽  
Later Life ◽  
Glycated Haemoglobin ◽  
Cross Sectional ◽  
Increased Risk ◽  
Haemoglobin Testing

This study aimed to investigate the independent and synergistic effects of childhood and adult social class, as well as the effect of social mobility, on type 2 diabetes (T2D) risk in later life. Cross-sectional data from The Irish Longitudinal Study of Ageing (TILDA) (n = 4,998), a nationally representative probability sample of adults aged 50 and older, were analysed. Prevalent diabetes was defined using subjective (self-reported doctor’s diagnosis) and objective data (medications usage and glycated haemoglobin testing). Social class was classified as a three-level variable based on fathers’ occupation in childhood and respondents’ primary occupation in adulthood. A five-level social mobility variable was created from cross-classification of childhood and adulthood social class. Logistic regression was employed to assess the relationship between social class variables and T2D. Mean (SD) age of the sample was 63.8y (9.9) and 46.4% were male. Incidence of T2D was 11.6% of men and 7.7% of women. Some 57.4% of the sample were classified as Manual social class in childhood. Compared to those in Professional/Managerial occupations, belonging to the Manual social class in childhood was associated with an increased risk of T2D in men (Odds Ratio (OR): 1.36, 95% CI: 0.88, 2.10) and women (OR: 2.16, 95% CI: 1.21, 3.85). This association was attenuated in women when controlled for adulthood social class (OR: 1.84, 95% CI: 1.00–3.37), suggesting that the effect of childhood social class may be modified by improving social circumstance over the life course.

scholarly journals Lifetime employment histories and their relationship with 10-year health trajectories in later life: evidence from England

2020 ◽  
Vol 30 (4) ◽  
pp. 793-799
Author(s):  
Giorgio Di Gessa ◽  
Laurie Corna ◽  
Debora Price ◽  
Karen Glaser
Keyword(s):  
Labour Market ◽  
Family Care ◽  
Selection Effect ◽  
Later Life ◽  
Cross Sectional ◽  
Lifetime Employment ◽  
Somatic Health ◽  
Health Trajectories ◽  
State Pension ◽  
Employment Histories

Abstract Background Employment histories influence health. However, most studies have so far investigated cross-sectional associations between employment histories and health, failing to recognize health as a dynamic process in later life. Methods We use Waves 3–8 of the English Longitudinal Study of Ageing, including retrospective information on respondents’ employment activities. We used dynamic hamming distances to summarize lifetime employment histories up to state pension age (64 for men and 59 for women). Multilevel growth curve models were then used to estimate the influence of lifetime employment histories on later life health trajectories over a 10-year period using quality of life (QoL), somatic health, and depression. Results Net of selection effect and a host of contemporaneous material and social resources, men who exited early started off with poorer health than those with continuous attachment to the labour market but had a very similar health profile by the end of the 10-year period considered. Among women, better somatic health and higher QoL were observed among those who had employment breaks for family care, and this health advantage was maintained over time. Lifetime employment histories are not related to depression for either men or women. Conclusion Overall, differences in health by employment histories level off only among men who left earlier and those continuously employed. Flexible arrangements for men in poor health who benefit from leaving the labour market early and supporting women who wish to take breaks for family care may help reduce health inequalities in later life.

Associations between life-course frailty and later-life heart size and function in the 1946 NSHD British birth cohort-an epidemiological study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C.C Topriceanu ◽  
J.C Moon ◽  
R Hardy ◽  
A.D Hughes ◽  
N Chaturvedi ◽  
...  
Keyword(s):  
Life Course ◽  
Birth Cohort ◽  
Frailty Index ◽  
Later Life ◽  
Left Ventricular ◽  
Step Change ◽  
Deficit Accumulation ◽  
Heart Size ◽  
And Function ◽  
The Life Course

Abstract Background Cardiovascular diseases are an important component of the multi-morbidity syndrome which is associated with negative health outcomes resulting in a major societal economic burden. An objective way to assess multi-morbidity is to calculate a frailty index based on medical deficit accumulation. Late-life frailty has been validated to predict mortality, but little is known about the association between life-course frailty and cardiovascular health in later-life. Purpose To study the association between life-course frailty and later-life heart size and function using data from the world's longest running birth cohort with continuous follow-up. Methods A 45-deficit frailty index (FI) was calculated at 4 age-intervals across the life-course (0 to 16 years old, 19 to 44 years old, 45 to 54 years old and 60 to 64 years old) in participants from the UK 1946 Medical Research Council (MRC) National Survey of Heath and Development (NSHD) birth cohort. The life-course frailty indices (FI0_16, FI19_44, FI45_54 and FI60_64) reflect the cumulative medical deficits at the corresponding age-intervals. They were used to derive FImean and FIsum reflecting overall-life frailty. The step change in deficit accumulation between age-intervals was also calculated (FI2-1, FI3-1, FI4-1, FI3-2, FI4-2, FI4-3). Echocardiographic data at 60–64 years provided: E/e' ratio, ejection fraction (EF), myocardial contraction fraction index (MCFi) and left ventricular mass index (LVmassi). Generalized linear mixed models with gamma distribution and log link assessed the association between FIs and echo parameters after adjustment for sex, socio-economic position and body mass index. Results 1.805 NSHD participants were included (834 male). Accumulation of a single deficit had a significant impact (p&lt;0.0001 to p&lt;0.049) on LVmassi and MCFi in all the life-course FIs and overall FIs. LVmassi increased by 0.89% to 1.42% for the life-course FIs and by 0.36%/1.82% for FIsum and FImean respectively. MCFi decreased by 0.62% to 1.02% for the life-course FIs and by 0.33%/ 1.04%. for FIsum and FImean respectively. One accumulated deficit translated into higher multiplicative odds (13.2 for FI60-64, 2.1 for FI4-1, 75.4 for FI4-2 and 78.5 for FI4-3) of elevated filling pressure (defined as E/e' ratio &gt;13, p&lt;0.0.005 to p&lt;0.02).A unit increase in frailty decreased LV EF (%) by 11%/12% for FI45-54 and FI60-64 respectively, by 10% to 12% for FI2-1, FI3-1, FI4-1 and FI4-2, and 4%/15% for FIsum and FImean respectively (p&lt;0.0014 to p&lt;0.044). Conclusion Frailty during the life-course, overall life-frailty and the step change in deficit accumulation is associated with later-life cardiac dysfunction. Frailty strain appears to have its greatest impact on pathological myocardial hypertrophy (high LVmassi and low MCFi) potentially paving the way to later-life systolic or diastolic dysfunction in susceptible individuals. Funding Acknowledgement Type of funding source: None

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